【目的】分析广州市老年人慢性病共病与中医体质兼夹的关联模式。 【方法】 基于广州市3个社区的体检数据，选取 3 078 名老年人为调查对象，通过关联分析探讨不同人口学特征的老年人慢性病共病与中医体质兼夹的关联规则。 【结果】老 年人慢性病共病率为 76.54% （2 356/3 078） ；老年人群中，倾向血瘀质+痰湿质的兼夹体质组合与慢性病共病的关联规则置信 度最高，为95.87%；不同性别的老年人兼夹体质组合与慢性病共病的关联规则基本相同，男性中痰湿质+倾向阴虚质的兼夹 体质组合与慢性病共病的关联规则置信度为94.38%，女性中痰湿质+倾向血瘀质的兼夹体质组合与慢性病共病的关联规则置 信度为97.46%；随着年龄的增高，慢性病共病老年人的兼夹体质逐渐发展为痰瘀互结，气虚质、阳虚质相关兼夹体质逐渐 明显。 【结论】老年人慢性病共病率较高，不同年龄组的人群慢性病共病与兼夹体质组合的关联模式不同，医疗机构可根据 老年人的兼夹体质状态，通过中医药手段调理体质，改善老年人的慢性病共病情况。

Abstract： Objective To analyze the correlation between the comorbidity of chronic diseases and concurrent traditional Chinese medicine（TCM） constitutions in the elderly in Guangzhou. Methods From the physical examination data of 3 communities in Guangzhou，3 078 elderly people were selected as the survey objects，and association analysis was performed for mining the association rules between the chronic disease comorbidity and concurrent TCM constitution types of the elderly with different demographic characteristics. Results The comorbidity rate of chronic diseases in the elderly of Guangzhou area was 76.54%（2 356/3 078） . In the elderly population of Guangzhou area，the correlation of chronic disease comorbidity with the concurrent constitution of tendentious blood stasis constitution and phlegm-damp constitution had the highest confidence， which was 95.87%. The correlation of chronic disease comorbidity with the gender showed that the concurrent constitution was similar in the elderly with different genders. The correlation of chronic disease comorbidity with the concurrent constitution of phlegm-damp constitution and tendentious yin deficiency constitution in the male elderly had the confidence of 94.38%，and the correlation of chronic disease comorbidity with the concurrent constitution of phlegm-damp constitution and tendentious blood stasis constitution in the female elderly had the confidence of 97.46%. With the increase of the age，the biased constitution of the elderly with chronic diseases gradually developed into the concurrent constitution of phlegm blended with blood stasis，and the concurrent constitution of qi deficiency constitution and yang deficiency constitution became the predominated. Conclusion The comorbidity rate of chronic diseases in the elderly is high. The association patterns of the comorbidity of chronic diseases with concurrent constitution types vary in different age groups. Medical institutions can condition the concurrent constitution with Chinese medicine therapy according to the characteristics of the concurrent constitutions of the elderly，and then can improve the comorbidity of chronic diseases in the elderly.

R195.4

广东省科技创新战略专项资金立项项目 （编号：pdjh2022b0122）；广东省中医药局科研项目 （编号：20221127、20231133）； 2023年广东省研究生教育创新计划项目 （编号：2023SQXX012）