兰州地区肥胖并发高脂血症患者中医证型分布规律及病因病机分析  

An Analysis on the Causes, Pathogenesis and Distribution Laws of TCM Syndromes in Obese Patients Complicated with Hyperlipidemia in Lanzhou Area

作　　者：杨永生[1] YANG Yongsheng(Gansu Provincial Hospital of Traditional Chinese Medicine,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院,甘肃兰州730050

出　　处：《西部中医药》2020年第12期61-64,共4页Western Journal of Traditional Chinese Medicine

基　　金：2017年甘肃省卫生行业科研计划项目(GSWSKY2017-59)。

摘　　要：目的:探讨兰州地区肥胖并发高脂血症患者的中医证型分布规律及病因病机。方法:随机选择兰州地区肥胖并发高血脂症的患者2172例,根据中医辨证原则分为痰湿内阻型、肝郁脾虚型、脾虚湿阻型、胃肠腑热型、脾肾阳虚型5组。记录每一位患者的各项指标、诱发因素等资料数据,观察5组患者的各项指标和诱因的差异性。结果:1)年龄:各组患者的年龄差异有统计学意义(P<0.05),其中,均龄最小的是胃肠腑热型;2)病程:各组患者的病程差异有统计学意义(P<0.05),病程最长的为痰湿内阻型;3)体质量、肥胖度、体质指数等肥胖项目:各组间均有差异,痰湿内阻和脾虚湿阻两组患者相对其他三组来说偏高,且与其他证型的患者存在明显差异(P<0.05);4)诱发因素:各组患者的诱发因素差异有统计学意义(P<0.05),胃肠腑热型主要是过逸少劳,肝郁脾虚型主要是情志所伤。结论:有必要加强对肥胖伴发高脂血症辨证分型分类、病因诱因分类进行深入研究,促进中医辨证论治、西医辨病治疗更好的结合,可为此病患者提供更为有效的治疗方式。Objective: To discuss the cause, the pathogenesis and distribution laws of TCM syndromes in obese patients suffering hyperlipidemia in Lanzhou area. Methods: All 2172 obese patients with hyperlipidemia were randomly chosen from Lanzhou area, they were divided into phlegm dampness internal obstruction pattern,liver depression and spleen deficiency pattern, spleen deficiency and dampness obstructing pattern, gastrointestinal visceral heat pattern and spleen and kidney Yang deficiency pattern according to the principle of TCM syndrome differentiation. To record different indexes, the causes and other data of every patients, and observe the difference in different indexes and causes of the patients in five groups. Results: 1)age: the difference had statistical meaning in age of the patients among different groups(P<0.05), among them, the youngest patients were of gastrointestinal visceral heat pattern;2)the course: the difference was statistically signficant in the courses of the patients in different groups(P<0.05), the longest course was phlegm dampness internal obstruction pattern;3) the items of body mass, obesity, body mass index(BMI) and others: There were the differences among different groups, these items were higher in the groups of phlegm dampness internal obstruction pattern, spleen deficiency and dampness obstructing pattern compared with the other three groups, the notable difference existed when they were compared with other syndromes(P<0.05);4) the cause: the difference had statistical meaning in the causes of the patients among different groups(P<0.05);the cause of gastrointestinal visceral heat pattern was more leisure and less labor, the cause of liver depression and spleen deficiency pattern was damaged by the emotions mainly.Conclusion: It is necessary to enhance further study on the causes, the classification of the syndromes of the patients, it could promote the combination of TCM syndrome differentiation and treatment and disease differentiation of Western medicine, which could provide the effe

关 键 词：肥胖 高脂血症 证型 病因诱因 

分 类 号：R723.14[医药卫生—儿科]