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非酒精性脂肪肝辨证分型与体重指数、血脂的关系(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2012年06期
页码:
28-31
栏目:
临床研究
出版日期:
2012-12-20

文章信息/Info

Title:
Relationship between Syndrome Differentiation of Nonalcoholic Fatty Liver, Body Mass Index and Blood Fat
作者:
郑珏
上海中医药大学附属曙光医院,上 海201203
Author(s):
ZHENG Jue
Shanghai Shuguang Hospital Affiliated with Shanghai University of TCM,Shanghai 201203
关键词:
脂肪肝 中医证型体重指数血脂
Keywords:
fatty liver TCM syndrome body mass index (BMI) blood fat
分类号:
R2561
DOI:
-
文献标识码:
A
摘要:
目的:通过对非酒精性脂肪肝(NAFLD)人群进行中医辨证分型并探讨与体重指数、血脂的关系,为中西医结合防治 NAFLD提供客观理论依据。方法:以2011年1~6月在上海中医药大学附属曙光医院健康体检人群中符合NAFLD诊断标准的602例为研究对象,分 析其不同分型与体重指数、血脂的关系。结果:NAFLD人群从中医各证型分布来看,以肝郁脾虚证最多见,肝肾亏虚证最少;痰瘀互结型和 湿热内蕴型的肥胖率最高,其组间差异有统计学意义(P<005);从血脂指标统计来看,各组TG有不同程度的升高,但以痰瘀互结型升高 显著;TC亦有不同程度的升高,但以肝肾亏虚型升高显著;LDL-C的升高主要集中在肝郁脾虚组中;HDL-C各组间比较无显著性差异。结论: NAFLD辨证分型与体重指数关系密切,与TG、TC、LDL-C关系亦密切,此可为中西医结合防治NAFLD提供客观理论依据。
Abstract:
Objective: It is to provide objective and theoretical basis in treating NAFLD based on the traditional Chinese medical syndrome differentiation of NAFLD population and the exploration of the relationship between the differentiation, body mass index and blood fat. Methods: Among check-up crowd of Shanghai Shuguang hospital affiliated with Shanghai University of Traditional Chinese Medicine (TCM) from Jan to Jun 2011, 602 cases meet the standards of NAFLD diagnosis, for the study. Relatiohnship between different types, body mass indes and blood fat was analyzed. Result: 1) based on the TCM syndrome distribution of NAFLD population, liver stagnation and spleen deficiency syndrome becomes the most common and liver and kidney deficiency syndrome at least 2) Obesity rate of phlegm and blood type and damp type is the highest, statistically significant differences between their group (P<005). 3) From a statistical point of view of fat parameters, TG gets different degrees of increase in each group. To the phlegm and blood type, it increases significantly. TC also increased in varying degrees, but significantly increased with liver and kidney deficiency type. LDL-C rise is mainly concentrated in the liver depression and spleen group. There’s no significant difference of HDL-C among different groups. Result:NAFLD syndrome differentiation is closely related to body mass index, TG, TC and LDL-C. This objective can provide theoretical basis in Treating NAFLD.

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备注/Memo

备注/Memo:
收稿日期: 2012—09—12修回日期:2012—10—16 作者简介:郑珏(1981~),女,上海青蒲人,住院医师。主要研究方向:中西医结合慢性肝病。
更新日期/Last Update: 2012-12-30