【摘要】 目的探讨广东省健康人中医兼夹体质的分型情况及其兼夹规律,以期指导临床辨体质论治。方法采用横断面调查方法,于2017年7—11月对广东省727例健康人进行中医体质辨识问卷调查,内容包括一般资料和体质量表的评分。建立数据库以进行频数统计,使用Apriori算法对兼夹体质进行关联规则的数据挖掘。结果偏颇体质在受调查者总数的占比约为2/3(480例,66.02%),远高于平和质(206例,28.34%);在偏颇体质中,兼夹体质所占人群比(356例,74.17%)远高于单一偏颇体质(124,25.83%),并以2～4种体质兼夹较为多见;与女性相比,男性的平和质比例较高(χ~2=20.982,P<0.01),而兼夹体质的比例较低(χ~2=18.911,P<0.01)。Apriori算法关联规则挖掘结果,发现相关规则15条,其中气虚质关联规则最多,气虚-阳虚质置信度最高为76.355%。以体质的虚实性质划分兼夹体质的类型,虚-实兼夹类型中最常见的为气虚-气郁质、气虚-血瘀质、气虚-痰湿质,虚-虚兼夹类型包括气虚-阳虚质、气虚-阴虚质,实-实兼夹类型中最常见的为痰湿-湿热质、痰湿-气郁质、气郁-血瘀质。结论广东省健康人中医体质兼夹现象普遍存在,较单一偏颇体质更为常见,气虚质是体质兼夹的基础体质。更多还原

【Abstract】 Objective To explore the types and composite regulation of composite constitutions in healthy people in Guangdong Province in order to guide clinical treatment of different constitutions. Methods A questionnaire survey of traditional Chinese medicine(TCM) constitutional identification was conducted on 727 subjects from July to October, 2017, in Guangdong Province using cross-sectional survey method. The content included general data and scores of constitution scale tables. A database was established for frequency statistics and analysis, while the Apriori algorithm was used for data mining of association rules for composite constitution. Results The proportion of biased constitutions in the total subjects is about 2/3(480 cases, 66.02%), which is much higher than that of harmony constitution(206 cases, 28.34%). Proportion of people with composite biased constitutions(356 cases, 74.17%) was much higher than that of the single biased constitutions(124 cases, 25.83%), and it is more common to have 2-4 composite constitutions. Compared with females, males had a higher proportion of harmony constitution(χ~2=20.982, P<0.01), and a lower proportion of composite constitutions(χ~2=18.911, P<0.01). Apriori algorithm association rules mining results showed 15 related rules, among them, association rules of qi deficiency has the most. Qi deficiency and Yang deficiency has the highest confidence level of 76.355%. According to the deficiency and excess nature of physical constitutions, the composite types were divided. The most common types of composite constitution of deficiency-excess were qi deficiency with qi stagnation constitution, qi deficiency with blood stasis constitution and qi deficiency with turbidity dampness constitution. Composite constitution of deficiency-deficiency included qi deficiency with yang deficiency constitution and qi deficiency with yin deficiency constitution. The most common types of composite constitution of excess-excess were turbidity dampness with dampness heat constitution, turbidity dampness with qi stagnation constitution and qi stagnation with blood stasis constitution. Conclusion The composite constitutions of TCM in the healthy people of Guangdong Province are very popular, and are more common than single biased constitutions. Qi deficiency is the physical bases of composite constitutions.更多还原