低密度脂蛋白胆固醇升高与中医体质的临床相关性分析  

Clinical Correlation Analysis of Elevated LDL Cholesterol and Traditional Chinese Medicine Constitution

作　　者：杨益[1] Yang Yi(Physical Examination Department of Sanshui Hospital,Foshan Hospital of Traditional Chinese Medicine,Foshan Guangdong 528100)

机构地区：[1]佛山市中医院三水医院体检科,广东佛山528100

出　　处：《黑龙江医药》2022年第4期896-898,共3页Heilongjiang Medicine journal

摘　　要：目的:分析低密度脂蛋白胆固醇(LDL-C)水平与中医体质的相关性。方法:选取2019年4月到2021年4月佛山市中医院三水医院240例受检者作为研究对象,均检测血脂及按《中医体质分类与判定表》进行中医体质辨识。采用多因素logistic回归分析法对中医体质与LDL-C水平的相关性进行分析。结果:240例中医体质分布广泛,其中占比由高至低依次为瘀血质、气郁质、气虚质、湿热质、痰湿质、阳虚质、特禀质、阴虚质、平和质,分别占16.2%、14.1%、13.7%、13.0%、11.3%、10.8%、9.6%、8.0%、3.3%。多因素logistic回归分析显示,LDL-C水平与痰湿质(OR=1.846,95%CI:1.044~2.948)、瘀血质(OR=1.663,95%CI:0.778~1.816)相关,而与平和质、气虚质、阳虚质、阴虚质、湿热质、气郁质、特禀质无关。结论:痰湿质和瘀血质是LDL-C升高的危险因素,对于这两种体质要警惕动脉粥样硬化形成,积极采取降LDL-C治疗。Objective:To analyze the correlation between low density lipoprotein cholesterol(LDL-C)level and TCM constitution.Methods:240 subjects from Sanshui Hospital of Foshan Hospital of Traditional Chinese Medicine from April 2019 to April 2021 were selected as the research subjects,and all blood lipids were detected and TCM constitution were identified according to the Classification and Judgment Table of TCM Constitution.The correlation between TCM constitution and LDL-C levels was analyzed by multivariate logistic regression analysis.Results:The 240 cases were widely distributed,among which they were blood stasis,qi depression,qi deficiency,dampness and heat,phlegm,dampness,yang deficiency,temperament,yin deficiency,and peace,accounting for 16.2%,14.1%,13.7%,13.0%,11.3%,10.8%,9.6%,8.0%and 3.3%,respectively.Multivariate logistic regression analysis showed that LDL-C levels were associated with sputum dampness(OR=1.846,95%CI:1.044~2.948)and blood stasis(OR=1.663,95%CI:0.778~1.816),but not with peaceful,qi,yang,yin,humidity,and temperament.Conclusion:phlegm and blood stasis are the risk factors of LDL-C elevation,and actively take LDL-C lowering treatment.

关 键 词：中医体质 低密度脂蛋白胆固醇 相关性分析 

分 类 号：R589.2[医药卫生—内分泌] R446.1[医药卫生—内科学]