血脂异常与中医体质、体重指数、中心型肥胖的相关性研究
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广东省财政厅立项项目(2016KT1758);广东省中医药科学院科学技术研究专项(2016KT1206);广东省中医院中医“治未病”专项(YN2016ZWB07)


Study on Relationship Between Dyslipidemia and TCM Constitution,and Body Mass Index and Abdominal Obesity
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    摘要:

    目的:探究血脂异常发病与中医体质、体重指数(BMI)、中心型肥胖程度的关系,分析血脂异常的危险因素。方法:采用回顾性研究方法,以1:1病例对照设计,纳入2015年5月至2017年7月在广东省中医院珠海医院进行健康体检的人群,血脂异常组及血脂正常组各743例,采用条件Logistic回归分析方法,分析血脂异常与中医体质、BMI、中心型肥胖程度的关系。结果:血脂异常有8个影响因素,体质类型按影响程度大小依次为:特禀质、痰湿质、血瘀质、湿热质和气虚质(P<0.05),肥胖指标方面按影响程度大小依次为肥胖、中心型肥胖、中心型肥胖前期(P<0.05)。结论:血脂异常与中医体质类型、BMI、中心型肥胖程度存在关联,通过控制体重和体型并积极干预偏颇体质有助于降低血脂异常及相关并发症的患病率。

    Abstract:

    To explore the relationship between Dyslipidemia and TCM constitution,and Body Mass Index(BMI),and levels of abdominal obesity,in order to analyze the risk factors of dyslipidemia.Methods:A retrospective study was conducted using a 1:1 case-control design,including 743 patients undergoing a physical examination at Zhuhai Hospital of Guangdong Provincial Hospital from May 2015 to July 2017.There were 743 patients with abnormal blood lipids and 736 patients with normal blood lipids.Using analysis of conditional logistic regression,we analyzed the relationship between dyslipidemia and TCM constitution,BMI,and central obesity.Results:There were 8 influence factors of dyslipidemia.5 factors were as follows:inherited special constitution,phlegm-dampness constitution,blood stasis constitution,and damp-heat constitution and Qi-deficiency constitution(P<0.05),according to the magnitude of influence of pathological constitution types in descending order.The other 3 factors were Obesity,abdominal obesity and abdominal pre-obesity(P<0.05),according to the magnitude of influence of BMI and abdominal obesity in descending order.Conclusion:There are correlations between dyslipidemia and TCM constitution,BMI,and levels of abdominal obesity.The prevalence rate of dyslipidemia and the complications can be reduced in the process of weight and body sizes controlling and intervention of pathological constitution types.

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罗翠文,徐福平,梁咏竹,成杰辉,原嘉民,杨志敏,姚丹丹.血脂异常与中医体质、体重指数、中心型肥胖的相关性研究[J].世界中医药,2018,(07).

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  • 收稿日期:2017-11-17
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  • 在线发布日期: 2018-08-14
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