代谢综合征中医证候分布规律的研究

Distribution of Traditional Chinese Medical Syndrome Patterns of Metabolism Syndrome

目的:研究代谢综合征(MS)的证候分布规律。方法:对192例患者进行信息采集,采用聚类分析研究MS的证型分布特点,分析和探讨其证型证候分布规律及规范化证型。结果:MS主要为气阴亏虚、肾阴亏虚、肾阳亏虚、阴虚燥热4种证型。其中气阴亏虚证108例,占56.3%,肾阴亏虚证46例,占24.0%,肾阳亏虚证16例,占8.3%,阴虚燥热证22例,占11.5%。108例气阴亏虚证中,夹瘀者占86.1%,夹痰者占71.3%;46例肾阴亏虚证中,夹瘀者占78.3%,夹痰者占63.0%;16例肾阳亏虚证中,夹瘀者占75.0%,夹痰者占81.3%;22例阴虚燥热证中,夹瘀者占27.3%,夹痰者占22.7%。结论:MS临床上常见气阴亏虚、肾阴亏虚、肾阳亏虚、阴虚燥热4种证型,其中以气阴亏虚证最为常见,痰瘀贯穿整个病程。

Objective:To investigate the distribution of traditional Chinese medical syndrome patterns of metabolism syndrome.Methods:The clinical data of 192 qualified patients were collected,and the distribution of traditional Chinese medical syndrome patterns of metabolism syndrome was analyzed by cluster analysis.Results:Metabolism syndrome was characterized as four syndrome patterns:Qi-yin deficiency,kidney yin deficiency,kidney yang deficiency,yin deficiency with dryness heat.There were 108(56.3%) patients with Qi-yin deficiency,46(24.0%) with kidney yin deficiency,16(8.3%)with kidney yang deficiency,and 22(11.5%) with yin deficiency with dryness heat.Of 108 Qi-yin deficiency patients,86.1% of the patients were complicated by blood-stasis,and 71.3% complicated by phlegm;of 46 kidney yin deficiency patients,78.3% of the patients were complicated by blood-stasis,and 63% complicated by phlegm;of 16 kidney yang deficiency patients,75.0% of the patients were complicated by blood-stasis,and 81.3% complicated by phlegm;of 22 yin deficiency with dryness heat patients,27.3% of the patients were complicated by blood-stasis,and 22.7% complicated by phlegm.Conclusion:The dominated syndrome patterns of metabolism syndrome are Qi-yin deficiency,kidney yin deficiency,kidney yang deficiency,and yin deficiency with dryness heat,and Qi-yin deficiency is the most commonly-seen pattern.Phlegm and blood stasis can be seen through all of the disease course.