台北中医医学杂志

100.2 台湾老年人心血管疾病与痰瘀体质之相关性研究
台湾老年人心血管疾病与痰瘀体质之相关性研究
A Correlational Study of Cardiovascular Disease and Stasis Constitution among the
Elderly in Taiwan  
朱翎甄1 陈萍和2 黄升苗1*
1 马偕医学院护理学系,新北,台湾
2 台北医学大学附设医院传统医学科,台北,台湾
【摘要】
背景:心血管疾病和痰瘀体质在老年人中很常见,很少有研究探讨心血管疾病与痰瘀体质之间的关系。
目的:了解台湾老年人心血管疾病与痰瘀体质的发生比例,并探讨影响老年人痰瘀体质的因素。
方法:本研究申请台湾人体生物资料库资料进行次级资料分析,研究对象选择60-70 岁间的2,353 位老年人。研究变项包括社会人口学资料、过去疾病史与痰瘀体质。痰瘀体质是透过中医体质量表来评估。本研究采用多元逻辑回归分析进一步确定影响痰瘀体质的因素。
结果:研究显示台湾罹患心血管疾病的老年人为38.5%,痰瘀体质发生比例为8.5%,回归检定统计显示与痰瘀体质有显着的因素包括女性、单身、肌肉骨骼疾病、肺部疾病、瓣膜性心脏病、冠心症或心律不整者。
结论:患有心血管疾病老年人有较高的风险存在痰瘀体质,尤其是女性。建议中医师确诊痰瘀体质时,关注老年人是否有其他西医诊断疾病,并进一步安排疾病相关检查,期望未来透过中西医治疗整合改善患者健康。
【关键词】老年人、心血管疾病、痰瘀体质
 
Ling-Chen Chu1 Ping-Ho Chen2 Sheng-Miauh Huang1*
1Department of Nursing, Mackay Medical College, New Taipei, Taiwan
2Department of Traditional Chinese Medicine, Taipei Medical University Hospital, Taipei, Taiwan
【Summary】
Background: Cardiovascular disease and stasis constitution are common in the elderly. There was rare study to explore the relationship between the cardiovascular disease and stasis constitution.
Objective: To understand the proportion of cardiovascular disease and stasis constitution in the elderly and explore the factors affecting the stasis constitution in the elderly.
Methods: This study is the secondary data analysis from the Taiwan Biobank Research Database. A total of 2,353 elderly with an age between 60 to 70 years old were selected. The study variables included the individuals’ demographics, past disease data, and body constitution, where the stasis constitution was assessed using the Body Constitution Questionnaire (BCQ). The factors acing most strongly for the stasis constitution was identified via multiple logistic regression analysis.
Results: The proportions of those elderly who had the cardiovascular disease and stasis constitution were 38.5% and 8.5%. The result of binary logistic regression showed female, single, people with musculoskeletal disease, lung disease, valvular heart disease, coronary heart disease or arrhythmia had a significantly associated
stasis constitution.
Conclusion: Elderly in Taiwan with cardiovascular disease had a higher risk for stasis constitution, especially for women. Chinese medicine doctors should pay attention to assess cardiovascular disease and arrange disease-related examinations when confirming the stasis constitution. We look forward to improving patient health through the integration of Chinese and Western medicine in the future. 
【Keywords】Elderly; Cardiovascular disease; Stasis constitution