男性代谢综合征患者脉图参数特征分析  

Study on the characteristics of pulse manifestation and pulse parameters in 109 male patients with metabolic syndrome

作　　者：郭婧 潘红莉 许佳明 王锡锋 杨旭[1] 张雯 Guo Jing;Pan Hongli;Xu Jiaming;Wang Xifeng;Yang Xu;Zhang Wen(China Aerospace Science and Technology Corporation 738 sanatorium,Wuxi 214081,China)

机构地区：[1]中国航天科技集团公司七三八疗养院,江苏省无锡市214081 [2]山西省晋城市人民医院

出　　处：《现代养生》2023年第15期1163-1167,共5页Health Protection and Promotion

摘　　要：目的分析男性代谢综合征患者的脉象及脉图参数特征,为脉诊的客观化研究和代谢综合征的临床诊疗提供参考。方法选取2020年3月-2021年11月,在医院体检中心体检的男性代谢综合征患者109例和健康体检者111例,共220例为研究对象。采用道生DS01-C脉象诊测信息采集系统分别对男性代谢综合征患者和健康男性进行脉象采集,对比分析两组脉象及脉图参数h1、h3、h4、h5、h3/h1、h4/h1、h5/h1、t1、t2、t3、t4、t5、t、W、W/t、t5/t4、As、Ad的差异。结果两组患者在脉位、脉数、脉力上比较,差异无统计学意义(P>0.05);两组患者在脉势、脉律、脉名上比较,差异有统计学意义(P<0.05),代谢综合征组在脉势上低平虚者占比低于健康对照组,脉律上中及快数类占比高于健康对照组,脉名的沉脉、滑脉、虚脉、数脉、促脉占比高于健康对照组。代谢综合征组患者脉率快于健康对照组,差异有统计学意义(P<0.05)。与健康对照组患者相比,代谢综合征组患者h1显著增大,而h4/h1、t5、t、t5/t4、Ad显著减小,组间差异均有统计学意义(P<0.05);其余参数两组比较,差异无统计学意义((P>0.05)。结论男性代谢综合征患者脉象以滑脉、数脉、沉脉、虚脉多见;其脉率偏快,可作为代谢综合征的预警;脉图特点主要表现为主波幅度高、外周阻力不高、心动周期持续时间短、左室舒张期时间短。Objective To study the pulse manifestation and pulse parameters of male patients with metabolic syndrome,and to provide reference for the objective study of pulse diagnosis and clinical diagnosis of metabolic syndrome.Methods From March 2020 to November 2021,209 male patients and 111 male patients,including 220 patients,were selected.DS01-C pulse diagnosis information collection system was used for male patients with metabolic syndrome and healthy men,comparing the differences between the two groups and pulse map parameters h1,h3,h4,h5,h3/h1,h4/h1,h5/h1,t1,t2,t3,t4,t,t5,t,W/t,t5,t/t4,As and Ad.Results The difference between the two groups in pulse position,pulse number and pulse force(P>0.05);the difference in pulse potential,pulse rhythm and pulse name(P<0.05).The proportion of the low pulse potential in the metabolic syndrome group was lower than that of the healthy control group,and the proportion of medium and fast pulse in pulse rhythm was higher than that of the healthy control group,and the pulse pulse,deficient pulse and active pulse name was higher than that of the healthy control group.The pulse rate of metabolic syndrome group was faster than that of healthy control group,significant(P<0.05).Compared with healthy controls,metabolic syndrome group showed significantly increased h1,statistically significant(P<0.05),h4/h1,t5,t,t5/t4,Ad,statistically significant(P<0.05),and the two groups((P>0.05).Conclusion In male patients with metabolic syndrome,smooth pulse,multiple pulse,settled pulse and virtual pulse;its fast pulse rate can be used as early warning of metabolic syndrome.The pulse pattern mainly shows high main wave amplitude,low peripheral resistance,short cardiac cycle duration and short left ventricular diastolic period.

关 键 词：代谢综合征 男性 脉象 脉图参数 

分 类 号：R589[医药卫生—内分泌]