老年下肢动脉硬化症中医证型与动脉硬化指数关系浅析

目的:初步分析老年下肢动脉硬化症中医证型与动脉硬化指数(AI)的关系.方法:选择123例老年下肢动脉硬化症患者进行中医辨证分型,检测血脂水平,并计算Al值.结果:中医分型依次以血瘀型、脾肾阳虚型、湿热型为多见,所有患者的高密度脂蛋白胆固醇(HDL-C)水平偏低,血瘀型和湿热型的总胆固醇(TC)水平、动脉硬化指数(AI)高于脾肾阳虚型.结论:血瘀型和湿热型下肢动脉硬化患者明显重于脾肾阳虚型患者.AI值可作为血瘀型和湿热型中医辨证分型的参考指标.

Analysis of the Relationship between Arteriosclerosis Index and Clinical Menifestation in Elderly with Lower Limb Atherosclerosis

Objective: To analyze the relationship between arteriosclerosis index(AI) and clinical menifestation in elderly with lower limb atherosclerosis. Method: One hundred and twenty three cases of elderly patients with lower extremity arterial disease were used for distinguishing the Traditional Chinese Medicine(TCM)Syndrome pattern, detecting serum lipids levels, and calculating the AI. Result: Three kinds of syndrome such as blood stasis, spleen-kidney yang deficiency syndrome, dampness heat syndrome is more common all with low level high-density lipoprotein cholesterol (HDL-C), the levels of total cholesterol(TC) and arterial hardening exponent in blood stasis and dampness heat syndrome patient were higher than that of spleen and kidney yang. Conclusion: Blood stasis and dampness heat syndrome in lower extremity atherosclerosis patients was more severe than patients with spleen deficiency type. AI can be used as subjective index of reference for distinguishing syndromes of blood stasis from damp-heat syndrome.