老年衰弱患者中医证型及血瘀证分布规律研究

The distribution of Traditional Chinese Medicine syndrome types and blood stasis syndrome in elderly patients with frailty

中文关键词: 老年  衰弱  中医证型  血瘀证  分布规律

英文关键词: elderly  frailty  traditional Chinese medicine syndrome type  blood stasis syndrome  distribution pattern

中文摘要:

      目的 分析老年衰弱患者的中医证型和血瘀证的分布情况.方法 收集2019年1月-2022年12月在中国中医科学院西苑医院老年病科门诊及住院的年龄≥60岁的西医诊断标准符合老年衰弱患者500例,根据患者中医证型和血瘀证量表评分进行分析.结果 500例老年衰弱患者中医辨证证型比重大小依次是气虚两虚型29％、脾肾阳虚型26.8％、肝肾阴虚型25.8％、脾虚痰湿型18.4％.低年龄层的衰弱患者以气血两虚型和脾虚痰湿型较为多见,高年龄层的衰弱患者以脾肾阳虚型和肝肾阴虚型较为多见.老年衰弱患者中有87.4％伴有血瘀证.结论 老年衰弱的病机特征是以虚为本、虚瘀并现.血瘀是老年衰弱发生发展过程中的重要病理因素.随着年龄增长,老年衰弱病机演变是由气血两虚逐渐向脾肾阳虚和肝肾阴虚进展,终致阴阳两虚.

英文摘要:

      Objective To analyze thetraditional Chinese medicine(TCM)syndrome type of elderly patients with frail-tyand their blood stasis syndrome distribution.Methods A total of 500 elderly patients aged ≥ 60 years old who met the diag-nostic criteria of Western medicine for frailty in the elderly admitted to Outpatient and Inpatient Department of Geriatrics of Xiyuan Hospital,China Academy of Chinese Medical Sciences from January 2019 to December 2022 were collected.They were analyzed based on their TCM syndrome type and blood stasis syndrome scale score.Results The proportion of TCM syndrome differentiation types in these 500 elderly patients was as follows:29％for Qi deficiency and two deficiency type,26.8％for spleen-kidney Yang deficiency type,25.8％for liver-kidney Yin deficiency type,and 18.4％for spleen deficiency and phlegm-dampness type.The types ofQi-blood deficiency and spleen deficiency and phlegm-dampness were more common in young patients with frailty,and the types ofspleen-kidney Yang deficiency and liver-kidney Yin deficiency were more common in older patients with frailty.Among the elderly patients with frailty,87.4％were accompanied by blood stasis syndrome.Conclusion The pathogenesis of elderly patients with frailty is characterized by deficiency as the root cause and deficiency and stasis coexist.Blood stasis is an important pathological factor in the occurrence anddevelopment of frailty in the elderly.With the increase of age,the pathogenesis of elderlyfrailty progresses gradually from Qi-blood deficiency to spleen and kidney Yang defi-ciency and liver and kidney Yin deficiency,and eventually leads to both Yin and Yang deficiency.