中医体质类型在健康体检人群中的分布及其体检结果分析  

Distribution of TCM Constitution Types in Healthy Population and Analysis of Physical Examination Results

作　　者：叶子怡[1] 陈恒[2] 李小燕[1] 李海[1] 韦舒妍[1] 林嬿钊[1] YE Ziyi;CHEN Heng;LI Xiaoyan;LI Han;WEI Shuyan;Instructor： LIN Yanzhao(Guangdong Provincial Hospital of Traditional Chinese Medicine, Guangzhou 510120;Hubei University of Chinese Medicine, Wuhan 430065)

机构地区：[1]广东省中医院,广东广州510120 [2]湖北中医药大学,湖北武汉430065

出　　处：《湖北中医药大学学报》2018年第3期32-36,共5页Journal of Hubei University of Chinese Medicine

基　　金：广东省中医药局建设中医药强省科研课题(项目编号:20151209)

摘　　要：目的调查不同中医体质人群的尿酸、血脂、空腹血糖、体重指数的结果,从实验室检查及形态的角度探讨体质的相关性。方法对793例健康体检人群进行横断面的中医体质调查,同时取血样进行总胆固醇(TC)、甘油三脂(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、血尿酸(UA)、空腹血糖(FBG)的实验室检查,分析体重指数(BMI),进行不同体质间的指标比较,分析各种偏颇体质的异常指标发生率。结果 (1)与平和质相比,痰湿质的体重指数偏高,阳虚质与气郁质偏低,差异具有显著性(<0.05或<0.01);(2)实验室检查,与平和质相比,痰湿质的TC、TG、LDL-C及UA偏高,HDL-C偏低,湿热质的UA偏高,瘀血质的TC、LDL-C及FBG偏高,而气郁质TG偏低,HDL-C偏高,阳虚质的UA偏低,差异具有显著性(<0.05或<0.01)。(3)各种体质异常指标构成比提示,高尿酸血症患病率(32.65%)最高,痰湿质(42.61%)及湿热质(41.35%)为主要人群,空腹血糖异常比率较低(9.16%),瘀血质占18.18%。结论偏颇体质当中的痰湿质、湿热质、瘀血质存在代谢异常的倾向性,其中痰湿体质人群具有体重指数增高的特征。通过关注偏颇体质的危险因素,以期达到减缓慢性病发生率的目的。Objective To investigate the results of uric acid, blood lipid, fasting blood glucose and body mass index in different TCM constitution types in healthy population, and to explore the correlation of physical constitution from the laboratory examination and the angle of morphology. Methods 793 physical examination subjects were surveyed by cross-sectional TCM constitution, examination of blood samples were carried out to test the total cholesterol（ TC ）, total cholesterol（ TC ）, triglyceride（ TG ）, high density lipoprotein（ HDL-C ）, low density lipoprotein（ LDL-C ）, urinary acid（ UA ）, fasting blood glucose（ FBG ）, body mass index（ BMI ）, the indicators between different TCM constitution were compared, various abnormal physical abnormalities incidence rates were analyzed. Results Compare with the balanced constitution, the results showed that the body mass index of phlegm-dampness was higher, the yang-deficiency and qi stagnation constitution was lower with significant difference（P〈0.05 or P〈0.01 ）; the TC, TG, LDL-C, UA of phlegm-dampness was higher, HDL-C was lower, the UA of damp-heat was higher, the TC, LDL-C, FBG of blood-stasis was higher, on the contrary, the TG of qi-stagnation was lower, HDL-C was higher, the UA of yang-deficiency was lower, the difference was significant （P〈0.05 or P〈0.01 ）. A variety of physical abnormalities constitute a specific indicator, the prevalence of hyperuricemia was the highest, accounting for 32.65%, 42.61% of phlegm-dampness and 43.35% of damp-heat,and the rate of abnormal FBG was 9.16%, 18.18% ofblood-stasis. Conclusion The phlegm dampness, damp heat and blood stasis in the biased constitution show the tendency of abnormal metabolism. Among them, the phlegm dampness constitution group has the characteristics of increasing body mass index. In order to reduce the incidence of chronic diseases, attention should be paid to the risk factors of biased constitution.

关 键 词：中医体质 血脂 血尿酸 血糖 体重指数 

分 类 号：R211[医药卫生—中医学]