Objective: To investigate the TCM syndrome and its influencing factors of the middle aged and old people in the community. Methods: We investigated the middle-to-old-aged population's TCM syndrome and influencing factors by using Health Status Questionnaire under Syndrome Differentiation System through take-site survey questionnaire. The statistical method of frequency and logistic regression analysis was using to analyze the TCM syndrome and its influencing factors. Results: The syndrome of deficiency of liver blood, syndrome of deficiency of heart qi and blood, syndrome of exuberance of liver fire, syndrome of deficiency of spleen qi, syndrome of deficiency of lung qi are the common TCM syndromes, which are cumulative 87. 3％. In the survey area, using healthy middle-aged and old people as controls, the middle-aged and old people in community who was occasionally eating cold food, men, and without diabetes can decrease the possibility to be deficiency syndrome. And the 95％ confidence interval is 0. 103 ～ 0. 559, 0. 135 ～ 0. 812, and 0. 01 ～0. 762, OR values are 0. 24, 0. 331 and 0. 088. It was significantly increasing to be excess syndrome who was often eating cold food. And the 95％ confidence interval is 2. 501 ～ 244. 548, OR value is 24. 731. The men and occasionally eating cold food can decrease the possibility to be excess syndrome. And the 95％ confidence interval is 0. 04 ～ 0. 313 and 0. 07～ 0. 662, OR value is 0. 112 and 0. 215. Conclusion: The syndrome of deficiency of liver blood, syndrome of deficiency of heart qi and blood, syndrome of exuberance of liver fire, syndrome of deficiency of spleen qi and syndrome of deficiency of lung qi are the common TCM syndromes, which is cumulative 87. 3％. The TCM syndrome of the Middle-to-old-aged Population is associated with diabetes, sex, and eating cold food in the Community.%目的:调查社区中老年人的中医虚实证候及其影响因素.方法:运用《五维二步健康状态中医测评量表》, 采取现场问卷调查的方法调查社区中老年人的中医证候及其相关影响因素, 采用频数分析、logistic回归分析探讨受访者的虚实证及其影响因素.结果:该社区中老年人常见中医证候为肝血亏虚、心气血虚、肝经火旺、脾气亏虚、肺气不足, 累计占87.3％.以健康中老年人作为对照, 仅偶尔吃冷饮冷食、男性和无糖尿病可降低该社区受访者出现虚证的几率, 95％的置信区间分别为0.103～0.559、0.135～0.812、0.01～0.762, OR值分别为0.24、0.331、0.088;经常冷饮冷食的受访者出现实证的几率明显增加, 95％的置信区间为2.501～244.548, OR值为24.731;而男性和偶尔冷饮冷食可降低受访者出现实证的几率, 95％的置信区间分别为0.04～0.313和0.07～0.662, OR值分别为0.112和0.215.结论:该社区中老年人肝血亏虚、心气血虚、肝经火旺、脾气亏虚、肺气不足等证常见累计占87.3％.该社区中老年人的中医虚实证候与糖尿病、性别、冷饮冷食情况有关.
展开▼
