摘要
目的:探究颈动脉粥样硬化中医证型与现代医学相关因素。方法:取92例颈动脉粥样硬化患者,先明确其中医证型,再比较中医证型与血脂水平关系,中医证型与硬化程度关系及颈动脉粥样硬化与相关危险因素分析。结果:各中医证型的血脂水平无统计学差异(P>0.05);肝肾亏虚型患者78.57%有斑块,痰湿型患者85.71%有斑块,血瘀型患者92.31%有斑块,气虚痰瘀型患者84.61%有斑块,这几种证型有斑块率最高,颈动脉粥样硬化最为严重。其它证型患者的硬化程度较轻,各证型的有斑块率均在60%以下。所有证型有斑块率差异比较(X2=2.245,P>0.05),无统计学意义。颈动脉粥样硬化与年龄、靶器官损害史、糖尿病、高血压、高胆固醇血症等因素呈现明显相关性,差异有统计学意义(P<0.05)。结论:颈动脉粥样硬化存在8种中医证型:即气虚型、肝肾亏虚型、痰湿型、瘀血型、气虚痰湿型、气虚血瘀型、气虚痰瘀型、肝肾亏虚痰瘀阻络型,各证型有斑块率差异比较无统计学意义,提示颈动脉粥样硬化斑块率不能区分中医证型。
Objective： To explore the related factors between TCM syndromes and modem medicine of carotid atheroselerosis. Methods ：92 cases of patients with carotid atherosclerosis were taken as objects of research. At first, we clarified their TCM syndromes, and then compared the relationship between TCM syndromes and blood lipid lev- els, the relationship between TCM syndromes and atherosclerosis degree, and analyzed the carotid atherosclerosis and the related risk factors. Results： The blood lipid levels of various TCM syndromes had not statistical difference （ P 〉 0. 05 ）. The patients with the following TCM syndromes had atherosclerotic plaque ： 78.57% of patients with liver-kidney deficiency, 85.71% of patients with phlegm-dampness, 92. 31% of patients with blood stasis, 84. 61% of patients with qi-deficiency and phlegm-stasis. The plaque rates of above syndromes were highest, and the carotid atherosclerosis of them was most serious. The atherosclerosis degree of patients with other syndromes was lower,and the plaque rates of their various syndromes were all below 60%. Compared the differences of plaque rates of all syndromes （X2 = 2. 245, P 〉 0.05 ） , it was no statistically significant, The carotid atherosclerosis showed an obvious correlativity to age, history of target organ damage, diabetes, hypertension, hypercholesterolemia, etc. factors, and the difference was statistically significant （P 〈 0. 05 ）. Conclusion ： The carotid atherosclerosis has 8 TCM syndromes： I. e. qi-deficiency, liver-kidney deficiency, phlegm-dampness, blood stasis, qi-deficiency and phlegm-dampness, blood stasis due to qi-deficieney, qi-deficiency and phlegm-stasis, liver-kidney deficiency and obstruction of collaterals by phlegm-stasis . Compared the differences of plaque rates of various syndromes, it was no statistically significant. To prompt ： Plaque rates of carotid atherosclerosis can not distinguish TCM syndromes.
出处
《山西中医》
2016年第4期47-49,共3页
Shanxi Journal of Traditional Chinese Medicine
关键词
颈动脉粥样硬化
中医证型
现代医学
相关因素
carotid atherosclerosis, TCM syndromes, modem medicine, related factors
