冠心病心血瘀阻证患者不同中医体质类型与血脂水平的关系

目的观察冠心病心血瘀阻证患者的主要体质类型,探讨不同体质类型与血脂水平的关系。方法运用王氏体质分类法对600例冠心病心血瘀阻证患者进行体质分型,分析主要体质类型与三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平的关系。结果冠心病心血瘀阻证患者排名前4位的体质类型分别为瘀血质、阳虚质、气虚质、阴虚质。4类体质的TG水平均高于健康组(P0.01),各体质间TG水平无明显差异(P0.05);瘀血质LDL-C水平高于其他体质及健康组(P0.01);不同体质类型HDL-C水平无明显差异,与健康组比较差异无统计学意义(P0.05)。结论冠心病心血瘀阻证不同体质类型间的血脂水平具有差异性,瘀血质LDL-C危险性高于其他体质。

Relationship Between Different Body Constitutions of CHD Patients with Blood Stasis Syndrome and Their Blood Lipid Levels

Objective To study the distribution of body constitutions of CHD patients with blood stasis syndrome; To explore the relationship between different body constitutions and their blood lipid levels. Methods WANG＇s Constitutional Classification was used to diagnose body constitutions of 600 CHD patients with blood stasis syndrome, and analyze the relationship between the different body constitutions and triglyceride （TG） level, low density cholesterol （LDL-C） level, high density cholesterol （HDL-C） level. Results The four most common body constitutions of CHD patients with blood stasis syndrome in Talyuan area were the constitutions of blood stasis, yang deficiency, qi deficiency and yin deficiency. The TG levels of the four body constitutions were higher than those of healthy people （P〈0.01）, but there was no obvious difference among TG levels of different body constitutions. The LDL-C level of the patients with the body constitution of blood stasis was higher than that of patients with other body constitutions and healthy people （P ~ 0.01）. Compared with healthy people, there was no obvious difference among HDL-C levels of different body constitutions （P 〉 0.05）. Conclusion There is a certain difference among the blood lipid levels in different body constitutions of CHD patients with blood stasis syndrome, and the patients of blood stasis syndrome with high LDL-C level are more dangerous than patients with other body costitutions.