代谢综合征中医证型与脂质蓄积指数相关性研究  

Study on the Correlation between TCM Syndrome Types of Metabolic Syndrome and Lipid Accumulation Product

作　　者：盛小萌 钱涛铭 韩宇博[2] 邹国良[2] SHENG Xiaomeng;QIAN Taoming;HAN Yubo;ZOU Guoliang(Heilongjiang University of Chinese Medicine,Harbin 150000,Heilongjiang,China;The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150000,Heilongjiang,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150000 [2]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150000

出　　处：《辽宁中医药大学学报》2024年第9期181-184,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：国家自然科学基金(82205060);黑龙江中医药大学优秀青年学术带头人支持计划项目。

摘　　要：目的探讨代谢综合征(metabolic syndrome,MS)中医证型与脂质蓄积指数(lipid accumulation product,LAP)的关系。方法研究旨在回顾分析2021年9月—2023年3月黑龙江中医药大学附属第一医院心血管一科收治的160例MS患者的临床资料。根据中医辨证分型方法进行分类,研究将患者分为4组,即气滞湿阻型组、痰瘀互结型组、脾肾气虚型组和气阴两虚型组,各40例患者,另设40例体检患者为健康对照组。比较不同中医证型MS患者LAP等代谢指标水平的差异。结果MS患者的LAP水平明显高于健康对照组(P<0.05);LAP水平从低到高顺序依次为健康对照组<脾肾气虚型组<气阴两虚型组<气滞湿阻型组<痰瘀互结型组。结论①LAP水平与MS具有相关性。②LAP水平可以作为MS中医辨证分型的重要参考指标。Objective To investigate the relationship between metabolic syndrome(MS)TCM evidence and lipid accumulation product(LAP).Methods The aim of this study was to retrospectively analyze the clinical data of a total of 160 patients with MS admitted to the department of cardiovascularⅠof the first affiliated hospital of Heilongjiang university of Chinese medicine between September 2021 and March 2023.The patients were classified according to the TCM classification method,and the study divided the patients into four groups,i.e.,the Qi-stagnation and dampness obstruction group,the phlegm-stasis interconnection group,the spleen-kidney Qi deficiency group and the Qi-Yin deficiency group,with 40 patients each,and another 40 patients with physical examination as the healthy control group.The differences in the levels of metabolic indexes such as LAP in MS patients with different TCM evidence types were compared.Results The LAP levels of MS patients were significantly higher than those of the healthy control group(P<0.05);the order of LAP levels from low to high was:healthy control group<spleen-kidney-Qi deficiency group<Qi-Yin two deficiency group<Qi-stagnation-dampness obstruction group<phlegmstasis interconnection group.Conclusion①LAP level is correlated with MS.②LAP level can be used as an important reference index for the classification of MS in Chinese medicine.

关 键 词：代谢综合征 中医证型 脂质蓄积指数 代谢指标 

分 类 号：R25[医药卫生—中医内科学] R589.2[医药卫生—中医学]