体质辨识结合膳食干预在青少年高尿酸血症中的应用研究

Application of Physical Identification Combined with Dietary Intervention in Adolescent Hyperuricemia

目的:探究体质辨识结合膳食干预在青少年高尿酸血症中的应用价值。方法:从云浮市中医院健康管理中心收集2022年1月—2023年6月期间进行健康体检的青少年高尿酸血症患者496例,依据电脑数字表法分为研究组(n=251)与对照组(n=245)。对照组予以常规健康指导;研究组基于对照组方案予以体质辨识结合膳食干预。比较两组干预前后血尿酸及总胆固醇(CHOL)水平;体重指数(BMI)及生活质量评分;干预后中医体质改善情况。结果:相比干预前,两组血尿酸及CHOL水平、BMI干预后明显下降,生活质量评分干预后明显升高,且研究组改善幅度优于对照组(P<0.05);相比对照组,研究组干预后非健康体质(痰湿质、阴虚质、血瘀质、气虚质、阳虚质、气郁质、湿热质、特禀质)占比更低,而健康体质(平和质)占比高(P<0.05)。结论:青少年高尿酸血症患者经体质辨识结合膳食干预及运动指导后,血尿酸及血脂水平明显改善,利于体质改善、体重减轻,且干预后生活质量佳,值得推广使用。

Objective:To explore the application value of physical identification combined with dietary intervention in adolescent hyperuricemia.Methods:A total of 496 adolescent patients with hyperuricemia who underwent physical examination from January,2022 to June,2023 were collected from the Health Management Center of Yunfu Hospital of Traditional Chinese Medicine.According to the computer number table method,they were divided into study group(n=251)and control group(n=245).The control shall be conventional health guidance;The study group was given physical identification combined with dietary intervention based on the control group plan.The levels of serum uric acid and total cholesterol(CHOL)were compared between the two groups before and after intervention.Body mass index(BMI)and quality of life score;The improvement ofTCM constitution after intervention.Results:Compared with before intervention,two groups of blood uric acid and the levels of CHOL,BMI significantly decreased after intervention,the quality of life score significantly increased after intervention,and the team has improved better than that of control group(P<0.05);Compared with the control group,the study group had a lower proportion of unhealthy constitution(phum-dampness constitution,yin-deficiency constitution,blood-stasis constitution,Qi-deficiency constitution,yang-deficiency constitution,qi-depression constitution,damp-heat constitution,and special constitution),and a higher proportion of healthy constitution(gentleness constitution)after intervention(P<0.05).Conclusion:The adolescent patients with high uric acid hematic disease after constitution identification combined with dietary intervention and exercise guidance,obviously improved the blood uric acid and lipid levels,to improve constitution,weight loss,and after the intervention of the quality of life,is worth promoting.