1. 上海市浦东新区精神卫生中心中医科,上海,200124
2. 上海市浦南医院康复科,上海,200125
3. 上海市浦东新区卫生和计划生育委员会中医药发展中心,上海,200126
4. 上海市浦东新区中医医院护理部,上海,201200
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秦虹云, 皮衍玲, 杨震, 等. 社区老年人轻度认知功能障碍中医证候学特征的横断面调查[J]. 上海中医药杂志, 2015,49(6):6-8.
QIN Hong-yun, PI Yan-ling, YANG Zhen, et al. A cross-sectional survey on TCM syndrome characteristics of mild cognitive impairment in the elderly in community[J]. Shanghai Journal of Traditional Chinese Medicine, 2015,49(6):6-8.
秦虹云, 皮衍玲, 杨震, 等. 社区老年人轻度认知功能障碍中医证候学特征的横断面调查[J]. 上海中医药杂志, 2015,49(6):6-8. DOI:
QIN Hong-yun, PI Yan-ling, YANG Zhen, et al. A cross-sectional survey on TCM syndrome characteristics of mild cognitive impairment in the elderly in community[J]. Shanghai Journal of Traditional Chinese Medicine, 2015,49(6):6-8. DOI:
目的:采用横断面调查方法,探讨老年人轻度认知功能障碍的中医证候学特征 方法:以上海市浦东新区5个街镇24个村(居)委55岁以上常住人口为对象,抽样调查老年人轻度认知功能障碍患病率以及中医体质、证型分布特点 结果:①本次调查共抽取样本4 600例,实际完成调查4 086例(88.83%),其中轻度认知功能障碍者612例(14.98%)。②在612例轻度认知功能障碍患者中,女性比例(70.92%)高于男性(29.08%)(P<0.05),70岁及以上者比例(51.47%)高于69岁及以下者(48.53%)(P<0.05),受教育时间<8年者比例(88.56%)高于≥8年者(11.44%)(P<0.05)。③在612例轻度认知功能障碍患者中,平和质261例(42.65%),偏颇质351例(57.40%);各偏颇体质中,痰湿质、阳虚质和气虚质最多,湿热质、特禀质最少。④中医辨证分型以脾肾亏虚型、阴虚阳亢型和气血不足型居多,分别占26.11%、20.63%和10.74% 结论:老年人轻度认知功能障碍以痰湿质、阳虚质和气虚质最多,中医辨证分型以脾肾亏虚型、阴虚阳亢型和气血不足型居多;本病属本虚标实之证,以脾肾和气血亏虚为本,标实多见痰湿、气郁。
Objective:This paper is to investigate the traditional Chinese medicine(TCM) syndrome characteristics of mild cognitive impairment in the elderly in community with cross-sectional method Methods:Eligible participants are the residents aged 55 years and over in the 24 villages in the 5 streets(towns) in Pudong District in Shanghai. The survey is to investigate the prevalence of mild cognitive impairment in the elderly, TCM physique, and classification of TCM syndrome Results:①There are 6 400 samples in this survey and in which 4 086 samples (88.83%) are completed, and 612 samples(14.98%) are mild cognitive impairment patients. ②There are more female patients (70.92%) than the male patients (29.08%) in the 612 samples ( P<0.05). There are more aged 70 and more (51.47%) than the aged 69 and below (48.53%) (P<0.05). In the 612 samples, there are 88.56% with education time less than 8 years and 11.44% equal and more than 8 years (P<0.05). ③There are 261 patients with biased physique patients of Normal constitution (42.65%), 351 patients with biased physique (57.40%). Most patients with biased physique belong to phlegm-dampness constitution, yang-insufficiency constitution and qi-asthenia constitution, and the least patients with biased physique belong to damp-heat constitution and allergic constitution. ④According to the classification of TCM syndrome, there are 26.11% spleen and kidney deficiency type , 20.63% hyperactivity of yang due to yin deficiency type and 10.74% qi-blood deficiency type respectively Conclusion:Most patients of mild cognitive impairment in the elderly belong to phlegm-dampness constitution, yang-insufficiency constitution and qi-asthenia constitution, and there are more spleen and kidney deficiency type, hyperactivity of yang due to yin deficiency type and qi-blood deficiency type according to the classification of TCM syndrome. Mild cognitive impairment featured of deficient root with overdo superficial, manifest as deficient of spleen, kidney and qi-blood, and overdo of dampness and Qi-stagnation.
轻度认知功能障碍证候学体质辨证分型
mild cognitive impairmentsymptomatologyphysiquethe syndrome differentiation
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