中医体质与健康指导对老年人baPWV及ABI的影响

Effects of Traditional Chinese Medicine Constitution and Health Guidance on baPWV and ABI of the Elderly in Community

目的 探讨中医体质与健康指导对社区老年人踝肱脉搏波传导速度(ba PWV)和踝臂指数(ABI)的影响。方法 随机抽取126例北京市海淀区某社区参加健康体检老年人(≥65岁)进行中医体质辨识和动脉硬化检测,观察不同体质人群与动脉硬化关系,并针对不同的体质辨识结果给予规范中医药保健指导,干预6个月后进行评价,比较动脉硬化人数变化情况及双侧踝肱脉搏波传导速度和踝臂指数变化情况。结果 参加健康体检的126例老年人中,动脉硬度正常者11例,动脉轻度硬化和动脉硬化者共有115例;115例动脉硬化者中平和体质23例,偏颇体质者92例;偏颇体质中前3顺位分别为阳虚质、痰湿质和阴虚质;健康指导干预6个月后,轻度动脉硬化人数增加,动脉硬化人数减少,健康指导与动脉硬化程度呈显著相关性(P <0.05);左侧ba PWV、右侧ba PWV、左侧ABI与指导前比较差异有统计学意义(P <0.05)。结论 偏颇体质尤其是阳虚、痰湿、阴虚体质发生动脉硬化频率较高,中医健康指导能明显减轻动脉硬化程度,对防治动脉硬化的发生和发展起到了积极的作用。

Objective To explore the effects of traditional Chinese medicine( TCM) constitution and health guidance on ba PWV( ankle brachial pulse wave velocity) and ABI( ankle brachial index) of the elderly in the community. Methods The degree of arteriosclerosis was evaluated by ankle brachial pulse wave conduction velocity and ankle brachial index. 126 elderly people( ≥ 65 years old) who participated in physical examination in a community in Haidian District were randomly selected for TCM constitution identification and arteriosclerosis detection. The relationship between different constitution groups and arteriosclerosis was observed,and standardized TCM health care guidance was given according to different constitution identification results. After 6 months of intervention,the changes of arteriosclerosis,bilateral ankle brachial pulse wave velocity and ankle brachial index were compared. Results Among the 126 elderly who participated in physical examination,11 cases had normal arterial stiffness,and 115 cases had mild arteriosclerosis and arteriosclerosis;Among 115 cases of arteriosclerosis,23 cases were of peaceful constitution and 92 cases were of biased constitution;In the biased constitution,the first three were Yang deficiency,phlegm dampness and yin deficiency. After health guidance intervention for 6 months,the number of mild arteriosclerosis increased and the number of arteriosclerosis decreased. There was a significant correlation between health guidance and the degree of arteriosclerosis( P < 0. 05). Left ba PWV,right ba PWV and left ABI were significantly improved compared with those before guidance( P < 0. 05). Conclusion Biased constitution,especially yang deficiency,phlegm dampness and yin deficiency,has a high frequency of arteriosclerosis. TCM health guidance can significantly reduce the degree of arteriosclerosis and play a positive role in the prevention and treatment of the occurrence and development of arteriosclerosis.