血脂与心脑合病证型相关性研究

目的：探讨心脑合病中医不同辨证分型与血脂的相关性以探索心脑合病中医辨证的客观化指标。方法：对982例确诊为心脑合病（本研究中特指冠心病心绞痛合并动脉粥样硬化性血栓性脑梗死）的患者,采用流行病学横断面调查的方法,运用频数、构成比、百分比、卡方检验等方法分析血脂和心脑合病各证型之间的关系。结果：心脑合病痰瘀互结证和痰瘀互结证及其兼夹证中血脂异常的百分比较高,二者与非痰瘀互结证及其兼夹证的比较有统计学意义（P〈0.05）。结论：血脂异常和心脑合病痰瘀互结证、痰瘀互结证及其兼夹证具有相关性,血脂可以作为心脑合病痰瘀互结证、痰瘀互结证及其兼夹证的客观化指标,临床可以通过调控血脂防治心脑合病痰瘀互结证。需进行在心脑合病辨证分型基础上的更大样本量的研究。

Correlation Study between Blood Lipid and TCM Syndromes of Angina Pectoris combined Arterial Atherosclerotic Cerebral Infarction

Objective： To explore the objective indicator of angina pectoris combined arterial atherosclerotic cerebral infarction＇s TCM syndromes differentiation by exploring the relationship between different TCM syndromes of angina pectoris combined arterial atherosclerotic cerebral infarction and blood lipid. Methods ： Based on 982 cases diagnosed as angina peetoris combined arterial atherosclerotic cerebral infarction, we took the method of epidemiological cross-sectional, and used the methods of frequency, constituent radio, percentage, chi-sqnare to analyze the relationship between TCM syndromes of angina pectoris combined arterial atherosclerotic cerebral infarction and blood lipid. Results ： The percentages of dyslipidemia were both in phlegm and blood stasis syndrome and phlegm and blood stasis syndrome in the compound syndromes. The comparisons of both phlegm and blood stasis syndrome and phlegm and blood stasis＇s compound syndrome with syndrome of non-phlegm and non-blood stasis were statistically significant （ P〈0.05 ）. Conclusion ： Dyslipidemia has correlation with phlegm and blood stasis syndrome and phlegm and blood stasis＇s compound syndrome of angina peetoris combined arterial atherosclerotic cerebral infarction. Blood lipid can be the objective indicator of phlegm and blood stasis syndrome and phlegm and blood stasis＇s compound syndrome of angina pectoris combined arterial atherosclerotic cerebral infarction. It can be considered clinically through the regulation of blood lipid to prevent and treat phlegm and blood stasis syndrome of angina pectoris combined arterial atheroselerotic cerebral infarction. Study of a larger sample size is needed based on the classification of angina pectoris combined arterial atherosclerotic cerebral infarction.