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血生化指标与高脂血症中医虚实证型的关系 被引量:12

Relationship between blood biochemical indexes and types of deficiency or excess syndromes(虚实证型) of traditional Chinese medicine in cases with hyperlipidemia
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摘要 目的 :探讨高脂血症患者血脂、血糖 (Glu)、尿酸 (U A)和 C反应蛋白 (CRP)等指标变化与中医虚实辨证分型的关系。方法 :35 3例高脂血症患者按虚实辨证分为虚证、实证和虚实夹杂证 ,检测各证型患者血清总胆固醇 (TC)、甘油三酯 (TG)、低密度脂蛋白胆固醇 (L DL C)、高密度脂蛋白胆固醇 (HDL C)、Glu、UA和CRP,并比较各证型检测结果在证型之间相互的变化。结果 :3个证型患者 TC、TG、L DL C、HDL C和 CRP的变化均为实证 >虚实夹杂证 >虚证 ,Glu为虚证 >虚实夹杂证 >实证 ,U A为虚证 >实证 >虚实夹杂证。 TC和 TG水平在高脂血症虚证属于轻度升高 ,在虚实夹杂证属于中度升高 ,在实证属于重度升高。结论 :7个指标与高脂血症虚实证型均有不同程度的关系 ,利用这些指标可从虚、实和虚实夹杂这三大方面区分高脂血症。 Objective: To explore the changes of blood lipids, blood glucose(Glu), uric acid (UA) and C reactive protein (CRP) in cases with hyperlipidemia and their relationship to deficiency or excess syndrome in accord to the differentiation of symptoms and signs in traditional Chinese medicine (TCM). Methods: Three hundred and fiftythree patients with hyperlipidemia were divided into deficiency syndrome(虚证), excess syndrome(实证), and deficiencyexcess miscellaneous syndrome(虚实夹杂证) groups. The total cholesterol(TC) , triglyceride(TG), low density lipoprotein cholesterol(LDLC), high density lipoprotein cholesterol(HDLC), Glu, UA and CRP in serum were determined and compared among patients with different syndromes and types in TCM. Results: In three syndromes and types of TCM, the changes in TC, TG, LDLC, HDLC and CRP were greater in patients with excess syndrome and than those in patients with deficiencyexcess miscellaneous syndrome and those in patients with deficiency syndrome. The change of Glu was greater in patients with deficiency syndrome than those in patients with deficiencyexcess miscellaneous syndrome and than those in patients with excess syndrome. The change of UA was greater in patients with deficiency syndrome, middle in patients with excess syndrome, and mild in patients with deficiencyexcess miscellaneous syndrome. The elevations of TC and TG were slight in deficiency syndrome and moderate in deficiencyexcess miscellaneous syndrome, but serious in excess syndrome . Conclusion : The seven indexes of this study are related to different syndromes and types of TCM in hyperlipidemia in different degree. The hyperlipidemia can be distinguished by deficiency syndrome, excess syndrome and deficiencyexcess miscellaneous syndrome according to the changes of these indexes.
出处 《中国中西医结合急救杂志》 CAS 2005年第1期5-7,共3页 Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金 广东省中医药局科研课题 (2 0 40 0 66)
关键词 高脂血症 中医证型 血脂 血糖 尿酸 hyperlipidemia syndromes and types of traditional Chinese medicine blood lipids blood glucose uric acid
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