下肢动脉粥样硬化与相关影响因素和疾病的中医证型特点分析

Lower limb atherosclerosis and related factors and disease TCM syndrome type characteristic analysis

目的:探讨下肢AS与相关因素、疾病的中医证型,并力求通行。方法:将317例下肢AS患者按证候分型,分析其与相关因子的关系。结果:①血脂异常远大于其他诸因子,差异显著(P<0.005)。②痰浊阻滞>气阴两虚>瘀血阻络>阳虚寒凝>湿热湿毒,痰浊阻滞、湿热湿毒与其它各型差异显著(P<0.005)。③痰浊阻滞BMI增高为首,血脂异常次之;瘀血阻络冠心病为首,高血压、BMI增高、血脂异常、脑梗塞次之;气阴两虚糖尿病并发症为首,糖尿病次之;阳虚寒凝脑梗塞为首;湿热湿毒型占2.73%,以糖尿病、糖尿病并发症、BMI增高、血脂异常为主。结论:下肢AS以痰浊阻滞为主要证型,气阴两虚、瘀血阻络型为次要证型,阳虚寒凝、湿热湿毒型又次之。

Objective： Explore lower limb artery atherosclerosis and the related factors, disease of TCM syndrome type, And makes every effort to pass. Methods： 317 cases of lower limb AS by the patient syndrome type points, analyzing the related factors of the relationship. Results： ①dyslipidemia far outweigh the other factor, significant difference （P〈0.005）. ②Phlegm-Dampness Stagnation〉deficiency of both qi and yin〉obstruction of collaterals by blood stasis〉yang deficiency and cold stagnation〉accumulation of damp-heat, Phlegm-Dampness Stagnation, accumulation of damp-heat and other various significant difference （P〈0.005）. Phlegm-Dampness Stagnation higher BMI headed, dyslipidemia take second place; obstruction of collaterals by blood stasis headed by coronary heart disease, high blood pressure, BMI heighten, dyslipidemia, cerebral infarction take second place; deficiency of both qi and yin headed by diabetes complications, diabetes take second place; yang deficiency and cold stagnation headed by Cerebral infarction; accumulation of damp-heat 2.73%, with diabetes, diabetes complications, BMI heighten, dyslipidemia primarily. Conclusion： Lowerlimb atherosclerosis in the Phlegm-Dampness Stagnation as the main card type, deficiency of both qi and yin, obstruction of collaterals by blood stasis for the secondary card type, yang deficiency and cold stagnation, accumulation of damp-heat take second place.