单纯性肥胖症中医证候分布特点的研究  

Distribution characteristics of TCM syndromes of simple obesity

作　　者：冯潇潇[1] 马文珠[1] 卢梦晗 王安[1] 傅松福 赵冰骢 韩笑[1] 

机构地区：[1]北京中医药大学针灸推拿学院,北京100029

出　　处：《北京中医药大学学报》2013年第12期857-860,共4页Journal of Beijing University of Traditional Chinese Medicine

基　　金：教育部大学生创新性实验计划资助项目(No.101002610)

摘　　要：目的通过文献及临床调查,初步了解单纯性肥胖症患者的中医证候特点及证候要素分布规律。方法选择2011年1月至2012年8月期间就诊的共计245位单纯性肥胖症患者,根据问卷结果分为胃热湿阻型、脾肾两虚型、肝郁气滞型、阴虚内热型和脾虚湿阻型5个证型,探讨单纯性肥胖症患者的中医证候分布特点。统计各证型患者性别、年龄、体重指数(BMI),将结果进行归类比较,得出单纯性肥胖症中医证候和证候要素分布的基本规律。结果单纯性肥胖症的证候按分布的多少可归为胃热湿阻型,肝郁气滞型,脾肾两虚型,阴虚内热型和脾虚湿阻型,其中胃热湿阻型分布最多,共103人,占全部受访人数的42%,男性的证候分布中,脾肾两虚型(64%)和胃热湿阻型(68%)较为突出,而女性的证候分布中,阴虚内热型(71%)和脾虚湿阻型(69%)高于其他证型。超重男性以胃热湿阻型(54%)较为突出,超重女性以阴虚内热(57%)最多。肥胖男性与女性均以脾虚湿阻型(23%和31%)最多。结论单纯性肥胖症在中医证型上的分布有一定的规律,且与性别,年龄,生活习惯有一定的关系。Objective To have preliminary understanding on TCM syndrome characteristics and laws of syndrome factor distribution in the patients with simple obesity based on literature research and clinical investigation. Methods The patients with simple obesity （ n = 245 ）, who visited hospital from Jan. 2011 to Aug. 2012, were divided into stomach heat with dampness obstruction syndrome, duel spleen-kidney deficiency syndrome, liver depression with qi stagnation syndrome, yin deficiency with internal heat syndrome and spleen deficiency with dampness obstruction syndrome according to the results of questionnaire for discussing the distribution characteristics of TCM syndromes. The statistics about gender, age and body mass index （BMI） were made and the results were generalized and compared in the patients with different syndromes, so that the laws of TCM syndrome distribution and syndrome factor distribution of simple obesity were achieved. Results The syndrome distribution of simple obesity showed a descending order as follows： stomach heat with dampness obstruction syndrome, liver depression with qi stagnation syndrome, duel spleen-kidney deficiency syndrome, yin deficiency with internal heat syndrome and spleen deficiency with dampness obstruction syndrome. The proportion of stomach heat with dampness obstruction syndrome （ n = 103, 42% ） was the highest. The syndrome distribution in male patients showed that the proportions of duel spleen-kidney deficiency syndrome （64%） and stomach heat with dampness obstruction syndrome （68%） were notable. The syndrome distribution in female patients showed that the proportions of yin deficiency with internal heat syndrome （71%） and spleen deficiency with dampness obstruction syndrome （69%） were higher than those of other syndromes. In overweight male patients, stomach heat with dampness obstruction syndrome （54%） was notable, while in overweight female patients, the proportion of yin deficiency with internal heat syndrome （57%） was the highest. I

关 键 词：单纯性肥胖症 证候 分布特点 

分 类 号：R241[医药卫生—中医诊断学]