耳垂褶皱与心血管疾病及中医证候要素的相关性分析

Correlation Among the Earlobe Crease, Cardioascular Disease and TCM Syndrome Elements

目的探讨耳垂褶皱与心血管疾病及中医证候要素的相关性。方法纳入2014年6月-2015年5月于望京医院心内科住院的心血管病患者预计400例,依据有无耳垂皱褶分为耳褶组(两耳至少有一个有耳垂皱褶)和无耳褶组(两耳均无耳垂皱褶),对患者一般情况、基础心血管疾病及中医证候要素进行统计,对比两组各种心血管疾病的发生率及中医证候要素的分布规律,进一步统计分析耳垂皱褶与各种心血管疾病及中医证候要素的相关性。结果共纳入病例403例,耳褶组冠心病、高脂血症、动脉硬化和脑梗塞的患病率均显著高于对照组,经相关性分析,耳垂褶皱与冠心病、高脂血症、动脉硬化、脑梗塞呈正相关。耳褶组心血管病患者中医证候要素构成比血瘀>痰饮>气虚>阴虚>阳亢>气滞>血虚>阳虚,经相关性分析,耳褶与气虚有正相关性,与阳亢呈负相关。结论耳垂褶皱的存在与冠心病、高脂血症、动脉硬化和脑梗塞密切相关;耳垂褶皱的存在与气虚密切相关,阳亢证中耳褶出现的可能性较小。

Objective To study the correlation between the earlobe crease,cardiovascular and TCM syndrome elements.Methods 400 cases of inpatients in cardiovascular medicine ward of Wangjing hospitalwere expected in June 2014 to May 2015.These patients have been divided into two groups,the earlobe crease group(at least one earlobe has creases)and non-earlobe crease group(both earlobes without crease).General conditions,cardiovascular diseases and TCM syndrome elements of the patients were recorded.The incidence of cardiovascular diseases and the distribution regularity of TCM syndrome elements of two groups were compared.The correlation of the earlobe crease,cardiovascular diseases,and TCM syndrome elements were detected and analyzed by using Spearmans rank correlation analysis.Results Participants included cases 403 cases.Coronary heart disease,hyperlipidemia,atherosclerosis and cerebral infarction in patients were significant higher than those in controls;The earlobe crease showed positive association with Coronary heart disease,hyperlipidemia,atherosclerosis and cerebral infarction.The constituent ratio of TCM syndrome elements in earlobe crease group patients showed blood stasis syndrome>phlegm retention syndrome>qi deficiency syndrome>Yin deficiency syndrome>yang hyperactivity syndrome>qi stagnation syndrome>blood deficiency syndrome>Yang deficiency syndrome.The earlobe crease showed positive association with qi deficiency.and negative association with yang hyperactivity syndrome.Conclusion The existence of the earlobe crease and coronary heart disease,hyperlipidemia,atherosclerosis and cerebral infarction is closely related;The existence of the earlobe crease is closely related to qi deficiency.The earlobe crease appeares less likely in yang hyperactivity syndrome.