摘要
目的:探讨836例颈动脉粥样硬化(CAS)患者中医体质分布特点。方法:选取北京中医药大学东方医院体检科体检系统中自2013年1月至2019年12月行颈动脉彩超及中医体质辨识并诊断为CAS的体检者,记录受试者一般情况,分析其中医体质分布情况及其与性别、年龄及各类慢性病的关系。结果:CAS患者体质分布占比为痰湿质>气虚质>湿热质>阳虚质>阴虚质>平和质>特秉质>气郁质>血瘀质;本病不同性别与不同年龄的易感体质有所不同,男性湿热质、女性阳虚质、中青年湿热质以及老年痰湿质为本病的易感体质,且年龄越高,血管硬化程度越重;年龄和阳虚质是CAS斑块的独立危险因素;痰湿质患者合并糖尿病及高同型半胱氨酸血症、湿热质和阴虚质患者合并高脂血症的风险均高于其他体质类型(P<0.05)。结论:痰湿质、气虚质、湿热质是CAS的高发体质类型,年龄和阳虚质是CAP的独立危险因素,应在临床中早期纠正偏颇体质防止疾病进一步发展,使中医体质发挥"治未病"效果。
Objective:To study on the characteristics of traditional Chinese medicine(TCM)constitution distribution of 836 patients with carotid atherosclerosis(CAS).Methods:The subjects were selected from the physical examination system of the Physical Examination Department of Dongfang Hospital,Beijing University of Chinese Medicine from January 2013 to December 2019,who underwent carotid ultrasound and were diagnosed as CAS.The general situation of the subjects and constitution of TCM was recorded.The distribution of TCM constitution of CAS and its relationship with gender,age and various chronic diseases were analyzed.Results:Proportion of constitution distribution in patients with CAS was the phlegmdampness constitution>qi deficiency constitution>hygrothermal constitution>yang deficiency constitution>yin deficiency constitution>peaceful constitution>special constitution>qi stagnation constitution>blood stasis constitution.The predisposing constitution of different genders and ages was different.Male in hygrothermal constitution,female in yang deficiency constitution,young and middle-aged in hygrothermal constitution,aged in phlegm-dampness constitution were the susceptible constitutions of CAS.Along with the age growth,the degree of atherosclerosis increased.Age and yang deficiency were independent risk factors of carotid atherosclerotic plaque.Patients with diabetes or hyperhomocysteinemia in the phlegm-dampness constitution had the highest proportion compared with other constitutions(P<0.05).Patients with hyperlipidemia in hygrothermal constitution and yin deficiency constitution also had the highest proportion in other constitutions(P<0.05).Conclusion:The phlegmdampness constitution,qi deficiency constitution and hygrothermal constitution frequently occur in carotid arteriosclerosis.Age and yang deficiency are independent risk factors of CAS plaque.It’s necessary to correct the biased constitution and prevent the further development of disease in the early stage of clinical practice.Achieve‘treating diseases befo
作者
吴梦玮
刘金民
WU Meng-wei;LIU Jin-min(Beijing University of Chinese Medicine Who Apply for Doctoral Degree with the Same Educational Level as Postgraduates,Beijing 100029,China;Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 10007&China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2022年第1期353-357,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
北京中医药大学东方医院1166人才培养计划中青年专家(No.040204001001002027)。
关键词
颈动脉粥样硬化
危险因素
中医体质
体质差异
治未病
Carotid arteriosclerosis(CAS)
Risk factors
Constitution of traditional Chinese medicine
Constitutional difference
Treating diseases before they are cured
