颈性眩晕的高危致病因素分析  

Analysis of high risk factors of cervical vertigo

作　　者：黄中飞[1] 黄民锋[1] 叶常 HUANG Zhongfei;HUANG Minfeng;YE Chang(Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,Nanning,Guangxi 530011,China)

机构地区：[1]广西中医药大学附属瑞康医院,广西南宁530011

出　　处：《现代医药卫生》2022年第21期3643-3646,共4页Journal of Modern Medicine & Health

基　　金：广西中医药大学青年基金项目(2016QN028)。

摘　　要：目的探讨颈性眩晕(CV)的高危致病因素。方法将2019年1月至2020年1月该院收治的CV患者100例,与同期该院体检健康人群56例进行调查研究。采用直接观察法确定CV中医不同证型的分布。结果CV组患者主要证型为气血亏虚型、痰湿阻络型、肝肾亏虚型、瘀血阻窍型,且气血亏虚型的人群构成比显著偏高(38.0%),瘀血阻窍型构成比相对较低(2.0%)。病例组体重指数、甘油三酯、总胆固醇、低密度蛋白[(25.20±4.30)kg/m^(2),(1.88±0.42)、(5.25±0.91)、(2.91±0.48)mmol/L]较对照组[(22.50±5.10)kg/m^(2),(1.56±0.67)、(4.43±0.88)、(2.63±0.69)mmol/L]偏高,高密度蛋白[(0.75±0.14)mmol/L]较对照组[(1.02±0.31)mmol/L]偏低,差异均有统计学意义(P<0.05)。性别、饮食情况、生活习惯、血脂、年龄、体重指数对CV有影响[相对危险度(OR)=4.89,95%可信区间(95%CI)2.22~10.75,P<0.05;OR=3.18,95%CI 1.59~6.37,P<0.05;OR=1.58,95%CI 0.62~4.03,P<0.05;OR=3.67,95%CI 1.56~8.49,P<0.05;OR=1.09,95%CI 2.50~15.56,P<0.05;OR=1.21,95%CI 2.13~7.56,P<0.05]。居住条件对CV无影响(OR=1.60,95%CI 0.77~3.29,P>0.05)。结论在CV的各中医证型中,气血亏虚型最为常见;不良饮食习惯和生活习惯、血脂因素、肥胖、性别等均为CV危险致病因素,因此需采取针对性干预措施进行防治。Objective To investigate the high risk factors of cervical vertigo(CV).Methods A total of 100 CV patients admitted to this hospital from January 2019 to January 2020 and 56 healthy people undergoing physical examination in this hospital during the same period were investigated.The distribution of different traditional Chinese medicine(TCM)syndrome types of CV was determined by direct observation.Results The main TCM syndromic types in the CV group were qi and blood deficiency type,phlegm-dampness blocking collaterals type,liver and kidney deficiency type,blood stasis blocking orifice type.The constituent ratio of qi and blood deficiency type was significantly higher(38.0%),and the constituent ratio of blood stasis blocking orifice type was relatively lower(2.0%).The body mass index(BMI),triglyceride,total cholesterol,low density protein index in the CV group[(25.20±4.30)kg/m^(2),(1.88±0.42)mmol/L,(5.25±0.91)mmol/L,(2.91±0.48)mmol/L]were higher than those in the control group[(22.50±5.10)kg/m^(2),(1.56±0.67)mmol/L,(4.43±0.88)mmol/L,(2.63±0.69)mmol/L],the level of high density protein[(0.75±0.14)mmol/L]was lower than that in the control group[(1.02±0.31)mmol/L],and the differences were statistically significant(P<0.05).Gender,diet,living habits,blood lipids,age and BMI had influences on CV(OR=4.89,95%CI 2.22-10.75,P<0.05;OR=3.18,95%CI 1.59-6.37,P<0.05;OR=1.58,95%CI 0.62-4.03,P<0.05;OR=3.67,95%CI 1.56-8.49,P<0.05;OR=1.09,95%CI 2.50-15.56,P<0.05;OR=1.21,95%CI 2.13-7.56,P<0.05).Living conditions had no influence on CV(OR=1.60,95%CI 0.77-3.29,P>0.05).Conclusion Among the TCM syndrome types of CV,qi and blood deficiency type is the most common.Poor diet and living habits,blood lipid factors,obesity,and gender are all risk factors for CV.Therefore,targeted intervention measures should be taken to prevent and control CV.

关 键 词：颈性眩晕 中医证型 致病因素 

分 类 号：R211[医药卫生—中医学] R274.9