【摘要】 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。更多还原

【Abstract】 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.4 According 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.更多还原