肥胖指标与中风病痰热证发生风险的相关性

目的 探讨肥胖指标与中风病痰热证之间的相关性,为筛选痰热中风的高危人群提供依据. 方法 选取中风病患者214例,其中痰热证82例(痰热证组),非痰热证132例(非痰热证组),比较两组患者身高、体重、腹围(WC)、体重指数(BMI),分析BMI、中心性肥胖、腹型肥胖等评价指标(均分为中国标准和WHO标准)与痰热证发病的关系,采用相对危险度OR值分析各肥胖指标对中风病痰热证发病的影响.结果 痰热证组患者的BMI、WC/身高均大于非痰热证组(P＜0.05)；两组在身高、体重、WC方面的差异无统计学意义(P＞0.05).依照中国标准划分的超重、肥胖、中心性肥胖、腹型肥胖各组的中风病患者的痰热证发病率均高于体重正常组(P＜0.05)；依照WHO标准划分的各组中超重与中心性肥胖组中风病患者痰热证的发病率高于体重正常组(P＜0.01).比较各因素WC OR值得出,中风病痰热证发病危险因素中前3位的是:25kg/m2＜BMI＜ 30kg/m2、BMI＞28kg/m2 +WC≥95cm(男)或WC≥90cm(女)、WC≥95cm(男)或≥90cm(女).结论 BMI＞25kg/m2是中风病痰热证的重要危险因素,腹型肥胖的患者有较高中风病痰热证的发病率.

Correlation between Obesity Indicators and the Risk of Stroke with Phlegm-Heat Syndrome

Objective To analyze the correlation between obesity indicators and the risk of stroke with phlegm-heat syndrome to provide evidence for screening the high-risk groups. Methods Totally 214 cases of stroke were selected with 82 cases in the phlegm-heat syndrome group and 132 cases in the non-phlegm-heat syndrome group. The height, weight, waist circumference (WC) and body mass index (BMI) were observed in both groups. BMI, central obesity, and abdominal obesity were used to determine the correlation between obesity indicators and the incidence of phlegm-heat syndrome. The odds ratio (OR) was used to analyze the effect of obesity indicators on the incidence of stroke with phlegm-heat syndrome. Results BMI and waist/height ratio in the phlegm-heat syndrome group was significantly higher than that in the non-phlegm-heat syndrome group (P<0.05). There was no significant difference between groups in height, weight and WC (P>0.05). According to the standard of China, the incidence of stroke with phlegm-heat syndrome was significantly higher in the groups of overweight, obesity, central obesity and abdominal obesity as compared with the normal weight group (P<0.05). According to the standard of WHO, the incidence of stroke with phlegm-heat syndrome was significantly higher in the groups of over weight and central obesity as compared with the normal weight group (P<0.05). According to OR, the top three risk factors for incidence of stroke with phlegm-heat syndrome were 25kg/m228 kg/m2+WC ≥95cm (male) or ≥90cm (female), and WC ≥95cm (male) or ≥90cm (female). Conclusion The important risk factor for incidence of stroke with phlegm-heat syndrome is BMI>25 kg/m2. The abdominal obesity group has higher incidence of stroke with phlegm-heat syndrome.