原发性高脂血症中医证候规律研究

The research on the TCM syndrome pattern rules of primary hyperlipemia

目的探讨高脂血症的年龄、性别、体重指数（BMI）及高脂血症分型与中医证候的关系。方法对120例原发性高脂血症患者进行中医辨证分型，其中痰浊阻遏证56例、脾肾阳虚证35例、肝肾阴虚证13例、阴虚阳亢证7例、气滞血瘀证9例。对可能影响证型的相关因素进行统计学分析，探讨其相关性。结果原发性高脂血症患者中，年龄与五证型呈相关性（P〈0．01），性别、高脂血症临床分类、伴随疾病与五个证型未见相关性（P〉0．05）。高脂血症分型与中医证候有相关性（P〈0．01）。结论原发性高脂血症的中医证型与年龄、高脂血症分型间有一定相关性。

Objective To study TCM pattern rules of primary hypedipemia and its.relation with sex, age, body mass index （BMI）. Methods A total of 120 patients with primary hyperlipemia were divided into 5 groups by TCM syndrome differentiation： 56 patients in a group of the turbid-phlegm stagnation syndrome, 35 patients in a group of yang deficiency of spleen and kidney syndrome, 13 patients in a group ofyin deficiency of liver and kidney, 7 patients in a group of hyperactivity of yang due to yin deficiency group, and 9 patients in a group ofqi stagnation and blood stasis syndrome. Statistic analysis was made on factors that may affect these syndromes, and the correlations were discussed. Results Different age showed a closer relation to the onset of primary hypedipemia than other factors （P〈0.01）; sex, clinical classification, and accompanied diseases had no relation with the five-type syndromes （P〈0.0 l）. Conclusion TCM syndromes had a certain relation with the age of patients with primary hypedipemia.