代谢综合征患者痰湿内蕴证与现代医学指标的相关性

目的研究代谢综合征痰湿内蕴型与现代医学指标之间的关系,为中医辨证寻找客观依据。方法共收集代谢综合征患者49例,辨证分为痰湿内蕴组25例,非痰湿内蕴组24例,测量两组的身高、体重、腰围、血压,测定血清瘦素、胰岛素、血脂,计算胰岛素抵抗指数、体重指数。结果痰湿内蕴组的瘦素、体重指数、收缩压、空腹胰岛素、胰岛素抵抗指数均高于非痰湿内蕴组。结论体重指数、瘦素、空腹胰岛素、胰岛素抵抗指数可能作为代谢综合征中医辨证的客观指标。

Relativity of Modern Medicine Indices with Phlegm-damp Retention Type in Metabolism Syndrome Patients

Objective To study the relation between phlegm-damp retention type of metabolism syndrome and microcosmic indices in order to find out the objective evidence for TCM syndrome differentiation.Methods Totally 49 cases of metabolism syndrome were observed,25 of them were phlegm-damp retention type in differentiation and 24 were non-phlegm-damp retention type.The height, body weight,waistline and blood pressure of two groups were measured,the serum leptin,insulin and blood lipid were determined, and the insulin resistance index(IRI)and body mass index(BMI)were calculated.Results The leptin,BMI,systolic pressure,FINS and IRI of the phlegm-damp retention group were all higher than those of the non-phlegm-damp retention group.Conclusion BMI, leptin,insulin,and IRI may be taken as the the index of syndrome differentiation in metabolism syndrome.