北京市丰台区中老年人群代谢综合征中医证候特点研究  

Study on TCM Syndrome Characteristics of Metabolic Syndrome in Middle-aged and Elderly Population at Fengtai District in Beijing

作　　者：高维[1] 郭蓉娟[2] 王建伟[1] 李阳[1] 王嘉麟[2] 邢佳[2] 贺立娟[2] 朱晓晨[2] 吴业清 吴海涛 张志军 张永顺 吴浩[7] 肖建彪[8] GAO Wei;GUO Rongjuan;WANG Jianwei;LI Yang;WANG Jialin;XING Jia;HE Lijuan;ZHU Xiaochen;WU Yeqing;WU Haitao;ZHANG Zhijun;ZHANG Yongshun;WU Hao;XIAO Jianbiao(Beijing University of Chinese Medicine,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100078,China;Xinglong Chinese Medicine Hospital,Beijing 100071,China;Lugouqiao Hospital,Beijing 100072,China;Fengtai District Puhuangyu Community Health Service Center,Beijing 100074,China;Fengtai District Huaxiang Community Health Service Center,Beijing 100071,China;Fengtai District Fangzhuang Community Health Service Center,Beijing 100074,China;Fengtai District Dahongmen Community Health Service Center,Beijing 100075,China)

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东方医院,北京100078 [3]北京兴隆中医院,北京100071 [4]北京卢沟桥医院,北京100072 [5]北京市丰台区蒲黄榆社区卫生服务中心,北京100074 [6]北京市丰台区花乡社区卫生服务中心,北京100071 [7]北京市丰台区方庄社区卫生服务中心,北京100074 [8]北京市丰台区大红门社区卫生服务中心,北京100075

出　　处：《中国中医药信息杂志》2019年第5期23-26,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：医改重大专项(2011年);国家重点基础研究发展计划(2015CB554401);北京中医药大学优秀传承团队项目(1000062720028/010)

摘　　要：目的分析北京市丰台区40～90岁人群代谢综合征(MS)的中医证候要素特点。方法对2012-2015年北京市丰台区常住人口进行多中心、大规模横断面研究,共筛查40～90岁居民10920名,采集人口基本信息、病史资料、中医四诊信息及相关检查结果,分析MS患者的人口学特征及四诊信息,并采用因子分析提取MS患者的中医证候要素。结果本筛查共计10920人,MS患者6046例,检出率为55.4%。MS高发于60～80岁人群,>50岁的女性MS发病率高于男性,口味偏油可增加MS患病率,常食水果、奶制品可降低MS患病率。中医证候要素研究显示,MS与气虚、阴虚、火、痰湿相关性较高,病位以脾、肝、肾、心为主,常见证型为气虚型、阴虚火旺型和痰湿型。结论 MS的发病或与年龄、性别、饮食特点有关,防治MS应益气化痰、健脾除湿,并重视从肝论治,应舒畅情志,清淡饮食,适当增加水果和奶制品摄入。Objective To analyze characteristics of TCM syndrome elements of metabolic syndrome(MS)in residents aged 40-90 at Fengtai District in Beijing.Methods The data came from a multi-center,large-scale cross-sectional study of 10 920 residents aged 40-90 at Fengtai District in Beijing in 2012-2015.The basic population information,medical history,TCM four-diagnostic information and related inspection results were collected.Demographic characteristics and four-diagnostic information of MS patients were analyzed,and factor analysis was used to extract TCM syndrome elements of MS patients.Results Totally 10 920 people were screened,and 6046 patients met MS diagnosis,with the detection rate of 55.4%.The morbidity of MS was high in residents aged 60-80.The morbidity of MS in women>50 years old was higher than that in men.The preference of oil could increase the morbidity of MS.Regular consumption of fruit,dairy products could reduce the morbidity of MS.The study of TCM syndrome elements showed that MS had a high correlation with qi deficiency,yin deficiency,fire and phlegm.The disease positions were mainly spleen,liver,kidney and heart.The common syndromes were qi deficiency type,yin deficiency fire hyperactvity type and phlegm dampness type.Conclusion The morbidity of MS may be related to age,gender and dietary characteristics.The prevention and treatment of MS should not only improve qi and phlegm,strengthen spleen and dehumidification,but also pay more attention to treating MS from liver.Patients should keep balance and peace in psychology,eat a light diet,and increase the intake of fruits and dairy products.

关 键 词：代谢综合征 证候要素 北京市丰台区 

分 类 号：R259.892[医药卫生—中西医结合]