摘要
目的探讨胆石症患者的中医体质分布及与相关检测指标的关系。方法采用中医体质调查表对84例胆石症患者进行中医体质的调查,并对84例患者中医体质与检测指标的关系进行分析。结果 84例患者中平和质、气虚质、湿热质、痰湿质所占比例均明显高于气郁质、血虚质、阳盛质、阳虚质、阴虚质、瘀血质(28.6%、19.0%、17.9%1、7.9%vs 2.4%、1.2%、2.4%、6.0%、3.6%、1.2%,均P<0.05)。检测指标中血脂升高(35.7%)为第1位,血清球蛋白升高(19.0%)为第2位,血清谷丙、谷草转氨酶升高(13.1%)为第3位。84例患者中平和质、痰湿质、气虚质、湿热质血脂升高所占比例逐渐降低(37.5%,33.3%,31.3%,20.0%);痰湿质、气虚质、平和质、湿热质谷血清丙、谷草转氨酶升高所占比例逐渐降低(26.7%,18.8%,12.5%,6.7%);气虚质、平和质、痰湿质、湿热质血清球蛋白升高所占比例逐渐降低(25.0%,25.0%,20.0%,20.0%)。结论胆石症体质主要以平和质、气虚质、湿热质、痰湿质为主。在相关检测指标中,血脂升高和谷丙、草转氨酶以及血清球蛋白升高较多见,且在4种主要体质中所占比例不同。
Objective To explore the relationship between TCM-based constitution and relevant serum indexes in gallstone patients.Methods Eighty-four gallstone patients were investigated by TCM-based constitution questionnaires,and the relevant serum indexes were tested.ResultsAmong the 84 patients,the proportions of normal constitution（28.6%）,Qi deficiency constitution（19.0%）,ShiRe constitution（17.9%） and TanShi constitution（17.9%） were higher than those of Qi stagnation constitution（2.4%）,blood deficiency constitution（1.2%）,YangSheng constitution（2.4%）,Yang deficiency constitution（6.0%）,Yin deficiency constitution（3.6%） and blood stasis constitution（1.2%）（all P0.05）.The top three blood test results were hyperlipaemia（35.7%）,high serum globulins（19.0%）,and high glutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase（13.1%）.The proportion of hyperlipaemia in normal constitution,TanShi constitution,Qi deficiency constitution and ShiRe constitution decreased gradually（37.5%,33.3%,31.3% and 20.0%,respectively）,and the proportion of high lutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase in TanShi constitution,Qi deficiency constitution,normal constitution and ShiRe constitution decreased gradually（26.7%,18.8%,12.5% and 6.7%,respectively）.The proportion of high serum globulins in Qi deficiency constitution,normal constitution,TanShi constitution and ShiRe constitution decreased gradually（25.0%,25.0%,20.0% and 20.0%,respectively）.Conclusion ShiRe constitution,TanShi constitution,Qi deficiency constitution and normal constitution are the major constitution in gallstone patients.Hyperlipaemia,high serum globulins,and high lutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase are common in gallstone patients,but the distribution of the three abnormal indexes is different among the four major constitution.
出处
《南昌大学学报（医学版）》
CAS
2010年第12期35-37,共3页
Journal of Nanchang University：Medical Sciences
关键词
胆石症
中医体质
血脂
谷丙转氨酶
谷草转氨酶
血清球蛋白
gallstone
TCM-based constitution
blood fat
lutamic-pyruvic transaminase
glutamic-oxalacetic transaminase
serum globulins
