老年代谢综合征影响因素及其中医证候特征的临床分析  

Clinical Analysis of Influencing Factors of Elderly Metabolic Syndrome and TCM Syndrome Characteristics

作　　者：闫小光[1] 王宝[1] 张亚强 李怡[1] YAN Xiao-guang;WANG Bao;ZHANG Ya-qiang;LI Yi(Department of Traditional Chinese Medicine,Beijing Hospital,National Center for Geriatrics,Academy of Geriatrics,Chinese Academy of Medical Sciences,Beijing 100730)

机构地区：[1]北京医院中医科,国家老年医学中心,中国医学科学院老年医学研究院,北京100730

出　　处：《世界中西医结合杂志》2021年第5期957-960,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：国家中医药管理局区域中医诊疗中心建设项目;北京市科委“首都临床特色应用研究”项目(Z171100001017102)。

摘　　要：目的研究老年代谢综合征(Metabolic Syndrome,MS)的中医证候特点,分析影响老年代谢综合征发病的相关危险因素,为防治老年代谢综合征提供证据支持。方法选取2012年12月—2014年3月期间于北京医院中医科及内分泌科门诊、病房进行就诊的患者,收集整理患者基本信息:年龄、家族史、坐位累计时间等。四诊信息:症状、舌脉;理化指标:腰围、血常规、生化等。运用相关统计学方法对其进行分析。结果老年代谢综合征发生的症候类型排前3位的包括以下几类,即:血瘀占比为56.91%、阴虚占比为38.12%、火热占比为32.58%。脏腑部位排前3的包括以下几类,即心占比为56.91%、肝占比为55.25%、肾占比为54.7%。在老年代谢综合征中,比较常见的几种危险因素:阴虚、气虚、阳虚、血瘀。阳虚、血瘀,肾在老年组所占比例均较中年组高。结论老年代谢综合征主要常见为血瘀与阴虚,脏腑定位关系到心、肝、肾所具有的症候特征。Objective To study the characteristics of TCM syndromes of metabolic syndrome,analyze the related risk factors affecting the onset of metabolic syndrome,and provide evidence support for the prevention and treatment of metabolic syndrome in the elderly.Methods Patients who attended the Chinese Medicine Department and Endocrinology Department of Beijing Hospital between December 2012 and March 2014 were selected.The basic patient information including age,family history,cumulative sitting time,etc.were collected.Information on four consultations included symptoms,Tongue and pulse;physical and chemical indicators include waist circumference,blood routine,biochemical,etc.The clinical data of the subjects were analyzed by statistical methods.Results The top three types of symptoms of metabolic syndrome in the elderly included the following categories,namely:blood stasis accounted for 56.91%,yin deficiency accounted for 38.12%,fiery heat accounted for 32.58%.The top three visceral organs include the following categories,that is,the heart accounts for 56.91%,the liver accounts for 55.25%,and the kidney accounts for 54.7%.There are several common risk factors in the occurrence of metabolic syndrome in the elderly.Including yin deficiency,Qi deficiency,yang deficiency and blood stasis.The proportion of yang deficiency,blood stasis,and kidney in the elderly group is higher than that in the middle-aged group.Conclusion The metabolic syndrome in the elderly is mainly characterized by blood stasis and yin deficiency.The localization of viscera organs is related to the syndrome characteristics of the heart,liver and kidney.

关 键 词：老年 代谢综合征 中医证候 

分 类 号：R58[医药卫生—内分泌]