118例颈动脉粥样硬化中医辨证分型特点分析

Analysis on characteristics of TCM syndrome differentiation and typing of 118 cases of carotid atherosclerosis

目的:探讨颈动脉粥样硬化(AS)中医辨证分型分布特点。方法:将118例颈AS患者按中医证型分为痰浊阻滞、瘀血阻络、气血不足、阴阳亏损等4型,分析中医证型与性别、年龄、体质指数(BMI)的关系。结果:①颈AS患者中医证型分布总体呈现痰浊阻滞远大于瘀血阻络、气血不足、阴阳亏损(P<0.05);瘀血阻络大于阴阳亏损及气血不足(P<0.05);②不同性别、年龄的同一证型分布差异无统计学意义(P>0.05);③BMI增高与BMI正常者同一证型分布差异有统计学意义(P<0.05)。结论:颈AS患者中医证型以痰浊阻滞型最多,瘀血阻络次之,BMI增加与痰、瘀成正相关。

Objective：To explore the TCM syndrome differentiation and typing of carotid atherosclerosis.Methods：118 Cases of carotid atherosclerosis were divided into four types of syndrome：blockage of phlegm-turbid,obstruction of collaterals by blood stasis,insufficiency of qi and blood,deficiency of yin-yang.The relation between TCM type of syndrome and gender,age,body mass index（BMI） were analyzed.Results：①Syndrome of blockage of phlegm-turbid was the most frequently-occurring syndrome among the four types of syndrome（P〈0.05）;And syndrome of obstruction of collaterals by blood stasis was the second（P〈0.05）;② There was no differences of distribution of the same syndrome among different age and between different gender（P〉0.05）.;③There was obvious difference of distribution of the same syndrome between people with normal BMI and with hyper BMI（P〈0.05）;Conclusion：Syndrome of blockage of phlegm-turbid was the most frequently-occurring syndrome and syndrome of obstruction of collaterals by blood stasis was the second of carotid atherosclerosis.There was positive correlation between increasing of BMI and phlegm,stasis.