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高血压病合并颈动脉硬化患者中医证型与血脂等相关指标的关系
引用本文:黄琳,吴永刚,李博,张珍珍.高血压病合并颈动脉硬化患者中医证型与血脂等相关指标的关系[J].中国中医药信息杂志,2012,19(8):19-21.
作者姓名:黄琳  吴永刚  李博  张珍珍
作者单位:广东省第二中医院,广东,广州,510095
基金项目:广东省科技厅计划(2008B060600071)
摘    要:目的通过回顾性研究,探讨高血压合并颈动脉硬化患者中医证型与血脂等相关指标的关系。方法收集广州3家三级中医院住院的高血压合并颈动脉硬化患者553例的临床资料,包括中医证型、颈动脉斑块、血脂、血尿酸、纤维蛋白原、超敏C反应蛋白、血液流变学等,分析中医证型与高血压合并颈动脉硬化相关指标的内在联系。结果气虚痰瘀证组血尿酸、纤维蛋白原、超敏C反应蛋白、血液流变学水平均显著高于其余各组,气虚痰浊证组总胆固醇及低密度脂蛋白胆固醇水平明显高于其余各组。结论临床可以通过中医证型判断高血压病合并颈动脉硬化患者血脂、血尿酸等相关指标的异常情况,对指导临床治疗有重要意义。

关 键 词:高血压病  颈动脉硬化  中医证型  血脂  超敏C反应蛋白  血尿酸  纤维蛋白原

Relationship between TCM Syndromes and Blood Lipid and Other Related Factors of Hypertension with Carotid Atherosclerosis
HUANG Lin , WU Yong-gang , LI Bo , ZHANG Zhen-zhen.Relationship between TCM Syndromes and Blood Lipid and Other Related Factors of Hypertension with Carotid Atherosclerosis[J].Chinese Journal of Information on Traditional Chinese Medicine,2012,19(8):19-21.
Authors:HUANG Lin  WU Yong-gang  LI Bo  ZHANG Zhen-zhen
Institution:(The Second TCM Hospital of Guangdong Province,Guangzhou 510095,China)
Abstract:Objective A retrospective review was undertaken to discuss the relationship between TCM syndromes and blood lipid and other related factors of hypertension with carotid atherosclerosis.Methods A total of 553 cases of hypertension with carotid atherosclerosis were selected in the hospital ward of three TCM hospital in Guangzhou.Patients’ data including TCM syndrome type,carotid atherosclerosis,lipid,uric acid(UA),fibrinogen(FIB),high sensitive C-reactive protein(hs-CRP) and blood rheology were collected to analyze the correlation of TCM syndromes and related factors of hypertension with carotid atherosclerosis.Results Among various TCM syndromes,the level of UA,FIB,hs-CRP and blood rheology of qi dificiency and phlegm stagnation syndrome were significantly higher than that of the other syndromes.TC and LDL-C level of qi deficiency and phlegm group were significantly higher than that of the other syndromes.Conclusion TCM syndromes can be used to determine abnormalities of blood lipid,UA and other related factors of hypertension with carotid atherosclerosis,which has important significance in clinical practice.
Keywords:hypertension  atherosclerosis  TCM syndromes  blood lipid  hs-CRP  UA  FIB
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