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无偿献血人群的中医体质状况研究

摘要

目的 探讨无偿献血对中医体质状况的影响.方法 采用方便抽样法,选取2015年7-11月北京市红十字血液中心献血小屋和采血车上的无偿献血者和非献血者.调查其一般资料和献血信息,并采用中医体质量表对其中医体质进行调查.结果 共发放问卷749份,回收725份,有效681份,有效回收率为90.92%.其中献血0次者167例、献血1~4次者296例、献血5~9次者102例、献血≥10次者116例.不同献血次数者平和质、气虚质、阳虚质、血瘀质、气郁质得分比较,差异均有统计学意义(P<0.05);其中献血1~4次者气虚质得分低于献血0次者;献血5~9次和≥10次者平和质得分高于献血0次者,气虚质、阳虚质得分低于献血0次者;献血≥10次者血瘀质、气郁质得分低于献血0次者和献血1~4次者(P<0.05).男性不同献血次数者气郁质得分比较,差异有统计学意义(P<0.05),其中献血≥10次者气郁质得分低于献血0次者(P<0.05).女性不同献血次数者平和质、气虚质、阳虚质、痰湿质、湿热质、血瘀质、气郁质得分比较,差异均有统计学意义(P<0.05);其中献血5~9次者平和质得分高于献血0次者和献血1~4次者,气虚质、阳虚质、湿热质、血瘀质得分均低于献血0次者和献血1~4次者,气郁质得分低于献血0次者;献血≥10次者平和质得分高于献血0次者,气虚质、阳虚质、痰湿质、湿热质、气郁质得分低于献血0次者,痰湿质、气郁质得分低于献血1~4次者(P<0.05).结论 无偿献血者体质得分状况优于非献血者,且献血次数较多者体质状况更好.另外,随着献血次数的增加,女性体质状况较男性好.%Objective To explore the effect of unpaid blood donation on traditional Chinese medicine (TCM) constitution.Methods The unpaid blood donors and their companions in the blood donation house and vehicle of Beijing Red Cross Blood Center from July to November 2015 were selected by convenient sampling method.Their general information and blood donation information were investigated,and the Constitution in Chinese Medicine Questionnaire was used to investigate their constitution of Chinese medicine.Results A total of 749 questionnaires were sent out,725 were acquired and 681 were valid.The effective response rate was 90.92%.There were 167 non-blood donors,and 514 blood donors,of which 296 had a blood donation of 1 to 4 times,102 had a blood donation of 5 to 9 times,and 116 had a blood donation ≥10 times.There were significant differences in the scores of gentleness constitution,and qi-deficiency constitution,yang-deficiency constitution,blood-stasis constitution,and qi-depression constitution among blood donors of different donating times(P<0.05);the scores of qi-deficiency constitution among blood donors with a donation of 1 to 4 times was lower than that of non-blood donors;the scores of gentleness constitution among blood donors with a donation of 5 to 9 times and ≥10 times was higher than that of non-blood donors,while their scores of qi-deficiency constitution and yang-deficiency constitution were lower than that of non-blood donors;the scores of blood-stasis constitution,qi-depression constitution of blood donors with a donation ≥10 times were lower than that of non-blood donors and the blood donors with a donation of 1 to 4 times (P<0.05).The scores of qi-depression constitution were significantly different in males of different donating times,and among them,the scores of qi-depression constitution of blood donors with a donation ≥10 times was lower than that of non-blood donors(P<0.05).There were significant differences in the scores of gentleness constitution,qi-deficiency constitution,yang-deficiency constitution,phlegm-dampness constitution,dampness-heat constitution,blood-stasis constitution,and qi-depression constitution among females of different donating times (P<0.05);among them,the scores of gentleness constitution of blood donors with a donation of 5 to 9 times was higher than that of non-blood donors and blood donors with a donation of 1 to 4 times,their scores of qi-deficiency constitution,yang-deficiency constitution,dampness-heat constitution,and blood-stasis constitution were all lower than those of non-blood donors and blood donors with a donation of 1 to 4 times,and their scores of qi-depression constitution was lower than that of non-blood donors(P<0.05).The score of gentleness constitution of blood donors with a donation ≥10 times was higher than that of non-blood donors,their scores of qi-deficiency constitution,yang-deficiency constitution,phlegm-dampness constitution,dampness-heat constitution,and qi-depression constitution were lower than that of non-blood donors,and their scores of phlegm-dampness constitution and qi-depression constitution were lower than that of blood donors with a donation of 1 to 4 times(P<0.05).Conclusion The constitution status of blood donors is better than that of non-blood donors,and the more donating times they have,the better constitution they are in.Especially the donors who donated more times.In addition,with an increasing number of blood donation,the constitution of females will be better than that of the males.

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