340例代谢综合征患者的中医证素与微量白蛋白尿的相关性研究

目的:探讨代谢综合征的中医证素与微量白蛋白尿的关系。方法:采集340例代谢综合征患者的四诊资料,应用"证素辨证"的方法,对四诊资料进行分析统计,同时检测微量白蛋白尿(MAU)。结果:①代谢综合征基本证素:气虚、血虚、阴虚、阳虚、津亏、痰、血瘀、湿、热、气滞、心、肝、脾、肺、肾。②影响MAU的因素有中医证素肾、阳虚、血瘀,标准回归系数分别为0.47(P<0.01)、0.42(P<0.01)、0.334(P<0.05)。结论:由此推测MAU可作为代谢综合征肾、阳虚的参考指标之一。

Study on the correlation between the TCM syndrome element and microalbunminuria in metabolic syndrome

Objective: To investigate the relationships of the TCM syndrome element and microalbuminuria in metabolic syndrome(MS).Methods: Collected four diagnostic data of 340 cases of metabolic syndrome,adopt ’syndrome differentiation based on syndrome element’ method to analysis the diagnostic informations by using statistic process,and detected microalbuminuria at the same time.Results: ①The common elements of metabolic syndrome: qi deficiency,blood deficiency,yin deficiency,yang deficiency,depletion of fluid,phlegm,blood stasis,dampness,heat,qi stagnation,heart,liver,spleen,lung and kidney.②Stepwise analysis showed that microalbum level was associated positively with kidney,yang deficiency and blood stasis.Standard regression coefficient were 0.47(P<0.01),0.42(P<0.01),0.334(P<0.05).Conclusion: It can speculate that microalbunminuria can be used as an objective indexe of MS with kidney and yang deficiency.