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中医药研究论丛
 242.1 台湾衰弱症中医证型分析
TJ TCM.24(2) : 1-14, 2021 1
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台湾衰弱症中医证型分析
Analysis of Differences between Patients
with Frailty and Tranditional Chinese Medicine Syndromes
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刘东桓1 吴佩青2,3*
1 中国医药大学附设医院复健部，台中，台湾
2 佛教慈济医疗财团法人台北慈济医院中医部，台北，台湾
3 中国医药大学附设医院复健部，台中，台湾
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【摘要】
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前言：目前国内较少针对高龄衰弱族群的中医研究。因此本团队观察社区衰弱高龄族群的过去病史、运动习惯、日常生活功能、生活品质与心理健康在中医证型的表现。希望提供中医同道在治疗社区衰弱老年人时酌做叁考。
方法：本研究共招募84 位65 岁以上新北市社区衰弱老人，搜集叁与者的过去病史、运动习惯、日常生活功能、生活品质、简易老年忧郁量表、身体组成分析以及老人中医体质量表相关资料做进一步证型分析。
结果：研究发现男性衰弱症患者若合并有高血压或体重过重，可能明显会有痰湿质中医体质；女性衰弱症患者若合并有体重过重，可能明显会有痰湿质或特禀质中医体质；女性衰弱症患者若合并有每周运动小於150 分钟，可能明显会有气虚质，痰湿质或湿热质中医体质，其中湿热质最明显占100%。
结论：虽然本研究收案数较少，且皆为新北市民众，为本研究的局限性，鉴於中医古籍已对老年的生理、病理特点有详细论述，配合本研究的初步结论，可为中医在衰弱症未来的研究提供思路，也有助於中医师於临床预防及治疗老年衰弱。
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【关键词】衰弱症、中医证型
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Dung-Huan Liu1Pei-Ching Wu2,3*
1Department of Physical Medicine and Rehabilitation, China Medical University Hospital,
Hospital, Taichung, Taiwan
2Department of Chinese Medicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical
Foundation, New Taipei City, Taiwan
3Department of Chinese Medicine, China Medical University Hospital, Hospital, Taichung, Taiwan
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【Summary】
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A total of 84 patients with frailty (average age: 77.1±9.08 years), 66 females (average age: 76.2±7.80 years) and 18 males (average age: 80.6±12.4 years), were collected in this study. After filling the questionnaires of the Tranditional Chinese Medicine(TCM) syndrome types scale, we used the statistical methods to know the correlation between frailty and TCM syndrome types. In this study, we know that the first four TCM syndrome types commonly seen in women with frailty are: Yin deficiency (66.7%), Yang deficiency (56.1%), Blood stasis (54.6%), Qi depression (48.5%). The first four TCM syndrome types commonly seen in patients with male frailty are: Phlegm-dampness (44.4%), Yin deficiency (33.3%), Yang deficiency (33.3%), and Blood stasis (33.3%). After the Chi-square test or Fisher-exact test (p<0.05) statistical analysis, we found that if male frailty patients have high blood pressure or are overweight, they may obviously have “phlegm-dampness” TCM syndrome type; we found that if female frailty patients are overweight, they may obviously have “phlegm-dampness” TCM syndrome type; if female frailty patients have exercise of less than 150 minutes a week, they may obviously have “Qi deficiency”, ” Phlegm-dampness” or “Damp-heat” TCM syndrome types. Among them, the “Damp-heat” TCM syndrome type aced for 100% most obviously. With this being a pioneer study, we were unable to obtain a large sample size, and we hope that future studies can obtain a larger sample size.
【Keywords】Frailty; Traditional Chinese Medicine Syndrome Pattern
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