溃疡性结肠炎与中医体质类型相关性研究Meta分析OA
Correlation Between Ulcerative Colitis and TCM Constitution:A Meta-analysis
目的 通过 Meta 分析研究溃疡性结肠炎的发生与中医体质的相关性,为明确溃疡性结肠炎患者中医体质分布规律,从中医体质角度治疗溃疡性结肠炎进行辨证论治时提供循证依据.方法 通过检索知网、万方、维普、PubMed、Embase、中华医学期刊建库至 2025 年 1 月 13 日所有关于溃疡性结肠炎与中医体质类型相关性的临床研究文献,以系统评价的方法对检索文献进行筛选,应用 Stata17 软件进行单样本率的 Meta 分析,结果以分布率、比值比及其 95%置信区间表达效应值.结果 共纳入13 项研究的1458 例患者,溃疡性结肠炎的中医体质占比较大的有湿热质占比 19%、气虚质占比 15%、阳虚质占比 15%、痰湿质占比 15%,气郁质占比 12%,平和质占比 12%.结论 湿热质、气虚质、阳虚质、气郁质、痰湿质是溃疡性结肠炎患者主要体质类型,其与正常人群存在明显差异,这可能成为调整体质治疗溃疡性结肠炎的切入点.
Objective To investigate the correlation between the occurrence of ulcerative colitis(UC)and traditional Chinese medicine(TCM)constitution through a Meta-analysis,aiming to clarify the distribution patterns of TCM constitu-tion in UC patients and provide evidence-based support for the treatment of UC from the perspective of TCM constitution dif-ferentiation.Methods A comprehensive search was conducted in databases including CNKI,Wanfang,VIP,PubMed,Em-base,and Chinese Medical Journal from their inception to January 13,2025,for clinical studies evaluating the correlation be-tween UC and TCM constitution types.The retrieved literature was screened using systematic review methods,and a single-rate Meta-analysis was performed using Stata 17 software.Results were expressed as distribution rates,odds ratios(ORs),and their 95%confidence intervals(CIs).Results A total of 13 studies involving,1458 patients were included.The pre-dominant TCM constitutions in UC patients were damp-heat constitution(19%),qi-deficiency constitution(15%),yang-deficiency constitution(15%),phlegm-dampness constitution(15%),qi-stagnation constitution(12%),and balanced con-stitution(12%).ConclusionDamp-heat,qi-deficiency,yang-deficiency,qi-stagnation,and phlegm-dampness constitutions are risk factors for UC,while the balanced constitution is a protective factor.No statistically significant differences were ob-served for blood-stasis and yin-deficiency constitutions.In conclusion,damp-heat,qi-deficiency,yang-deficiency,qi-stagna-tion,phlegm-dampness,and balanced constitutions are the primary TCM constitution types in UC patients,showing signifi-cant differences compared to the general population.This could provide a potential therapeutic target for ulcerative colitis by modulating the patient's constitutional characteristics.
冯荣;史英;单瑞琪;吴婷;张莹;郭玉玺;曾大凌
陕西中医药大学,陕西 咸阳 712000陕西中医药大学第二附属医院,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712000陕西中医药大学第二附属医院,陕西 咸阳 712000陕西中医药大学第二附属医院,陕西 咸阳 712000陕西中医药大学第二附属医院,陕西 咸阳 712000陕西中医药大学,陕西 咸阳 712000
医药卫生
中医体质溃疡性结肠炎Meta分析系统评价
traditional Chinese medicine constitutionulcerative colitisMeta-analysissystematic review
《现代中医药》 2026 (3)
23-32,10
国家自然科学基金(82374328)陕西省中医药科技创新提质扩能计划(TZKN-CXPT-03)
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