418例绝经后脑梗死患者中医体质与危险因素相关性研究

Correlation between TCM Constitution and Risk Factors in 418 Postmenopausal Patients with Cerebral Infarction

目的探讨绝经后脑梗死患者中医体质和危险因素分布情况,并研究其相关性,为绝经后女性脑梗死的预防及治疗提供思路。方法选取符合标准的418例绝经后脑梗死患者,进行中医体质判定,收集危险因素相关资料,分析中医体质类型及危险因素的相关性。结果418例绝经后脑梗死患者中医体质类型由高到低依次为阳虚质(48.80%),痰湿质(16.75%),阴虚质(16.27%),气虚质(11.96%),气郁质(4.31%),血瘀质(1.20%),湿热质(0.48%),特禀质(0.24%);危险因素以高血压、糖尿病和BMI≥24 kg/m2多见。糖尿病和体质量指数(BMI)≥24 kg/m2与阳虚质具有正相关性(P<0.05),BMI≥24 kg/m2与痰湿质具有正相关性(P<0.05),糖尿病与阴虚质呈正相关(P<0.05)。结论418例绝经后脑梗死患者主要体质类型为阳虚质、痰湿质、阴虚质;上述体质与高血压、糖尿病和BMI≥24 kg/m2密切相关。

Objective:To explore the distribution of TCM constitution in postmenopausal patients with cerebral infarction and its correlation with risk factors,so as to provide ideas for the prevention and treatment of postmeno⁃pausal women with cerebral infarction.Methods:A total of 418 postmenopausal patients with cerebral infarction who met the inclusion criteria were selected for TCM constitution judgment,the relevant data of risk factors were collected,and the correlation between TCM constitution types and risk factors was analyzed.Results:The TCM constitution types of 418 postmenopausal patients with cerebral infarction were yang deficiency(48.80%),phlegm dampness(16.75%),yin deficiency(16.27%),qi deficiency(11.96%),qi depression(4.31%),blood stasis(1.20%),damp heat(0.48%)and intrinsic quality(0.24%).The risk factors were hypertension,diabetes and BMI≥24 kg/m2.Diabetes and BMI≥24 kg/m2 were positively correlated with yang deficiency(P<0.05).BMI≥24 kg/m2 had posi⁃tive correlation with phlegm dampness(P<0.05),and diabetes was positively correlated with yin deficiency(P<0.05).Conclusion:The main constitution types of the 418 postmenopausal patients with cerebral infarction are yang deficiency,phlegm dampness and yin deficiency,the above constitution is closely related to hypertension,dia⁃betes and BMI≥24 kg/m22.