299例北京市中小学生中医体质类型与近视关系的Logistic回归分析
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1. 北京中医药大学,北京 100029;2. 复旦大学公共卫生学院,上海 200433; 3. 首都医科大学附属北京同仁医院,北京 100730; 4. 温州医科大学眼视光学院附属眼视光医院,浙江温州 325027

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R276.7

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基金项目: 国家重点基础研究发展计划(973计划)(NO: 2011CB505403) 收稿日期: 2013 - 11 - 18 修回日期: 2013 - 11 - 20 作者简介: 杨寅(1986~),女,河南郑州人,博士研究生,研究方向:中医体质学。 △通信作者:王琦,E-mail:wangqi710@126.com


Logistic Regression Analysis of the Relationship between Traditional Chinese Medicine Constitution and Myopia of 299 School Children in Beijing
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1. Beijing University of Chinese Medicine, Beijing 100029, China; 2. Fudan School of Public Health, Shanghai 200433, China; 3. Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University;Beijing Ophthalmology & Visual Science Key Lab, Beijing 100730, China; 4. The Affiliated Eye Hospital, School of Optometry and Ophthalmology, Wenzhou Medical College, Wenzhou, Zhejiang 325027, China

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    摘要:

    目的 研究中小学生近视与中医9种体质的相关性。方法 收集来北京同仁医院眼科门诊就诊近视中小学生237例及非近视对照62例,应用《中医体质分类与判定表》判定体质类型;应用logistic回归分析方法探索中医体质与中小学生近视的相关性。结果 与平和质相比,偏颇体质者近视的危险度显著增高(OR,2.361;95% CI,1.137-4.901);在P<0.05水平,进入回归方程的相关体质因素仅有气虚质(OR,5.025;95% CI,1.173-21.525)。结论 偏颇体质可以增加近视发生的危险性,而各种偏颇体质中又以气虚质为近视的主要体质影响因素。

    Abstract:

    Objective To investigate possible associations between myopia and measures of Traditional Chinese Medicine(TCM)body constitution in a sample of 8-18 years old Beijing school children. Methods School children were outpatients during the period from 2012 July to 2012 September in Department of Ophthalmology of Beijing Tongren Hospital. Children’s TCM body constitutions were assessed through questionnaire. Statistical analysis was performed by Logistic regression analysis. Results Compared with balanced TCM constitution, unbalanced TCM constitution was significantly higher risk of suffering from myopia(OR, 2. 361;95% CI, 1. 137-4. 901) . At the P<0. 05 level, using Logistic stepwise regressive analysis, Qi-deficiency was sifted as the main physical factor of myopia. Conclusion Unbalanced constitution can increase the risk of myopia. In the 8 unbalanced constitutions, Qi-deficiency is the main physical factor of myopia.

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