首页 | 本学科首页   官方微博 | 高级检索  
检索        

血脂异常中医证候规律及其客观化研究
引用本文:雷燕,王振华,刘剑刚.血脂异常中医证候规律及其客观化研究[J].中国中西医结合杂志,2007,27(12):1074-1077.
作者姓名:雷燕  王振华  刘剑刚
作者单位:1. 中国中医科学院西苑医院,北京,100091
2. 中国中医科学院西苑医院,北京,100091;中国中医科学院广安门医院
摘    要:目的 探讨血脂异常中医证候规律及其与C-反应蛋白、同型半胱氨酸、颈动脉超声、血脂、血液黏度之间的相关性。方法入选血脂异常患者152例,共筛选出32个症状、体征(包括舌象、脉象),并对其进行了分级量化及因子分析;同时检测患者的血脂、C-反应蛋白、同型半胱氨酸、颈动脉超声、血液黏度等指标,采用典型相关分析的方法,探讨不同证候与相应理化指标之间的相关性。结果通过因子分析得出5种证候,分别是肾阴虚证、脾气虚证、痰浊内阻证、血瘀证和痰瘀互阻证。典型相关分析结果表明,肾阴虚证C-反应蛋白含量显著增高,血液黏度显著增高;脾气虚证极低密度脂蛋白胆固醇(VLDL-C)显著增高;痰浊内阻证总胆固醇显著增高,高密度脂蛋白胆固醇(HDL-C)显著降低;痰瘀互阻证同型半胱氨酸显著增高。结论痰浊内阻证、脾气虚证、肾阴虚证、血瘀证和痰瘀互阻证是血脂异常的常见中医证候,且不同证候与相应的理化指标具有相关性,从而为血脂异常证候客观化提供了新的依据。

关 键 词:血脂异常  证候  因子分析  典型相关分析  C-反应蛋白  同型半胱氨酸  颈动脉超声
修稿时间:2007年6月11日

Study on Rules of TCM Syndrome in Patients with Dyslipidemia and Its Objectization
Authors:LEI Yan  WANG Zhen-hua and LIU Jian-gang
Abstract:OBJECTIVE: To explore the rules of TCM syndrome in patients with dyslipidemia and its relation with C-reactive protein (CRP), homocysteine (Hcy), carotid ultrasonic picture, blood lipids and blood viscosity. METHODS: From 152 recruited patients symptoms and physical signs (including figures of tongue and pulse) were selected and analyzed in grading and quantifying by factor analysis. At the same time, blood lipids, CRP, Hcy, carotid ultrasonic picture and blood viscosity were detected to conduct a canonical correlation analysis for exploring the relationship between different TCM syndromes and their corresponding physical and/or chemical indexes. RESULTS: Five types of TCM syndrome obtained by factor analysis were syndrome of Shen-yin deficiency (I), Pi-qi deficiency (II), turbid-phlegm impediment (III), blood stasis (IV), and phlegm-blood block (V). By canonical correlation analysis, they were characterized with: Type I, high levels of CRP and blood viscosity; Type II, high level of very low-density lipoprotein cholesterol (VLDL-C); Type III, high level of total cholesterol (TC) and low level of high-density lipoprotein cholesterol (HDL-C); and Type V, high level of Hcy. CONCLUSION: The five syndrome types frequently found in patients with dyslipidemia are syndrome of Shen-yin deficiency, Pi-qi deficiency, turbid-phlegm impediment, blood stasis, and phlegm-blood block. Different syndrome has its own correlation with some corresponding physical and/or chemical laboratory indexes, the issue provides new evidences for the objectification of TCM syndromes in patients with dyslipidemia.
Keywords:dyslipidemia  TCM syndrome  factor analysis  canonical correlation analysis  C-reactive pro-tein  homocysteine  carotid ultrasonic examination
本文献已被 CNKI 维普 万方数据 等数据库收录!
点击此处可从《中国中西医结合杂志》浏览原始摘要信息
点击此处可从《中国中西医结合杂志》下载免费的PDF全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号