解放军医药杂志2015，Vol.27Issue(9)：17-20,4.DOI:10.3969/j.issn.2095-140X.2015.08.004
原发性血脂异常患者中医体质类型与中医证型相关性研究
A Correlation Study on TCM Syndromes and Somatotypes of Patients with Primary Dyslipidemia
摘要
Abstract
Objective To further explore somatotypes and syndrome of patients dyslipidemia, and to analyze the correlation between TCM somatotypes and syndromes through collecting the clinical data so as to provide the basis for pre-vention and treatment of dyslipidemia in clinical practice and improve the clinical efficacy. Methods The TCM somato-types and syndromes of 1008 patients with primary dyslipidemia from medical examination center, clinical service and hospitalization were investigated, and the clinical data and the four diagnostic methods of TCM were collected. The TCM somatotypes were judged according to the Chinese medicine physical endowment classification, and the TCM syndromes were judged according to the scale of clinical syndromes using somatotypes integration, and then the correlation between TCM somatotypes and syndromes was analyzed. Results Among the 1008 patients with primary dyslipidemia, there were 246 patients (24. 4%) with moderate physique quality, 186 cases (18. 5%) with phlegm dampness quality, 169 pa-tients (16. 8%) with Yin deficiency quality, 142 patients (4. 1%) with Qi deficiency quality, 110 patients (10. 9%) with Yang deficiency quality, 52 patients (5. 2%) with bloods stasis quality, 42 patients (4. 2%) with Qi depression quality, 41 patients (4. 1%) with heat-dampness quality and 20 patients (2. 0%) with especial quality. In distribution of TCM syndromes, there were no typical case syndrome in 277 patients (27. 5%), phlegm stagnation syndrome in 225 patients (22. 3%), spleen and kidney Yang deficiency syndrome in 166 patients (16. 5%), Yin deficiency Yang hyper-activities syndrome in 139 patients (13. 8%), liver and kidney Yin deficiency syndrome in 119 patients (11. 8%), and Qi-stagnancy and blood stasis syndrome in 82 patients (8. 1%). The phlegm dampness quality were closely related to phlegm stagnation syndrome and spleen and kidney Yang deficiency syndrome ( P<0. 05 ); Qi deficiency quality were closely related to spleen and kidney Yang deficiency syndrome and no typical case syndrome (P<0. 001, P=0. 001); Yin deficiency syndrome were closely related to liver and kidney Yin deficiency syndrome and Yin deficiency and Yang supfluity syndrome (P<0. 001);Yang deficiency quality were closely related to spleen and kidney Yang deficiency syn-drome (P<0. 001);blood stasis quality were closely related to blood stagnation syndrome (P<0. 001);Qi depression quality were closely related to blood stagnation syndrome and phlegm stagnation syndrome (P<0. 05). Conclusion The main primary dyslipidemia patients are biased type, and the most biased type is phlegm dampness quality. The phlegm stagnation syndrome is the most TCM type of primary dyslipidemia, and common TCM type is no typical case syndrome. The TCM somatotypes are closely related to syndromes in primary dyslipidemia patients.关键词
原发性血脂异常/中医体质/中医证型/相关性Key words
Primary dyslipidemia/Chinese somatotypes/TCM syndrome/Correlation分类
医药卫生引用本文复制引用
罗伟,马建伟..原发性血脂异常患者中医体质类型与中医证型相关性研究[J].解放军医药杂志,2015,27(9):17-20,4.基金项目
首都医学发展基金(SF-2009-I-13) （SF-2009-I-13）
