社区老年人血脂异常与中医体质相关性分析
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摘要
目的:了解社区老年人血脂异常与中医体质的关系。方法:从2017年上海虹桥街道社区健康体检居民中选取330名老年人,其中男性129人,占39.09%,平均年龄(76.79±6.22)岁;女性201人,占60.91%,平均年龄(76.02±7.30)岁。分析老年人的血脂异常情况和体质类型。结果:上海虹桥街道社区老年人血脂异常检出率为57.58%;中医体质类型平和质10.30%;偏颇体质主要为气虚质(23.03%),特禀质(13.33%),阳虚质(12.73%),气郁质(12.42%)。在9种中医体质中,血脂异常发生率前四位为阴虚质(82.14%)、气郁质(63.41%)、气虚质(60.53%)、血瘀质(57.69%);将9种体质归类为虚证、实证、平和质、特禀质4类分析发现,平和质组的血脂异常检出率低于其他3组(P<0.05)。结论:正常体质老年人的血脂异常率相对较低。
Objective: To understand the relationship between dyslipidemia and constitution of traditional Chinese medicine(TCM) among the elderly in a community. Methods: Three hundred and thirty elderly people were selected from the community health check-up residents of Hongqiao Community in 2017, among them there were 129 males, accounting for39.09%, and the average age was(76.79±6.22) years; there were 201 females, accounting for 60.91%, and the average age was(76.02 ±7.30) years. The dyslipidemia situation and constitution types of the elderly were analyzed. Results: The detection rate of dyslipidemia in the elderly in Hongqiao Community was 57.58%; the gentle quality of TCM constitution was 10.30%; the main biased constitutions were Qi deficiency(23.03%), idiosyncrasy(13.33%), Yang deficiency(12.73%) and Qi depression(12.42%);among the 9 constitutions of TCM, the incidence of hyperlipidemia which occurred in the top four of the nine constitutions were Yin deficiency(82.14%), Qi depression(63.41%), Qi deficiency(60.53%) and blood stasis(57.69%); the 9 constitutions were classified as deficiency syndrome, excess syndrome, gentle quality and special quality, and the detection rate of dyslipidemia in gentle quality group was lower than that in other three groups(P<0.05). Conclusion: The dyslipidemia rate in the elderly with normal constitution is relatively low.
Objective: To understand the relationship between dyslipidemia and constitution of traditional Chinese medicine(TCM) among the elderly in a community. Methods: Three hundred and thirty elderly people were selected from the community health check-up residents of Hongqiao Community in 2017, among them there were 129 males, accounting for39.09%, and the average age was(76.79±6.22) years; there were 201 females, accounting for 60.91%, and the average age was(76.02 ±7.30) years. The dyslipidemia situation and constitution types of the elderly were analyzed. Results: The detection rate of dyslipidemia in the elderly in Hongqiao Community was 57.58%; the gentle quality of TCM constitution was 10.30%; the main biased constitutions were Qi deficiency(23.03%), idiosyncrasy(13.33%), Yang deficiency(12.73%) and Qi depression(12.42%);among the 9 constitutions of TCM, the incidence of hyperlipidemia which occurred in the top four of the nine constitutions were Yin deficiency(82.14%), Qi depression(63.41%), Qi deficiency(60.53%) and blood stasis(57.69%); the 9 constitutions were classified as deficiency syndrome, excess syndrome, gentle quality and special quality, and the detection rate of dyslipidemia in gentle quality group was lower than that in other three groups(P<0.05). Conclusion: The dyslipidemia rate in the elderly with normal constitution is relatively low.
引文
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[10]李璐,郭杨志,杨惠民,等.血脂异常患者血清黏附分子与证候分型的相关性研究[J].北京中医药大学学报, 2015,38(1):53-56.
[2]中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社, 2009:2-10.
[3]张旖旎,刘奉丹,黄小明,等.上海某社区居民血脂异常现状及与生活方式的关系[J].上海医药, 2018, 39(2):42-44.
[4]刘竞芳,陈哲,杨非柯,等.长沙市老年人血脂异常分布及其影响因素[J].中南大学学报(医学版), 2014, 39(8):797-801.
[5]袁尚华,富斌,陈斐斐,等.老年人中医体质特征及干预对策[J].中华中医药杂志, 2015, 30(10):3450-3452.
[6]韦芳宁.医易探骊《伤寒论》之中医体质学[C]//.首届国际体质医学论坛—中华中医药学会第十次全国中医体质学术年会论文汇编.北京:中华中医药学会中医体质分会. 2012:8.
[7]李瑛,朱燕波,史会梅,等. 519例体检者体质指数与血压、血脂、血糖及健康相关生命质量的关联性[J].中华疾病控制杂志, 2015, 19(6):626-628.
[8]孙冠珠,陈今尧,黄丽.不同类型中医体质身体质量指数(BMI)、肺活量(VC)、横断面调查[J].实用中医内科杂志,2017, 31(6):4-7.
[9]张惠敏,马方励,胡明华,等.中医体质与人体衰老的相关性探讨[J].中华中医药杂志, 2015, 30(4):5.
[10]李璐,郭杨志,杨惠民,等.血脂异常患者血清黏附分子与证候分型的相关性研究[J].北京中医药大学学报, 2015,38(1):53-56.