التفاصيل البيبلوغرافية
| العنوان: |
代谢综合征痰证与非痰证人群的证素兼杂特征 研究及痰证相关理化指标分析 (Chinese) |
| Alternate Title: |
Concurrent pattern elements in patients with non-phlegm or phlegm pattern of metabolic syndrome and physiochemical parameters related to phlegm pattern. (English) |
| المؤلفون: |
张梦婷, 林雪娟, 王永发, 俞洁, 熊红萍, 高碧珍 |
| المصدر: |
Journal of Beijing University of Traditional Chinese Medicine; Apr2018, Vol. 41 Issue 4, p342-348, 7p |
| Abstract (English): |
Objective To analyze the characteristics of concurrent pattern elements of the patients with phlegm or non-phlegm pattern in metabolic syndrome,explore the correlation between different disease locations as well as complicated diseases and physicochemical parameters in patients with metabolic syndrome,and to provide a theoretical basis for the early detection,diagnosis and treatment of the disease. Methods The 2005 International Diabetes Federation diagnostic criteria and pattern element differentiation method were used to select 334 patients of metabolic syndrome with phlegm pattern and 288 patients of metabolic syndrome with non-phlegm pattern into this study. Physical and chemical parameters and T C M four diagnostic data were entered and analyzed with SPSS 20. 0 to explore characteristics of concurrent pattern elements of phlegm and non-phlegm patterns in patients with metabolic syndrome, and to explore the correlation between diiferent locations as well as complicated diseases and physicochemical parameters in patients of metabolic syndrome. Results 1. Disease locations of liver, spleen, kidney, lung,gallbladder,stomach distributed in phlegm group were more frequent than those in non-phlegm group ; the percentage of patients with dampness,fever,qi stagnation,blood stasis,qi deficiency,yin deficiency,yang deficiency and blood deficiency were higher than those in non-phlegm group. 2. In male patients with phlegm pattern,the frequency of disease location in the liver was lower than that in the spleen and stomach,while the female patients had opposite distribution. The age of the liver and spleen groups were less than the age in the kidney group among patients with phlegm pattern. 3. In phlegmpattern patients,the frequency of blood deficiency pattern among male patients was lower than that of qi deficiency,yin deficiency and yang deficiency patterns,while the frequency of females was higher than those of the three groups. The levels of uric acid (UA) and creatinine (Cr) in yang-deficiency pattern group were higher than those in blood deficiency pattern group. Cr levels in yin deficiency pattern group were also higher than those in blood deficiency pattern group. Conclusions Disease locations of phlegm pattern group in metabolic syndrome were : liver,spleen,kidney,lung,gallbladder,stomach and miscellaneous diseases were dampness,heat,qi stagnation,blood stasis,qi deficiency,yin deficiency, yang deficiency,and blood deficiency; Non-phlegm pattern group presented no concurrent pattern element characteristics. Disease locations were in the stomach in the male while they were changed to the liver in the female. Concurrent pattern elements was blood deficiency in patients of phlegm pattern in metabolic syndrome. In addition,the order of disease location of metabolic syndrome patients with phlegm pattern was spleen,liver and kidney. There was a correlation between yin-yang disharmony and levels of U A and Cr. [ABSTRACT FROM AUTHOR] |
| Abstract (Chinese): |
目的分析代谢综合征痰证与非痰证人群的证素兼杂特征,探索代谢综合征痰证不同病位及 兼杂病性与理化指标的相关性,为该病的早期发现、诊断、治疗提供理论依据。方法釆用2005年 囯际糖尿病联盟诊断标准和证素辨证法将334例代谢综合征痰证患者、288例代谢综合征非痰证 患者纳入本次研究。SPSS 20.0对收集的理化指标和中医四诊信息进行数据统计,寻找代谢综合 征痰证人群和非痰证人群的证素兼杂特征,并探讨代谢综合征痰证不同病位及兼杂病性与理化指 标的相关性。结果痰证组病位在肝、脾、肾、肺、胆、胃的比例高于非痰证组,病性为湿、热、气滞、 血瘀、气虛、阴虛、阳虛、血虛的比例高于非痰证组。痰证患者中,男性病位在肝的频率低于病位在 脾和胃,女性频率相反;病位在肝和脾组的年龄均小于病位在肾组。在痰证患者中,男性兼杂病性 血虛的频率低于气虛、阴虛、阳虛,女性频率则高于这3组。阳虛兼杂组中尿酸（UA)和肌酐（Cr) 水平高于血虛组,阴虛兼杂组中Cr水平亦高于血虛组。结论代谢综合征痰证人群的不同病位有 肝、脾、肾、肺、胆、胃,兼杂病性有湿、热、气滞、血瘀、气虛、阴虛、阳虛、血虛;非痰证人群暂无证候兼 杂特征。代谢综合征痰证人群中,男性的病位集中在胃,女性的病位集中在肝且病性以血虛为主, 易患病位的先后顺序是脾、肝、肾;患者阴阳失调与UA、Cr存在相关性. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |