874例不同腰围肥胖患者虚实证候特点研究  

Studying the Different Waist of 874 Cases of the Obese Patients "xushi" Syndrome Characteristics

作　　者：周丽波[1] 魏军平[2] 刘亚军[3] 曹爱梅[4] 王秀芝 朱妍[2] 赵昱[1] 仝小林[2] 

机构地区：[1]北京中医药大学,北京100025 [2]中国中医科学院广安门医院,北京100053 [3]北京市回民医院,北京100053 [4]北京市昌平区中医院,北京102200 [5]北京市平谷区中医院,北京101200

出　　处：《辽宁中医杂志》2008年第11期1648-1649,共2页Liaoning Journal of Traditional Chinese Medicine

基　　金：北京市中医药科技项目资助(JJ-2006-4);国家自然基金面上项目课题(30672580)

摘　　要：目的:明确不同腰围的肥胖患者的虚实证候特点。方法:将874例肥胖患者依据腰围的不同分为腹型肥胖组和非腹型肥胖组,比较两组中医证候的差异。结果:北京市社区居民腹型肥胖组和非腹型肥胖组中女性皆高于男性,随着年龄的增大,腹型肥胖组比例明显加大。腹型肥胖患者合并高血压224例(25.6%)、糖尿病前期160例(20.3%)、糖尿病179例(27.4%),非腹型肥胖患合并高血压20例(23.0%)、糖尿病前期12例(13.8%)、糖尿病14例(16.1%);腹型肥胖与非腹型肥胖在虚实证候上有显著性差异(P<0.01),实证中腹型肥胖的比例低于非腹型肥胖,虚证、虚实夹杂证中腹型肥胖的比例高于非腹型肥胖。结论:不同腰围的肥胖患者的虚实证候特点不同,需给予不同的治疗。Objective： Clearing the different waist of the obese patients＂xushi＂Syndrome characteristics.Methods：874 cases of obesity based on waist circumference of the abdominal obesity divided into different groups and non-abdominal obesity group,the comparison group syndrome differences.Result：Beijing residents abdominal obesity and non-abdominal obesity in the group of women were higher than males,with the increase of age,abdominal obesity significantly increased the proportion of group.Abdominal obesity hypertension patients with 224 cases（25.6%）,diabetes early 160（20.3 per cent）,diabetes 179（27.4%）,non-abdominal obesity with hypertension from 20 cases（23.0%）,12 pre-diabetes（accounted for 13.8%）,diabetes mellitus 14（16.1%）：abdominal obesity and non-abdominal obesity in the“xushi”Syndrome.There was significant difference（P〈0.01）,in abdominal obesity Empirical the proportion of lower abdominal obesity,deficiency,the strength permit inclusion in abdominal obesity higher than the proportion of non-abdominal obesity.Conclusion：Waist circumference of obese patients“xushi”characteristics of different syndromes,the need for the different treatment.

关 键 词：肥胖 腰围 流行病学调查 虚实证候 中医证型 

分 类 号：R589.2[医药卫生—内分泌]