阴虚气虚阳虚患者体质与营养状况的相关性研究  

Study on the Correlation between Constitution and Nutritional Status of Patients with Yin Deficiency, Qi Deficiency and Yang Deficiency

作　　者：金一顺[1] 邱日亮 严晓华[1] 黄昉萌[1] 陈丽[1] 耿振波[1] JIN Yishun;QIU Riliang;YAN Xiaohua;HUANG Fangmeng;CHEN Li;GENG Zhenbo(Department of Traditional Chinese Medicine,Fujian Provincial Hospital,Fujian Province,Fuzhou 350003,China;Department of Traditional Chinese Medicine,Xingguo Hospital of Traditional Chinese Medicine,Jiangxi Province,Xingguo 342400,China)

机构地区：[1]福建省立医院中医科,福建福州350003 [2]江西省兴国县中医院中医科,江西兴国342400

出　　处：《中国中医药现代远程教育》2022年第22期28-31,共4页Chinese Medicine Modern Distance Education of China

基　　金：国家中医药管理局严晓华全国名老中医专家传承工作室项目【No.2022-75】。

摘　　要：目的 观察阴虚、气虚、阳虚患者体质与营养状况的相关性。方法 选取2014年12月—2017年1月福州省立医院收治的维持性血液透析患者132例,及门诊体检者共100例,对所有入选者的营养状况分布特点及关系进行调查与分析。结果 排名第1的体质是平和质;血液透析患者除白蛋白、血红蛋白外,其他各项营养生化指标均值均在正常范围内;性别间肱三头肌皮褶厚度(TSF)、上臂肌围、小腿围差异均有统计学意义(P<0.05)。性别间握力、体质量指数(BMI)差异有统计学意义(P<0.05);血红蛋白阴虚质与气虚质及阴虚质与阳虚质比,差异有统计学意义(均P<0.05)。阴虚质血红蛋白均值显著低于其他2种体质(P<0.05)。3种体质患者TSF、上臂围、上臂肌围、小腿围、握力比较,差异无统计学意义(均P>0.05)。体质与血红蛋白、TSF相关(P<0.05)。结论 多数血液透析患者有低蛋白血症和贫血,阴虚、气虚、阳虚3种体质营养状况水平与血红蛋白、TSF相关,且阴虚质患者贫血较气虚质、阳虚质严重。因而日后应加强对阴虚、气虚、阳虚患者血红蛋白、TSF的重视。Objective To observe the correlation between constitution and nutritional status of patients with yin deficiency, qi deficiency, and yang deficiency. Methods A total of 132 maintenance hemodialysis patients admitted to Fujian Provincial Hospital from December 2014 to January 2017 and a total of 100 outpatient physical examinations were selected to investigate and analyze the distribution characteristics and relationships of the nutritional status of all the selected patients. Results The first physique is calm, except for albumin and hemoglobin, the average values of other nutritional biochemical indicators are within the normal range, there are differences in TSF, upper arm muscle circumference, and calf circumference in hemodialysis patients There is statistical significance(P<0.05). Grip strength and BMI were statistically significant between genders(P<0.05), the ratios of yin-deficiency and qi-deficiency and yin-deficiency and yang-deficiency were statistically significant(all P<0.05). The mean value of hemoglobin of yin deficiency constitution was significantly lower than the other two constitutions(P<0.05). The comparison of TSF, upper arm circumference, upper arm muscle circumference, calf circumference, and grip strength of the three physique patients was not statistically significant(all P>0.05). Physical fitness is related to hemoglobin and TSF(P<0.05). Conclusion Most hemodialysis patients have hypoproteinemia and anemia. The levels of the three constitutional nutritional status of yin deficiency, qi deficiency and yang deficiency are related to hemoglobin and TSF, and the anemia of yin deficiency patients is more serious than qi deficiency and yang deficiency. Therefore, we should pay more attention to hemoglobin and TSF in patients with yin deficiency, qi deficiency, and yang deficiency.

关 键 词：阳虚 气虚 阴虚 体质 营养状况 慢性肾脏病 水肿 

分 类 号：R259[医药卫生—中西医结合]