260例老年高血压病患者中医体质分布及与血脂相关性分析

Analysis on the Distribution of Traditional Chinese Medicine Constitution and Its Correlation with Blood Lipid in 260 Elderly Patients with Hypertension

目的探索老年高血压病患者中医体质分布情况及与血脂的相关性。方法选取260例老年高血压病患者进行体质分型,分析体质与血脂之间的相关性。结果260例老年高血压病患者中医体质分布比例从高到低依次为痰湿质、阴虚质、湿热质、阳虚质、气虚质。三酰甘油(TG)、高密度脂蛋白胆固醇(HDL-C)在不同体质间,差异具有统计学意义(P<0.05),且痰湿体质与TG存在正相关关系,与HDL-C存在负相关关系;湿热质与HDL-C存在显著的正相关关系,与TG存在显著的负相关关系。结论痰湿质、阴虚质是老年高血压病患者的主要偏颇体质,TG和HDL-C可分别作为痰湿质和湿热质的中医微观辨证客观指标之一。

Objective To explore the physical distribution of traditional Chinese medicine(TCM)and its correlation with blood lipid in elderly patients with hypertension.Methods A total of 260 hypertensive patients were selected for constitution classification,and the correlation between constitution and blood lipids was analyzed.Results The TCM constitution distribution of elderly patients with hy-pertension from high to low was phlegm-dampness,yin deficiency,dampness-heat,yang deficiency and qi deficiency.There were sig-nificant differences in TG and HDL among different constitutions,and there was a positive correlation between phlegm dampness con-stitution and TG,while there was a negative correlation with HDL.There was a significant positive correlation between humid heat and HDL,and a significant negative correlation with TG.Conclusion Phlegm-dampness and yin deficiency are the main biased constitu-tion.TG and HDL can be used as one of the objective indexes of TCM micro-syndrome differentiation of phlegm-dampness and dampness-heat in elderly patients with hypertension.