潍坊市血脂异常人群中医证候分布规律的调查研究

A Survey and Study on the Distribution Pattern of Traditional Chinese Medicine Syndromes in the Population with Dyslipidemia in Weifang

摘要: 目的：通过对潍坊市血脂异常人群的中医证候进行流行病学调研，探讨该地区血脂异常的中医证候分布规律。方法：采用临床流行病学的方法，记录185例血脂异常患者的血脂水平、中医症状、舌象、脉象等临床资料，并对临床资料进行统计学整理分析。结果：血脂异常人群的常见证型为气滞血瘀、气阴两虚、痰浊阻滞和脾虚失运证，潍坊市血脂异常人群中以气滞血瘀证最为常见(103例，占55.67%)。在甘油三酯(TG)指标方面，气滞血瘀证高于气阴两虚、痰浊阻滞和脾虚失运证，差异具有统计学意义(P < 0.05)。结论：气滞血瘀证是潍坊市血脂异常患者最常见的中医证候；甘油三酯(TG)升高可以作为气滞血瘀证的初步辨证指标。

Abstract: Objective: To conduct epidemiological research on traditional Chinese medicine (TCM) syndromes of individuals with dyslipidemia in Weifang City, and explore the distribution pattern of TCM syndromes of dyslipidemia in the region. Method: Clinical epidemiology was used to record clinical data of 185 cases with dyslipidemia such as blood lipid levels, traditional Chinese medicine symptoms, tongue images and pulse images, etc. and statistical analysis was conducted on the recorded clinical data. Result: The common syndrome types of people with dyslipidemia are Qi stagnation and blood stasis, Qi and Yin deficiency, phlegm turbidity obstruction, and dysfunction in transport due to spleen deficiency. Among the people with dyslipidemia in Weifang City, Qi stagnation and blood stasis syndrome is the most common (103 cases, accounting for 55.67%). In terms of triglyceride (TG) indicators, the Qi stagnation and blood stasis syndrome is higher than the Qi Yin deficiency, phlegm turbidity obstruction, and dysfunction in transport due to spleen deficiency, and the difference is statistically significant (P < 0.05). Conclusion: Qi stagnation and blood stasis syndrome is the most common traditional Chinese medicine syndrome in patients with dyslipidemia in Weifang City. Elevated triglycerides (TG) can serve as a preliminary diagnostic indicator for Qi stagnation and blood stasis syndrome.