147例代谢综合征湿证患者中医体质调查分析  

Investigation on the Traditional Chinese Medicine Constitution of Damp Type of Metabolic Syndrome:An Analysis of 147 Patients

作　　者：程小平 李秀铭[2] 魏华[2] CHENG Xiao-Ping;LI Xiu-Ming;WEI Hua(The Second Clinical Medical School,Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Guangdong Provincial Hospital of Traditional Chinese Medicine,Guangzhou 510120 Guangdong,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院,广东广州510120

出　　处：《广州中医药大学学报》2021年第12期2547-2551,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：2015年国家中医药行业科研专项(编号:201507003-01);省部共建中医湿证国家重点实验室(编号:SZ2020ZZ12);广东省中医院院内专项(编号:Y0024);广东省中医院中医药专家传承工作室建设项目(编号:E43710)。

摘　　要：【目的】探究代谢综合征湿证患者中医体质特征及其与湿证的内在联系,为运用"祛湿法"和"三辨诊疗模式"防治代谢综合征提供参考和依据。【方法】采用横断面调查方法,收集147例代谢综合征湿证患者的湿证证候积分及中医体质量表原始分数据,依据《中医体质分类与判定》的标准进行中医体质辨识,探讨代谢综合征湿证患者中医体质特征及其与湿证的相关性。【结果】(1)147例代谢综合征湿证患者中,平和质患者21例(占14.3%),偏颇体质患者126例(占85.7%),平和质与偏颇体质患者的湿证证候积分比较,差异有统计学意义(P<0.05)。其主要中医体质类型为痰湿质(47例)、气虚质(22例)、湿热质(21例)、平和质(21例)。偏颇体质患者以兼夹体质多见,主要兼夹体质类型为痰湿质兼湿热质(10例)、气虚质兼痰湿质(6例)。(2)痰湿质、气虚质、平和质体质量表原始分与湿证证候积分的Spearman相关系数分别为0.244、0.234、-0.165,差异均有统计学意义(P<0.05),而湿热质体质量表原始分与湿证证候积分的Spearman相关系数为0.034,差异无统计学意义(P>0.05)。【结论】代谢综合征湿证患者主要体质类型为痰湿质、气虚质、湿热质、平和质,其中痰湿质、气虚质为代谢综合征湿证的危险因素,平和质为代谢综合征湿证的保护因素。Objective To investigate the characteristics of traditional Chinese medicine(TCM)constitution in patients with damp type of metabolic syndrome and its intrinsic connection with damp syndrome,so as to provide reference for the application of the dampness-dispelling method and the constitution-disease-syndrome triple diagnosis and treatment mode in the prevention and treatment of metabolic syndrome. Methods The crosssectional survey was adopted. The raw scores of the damp syndrome and the TCM constitution scale were collected from 147 patients with damp type of metabolic syndrome. Following the Traditional Chinese Medicine Constitution Classification and Distinguishing Scale, the TCM constitution types of the subjects were identified and the correlation of TCM constitution types with damp syndrome in the patients was investigated. Results(1)Among the147 patients of damp type of metabolic syndrome,21 patients(14.3%)were identified as the balanced constitution and 126 patients(85.7%)were identified as the biased constitution. The damp syndrome scores in patients with the balanced constitution differed from those in the biased constitution(P < 0.05). The primary TCM constitution types covered phlegm-damp constitution(47 cases),qi deficiency constitution(22 cases),damp-heat constitution(21 cases)and balanced constitution(21 cases). Patients with biased constitution were more often complicated with other types of constitution. And the main complicated constitution types were phlegm-damp complicated with damp-heat constitution(10 cases)and qi deficiency complicated with phlegm-damp constitution(6 cases).(2)The Spearman correlation coefficients of the raw scores in patients of phlegm-damp constitution, qi deficiency constitution and balanced constitution with damp syndrome scores were 0.244,0.234 and-0.165 respectively,and the differences were statistically significant(P < 0.05). Whereas the Spearman’s correlation coefficient of the raw scores in patients of damp-heat constitution with damp syndrome scores was 0.034,and

关 键 词：代谢综合征 湿证 中医体质 痰湿质 气虚质 三辨诊疗模式 

分 类 号：R259.89[医药卫生—中西医结合]