痰湿体质与心血管病危险因素的关系分析

Relationship between Phlegm-dampness Constitution and Cardiovascular Risk Factors

目的探讨痰湿质、平和质与心血管病危险因素的关系,为痰湿体质与心血管疾病的关系提供流行病学调查依据。方法比较分析中医体质判定为痰湿质和平和质两种体质病人的血压(BP)、尿酸(UA)、空腹血糖(FPG)、血清总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、体重指数(BMI),高脂血症(HPL)、高尿酸血症(HUA)、超重/肥胖发生率之间的差异。结果痰湿质病人BP、TC、TG、LDL-C、BMI、UA明显高于平和质(P<0.05);痰湿质HDL-C低于平和质(P<0.05);痰湿质病人HPL、HUA、超重/肥胖的发生率明显高于平和质(P<0.05)。结论痰湿质人群心血管病危险因素较多,是心血管疾病高危体质,提示可以基于痰湿质防治心血管疾病。

Objective To explore the relationship between phlegm-dampness constitution,yin-yang harmony constitution and cardiovascular risk factors.Methods Blood pressure(BP),uric acid(UA),fasting plasma glucose(FPG),serum total cholesterol(TC),triglyceride(TG),high-density lipoprotein cholesterol(HDL-C),low-density lipoprotein cholesterol(LDL-C),body mass index(BMI),the rates of hyperlipidemia(HPL),hyperuricemia(HUA),overweight/obesity were analysis in the individuals with phlegm-dampness constitution,yin-yang harmony constitution.Results The levels of BP,TC,TG,LDL-C,BMI,and UA in constitution of phlegm-dampness were higher than that in yin-yang harmony constitution(P<0.05).The HDL-C level in constitution of phlegm-dampness was lower than that in yin-yang harmony constitution(P<0.05).The rate of HPL,HUA,and overweight/obesity in constitution of phlegm-dampness were higher than that in qi deficiency constitution and yin-yang harmony constitution(P<0.05).Conclusion Phlegm-dampness constitution had more cardiovascular risk factors.It suggested that the prevention of cardiovascular disease could be based on phlegm-dampness constitution.