原发性血脂异常及心血管危险分级与中医证候相关研究  

Study on the Correlation Between Serum Lipid Parameters and Cardiovascular Risk Classification and Chinese Medicine Syndrome

作　　者：韦峰 梁海燕 

机构地区：[1]广西壮族自治区崇左市中医壮医医院内二科,广西崇左532200

出　　处：《实用中医内科杂志》2016年第10期1-3,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[主要目的]分析原发性血脂异常及心血管危险分级与中医证候相关性。[资料来源]选取广西壮族自治区崇左市中医壮医医院内二科2012年3月至2015年3月原发性血脂异常患者,发放原发性血脂异常中医临床症候病例调查表。[选择文献量及依据]研究类型：问卷调查。研究对象：1年龄25~60岁。2气滞血瘀、痰浊、气虚、肾虚、脾虚。3能配合填写问卷,保证调查资料的正确性和完整性。排除1糖尿病、甲状腺功能异常、肾病综合征、痛风、继发性高血脂症或肝胆疾病。2严重心脑血管疾病、重大病史以及精神病。[数据提炼规则及应用方法]典则相关分析法对血清胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇和甘油三酯与年龄、心血管风险评分、危险级别、体质量指数（BMI）与12个问卷问题计算典则相关系数。观测心血管危险等级、中医证候。使用Microsoft Excel2013建立数据库,分析性别、年龄、原发性血脂异常心血管危险等级分布。[数据综合得出结果与结论]纳入200例,气滞血瘀41例（20.4%）,痰浊30例（15.2%）,气虚27例（13.7%）,肾虚45例（22.5%）、脾虚200例（28.5%）。典则相关系数r1=0.538495,r2=0.429405,r3=0.435860…r8=0.028594,冠心病风险与年龄、气虚、痰浊因子呈正相关。[未来展望]辨证用药着重考虑体质因素,治疗疾病与调整体质相结合,将体质调整到平和状态,事半功倍。[Purpose] Analysis of primary dyslipidemia lipid indexes and cardioascular risk classification and correlation of syndromes. [Resource] Select the patients of zhuang medicine of traditional Chinese medicine hospital in Guangxi, Congzuo from 2012.3 to 2012.3 with primary dyslipidemia, issue of primary dyslipidemia cases of clinical symptoms of traditional Chinese medicine questionnaire. [Literature amounts and basis] Study type： questionnaire survey. Objects： （1） age 25-60 years old. （2） Qi stagnation, blood stasis, phlegm turbidity, deficiency, kidney deficiency, abd spleen deficient. （3） to fill in the questionnaire, guarantee the correctness and completeness of the survey data. Exclusion： （1） diabetes, thyroid dysfunction, nephrotic syndrome, gout, secondary hyperlipidemia or other liver diseases. （2） seriousdisease of heart head blood-vessel, significant history and psychosis. [Data extracting rules and application methods] Serum cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol and triglyceride were index. Analysis the patients＇ age, cardiovascular risk score, risk level, body mass index （BMI） and 12 factorsthrough correlation analytic method, and calculate the canonical correlation coefficient, cardiovascular risk grades, TCM syndrome. Use Microsoft Excel2013 establish database, analysis of gender, age, primary dyslipidemia in patients with cardiovascular risk level distribution. [Comprehensive results and conclusions] Data included 200 cases in all, qi and blood stasis 41 cases （20.4%）, phlegm turbidity 30 cases （15.2%）, deficiency of 27 eases （13.7%）, kidney empty 45 cases （22.5%）, and 200 cases of pixu （spleen deficient） （28.5%）. Canonical correlation coefficient of r1=0.538495, r2=0.429405）=0.435860 r3...R8=0.028594, found that the coronary heart disease risk assessment biggest correlation with age, qi deficiency, phlegm turbidity factor, were positively correlated. [Future] Constitution factors, dialectical me

关 键 词：原发性血脂异常 心悸 心血管危险分级 中医证候 典则相关分析 气滞血瘀 痰浊 气虚 肾虚 脾虚 相关研究 循证医学 系统综述 

分 类 号：R589.2[医药卫生—内分泌]