中国中医药现代远程教育
中國中醫藥現代遠程教育
중국중의약현대원정교육
CHINESE MEDICINE MODERN DISTANCE EDUCATION OF CHINA
2014年
21期
9-11
,共3页
绝经女性%颈动脉粥样硬化%肝肾阴虚%火热%临床调研%病机
絕經女性%頸動脈粥樣硬化%肝腎陰虛%火熱%臨床調研%病機
절경녀성%경동맥죽양경화%간신음허%화열%림상조연%병궤
menopausal women%carotid artery atherosclerosis%yin deficiency of liver and kidney%heat syndrome%clinical study%pathogenesis
目的：探讨绝经女性颈动脉粥样硬化（CAS）的病机与证候分布规律。方法采集临床绝经女性CAS患者的相关信息，运用统计学方法对患者的症状、病史及相关资料进行分析，筛选绝经女性CAS的危险因素。结果增龄，雌激素缺乏，鼾眠，嗜辛辣、甜食、咸味，被动吸烟，超重，腹型肥胖，高血压、高脂血症病史是绝经女性CAS的主要危险因素；绝经女性组与正常生育期女性组在雌激素水平、打鼾程度、肥胖、高血压、高血脂、CAS程度方面具有显著差异；证候分布在绝经早期以火热证居多，随着绝经年限的延长，雌激素水平降低，肝肾阴虚的程度愈甚。结论绝经女性CAS危险因素多端，其证候分布以火热证、肝肾阴虚证居多；阴虚火盛是绝经女性CAS发病的病理基础，阴虚失养、火盛灼脉是核心病机。
目的：探討絕經女性頸動脈粥樣硬化（CAS）的病機與證候分佈規律。方法採集臨床絕經女性CAS患者的相關信息，運用統計學方法對患者的癥狀、病史及相關資料進行分析，篩選絕經女性CAS的危險因素。結果增齡，雌激素缺乏，鼾眠，嗜辛辣、甜食、鹹味，被動吸煙，超重，腹型肥胖，高血壓、高脂血癥病史是絕經女性CAS的主要危險因素；絕經女性組與正常生育期女性組在雌激素水平、打鼾程度、肥胖、高血壓、高血脂、CAS程度方麵具有顯著差異；證候分佈在絕經早期以火熱證居多，隨著絕經年限的延長，雌激素水平降低，肝腎陰虛的程度愈甚。結論絕經女性CAS危險因素多耑，其證候分佈以火熱證、肝腎陰虛證居多；陰虛火盛是絕經女性CAS髮病的病理基礎，陰虛失養、火盛灼脈是覈心病機。
목적：탐토절경녀성경동맥죽양경화（CAS）적병궤여증후분포규률。방법채집림상절경녀성CAS환자적상관신식，운용통계학방법대환자적증상、병사급상관자료진행분석，사선절경녀성CAS적위험인소。결과증령，자격소결핍，한면，기신랄、첨식、함미，피동흡연，초중，복형비반，고혈압、고지혈증병사시절경녀성CAS적주요위험인소；절경녀성조여정상생육기녀성조재자격소수평、타한정도、비반、고혈압、고혈지、CAS정도방면구유현저차이；증후분포재절경조기이화열증거다，수착절경년한적연장，자격소수평강저，간신음허적정도유심。결론절경녀성CAS위험인소다단，기증후분포이화열증、간신음허증거다；음허화성시절경녀성CAS발병적병리기출，음허실양、화성작맥시핵심병궤。
Objective This paper is de signed to explore the pathogenesis and the distribution rule of syndrome of CAS in menopausal women. Methods After clinically acquiring the information of the menopausal women patients with CAS, we analyze the patient's symptoms, medical history and related data by statistical methods, filter the risk factors of CAS. Results The risk factors of CAS, such as age, deficiency of estrogen, snoring sleep, spice, sweety, salty, passive smoking, obesity, history of hypertension, history of hyperlipidemia are main in menopausal women. There is a remarkable difference in terms of the level of estrogen, snoring sleep, obesity, hypertension, hyperlipidemia and CAS between menopausal women and fertility period women. In the early stage of menopause, heat syndrome is dominant. With the prolonging of menopause year, the level of estrogen reduces, and yin deficiency of liver and kidney is more significant. Conclusions The risk factors of CAS in menopausal women are varied. In terms of the distribution of syndrome, heat syndrome and yin deficiency of liver and kidney are the main syndrome. Yin deficiency and heat excess are the basic pathology of CAS in menopausal women, the core pathogenesis is yin deficiency and heat excess burning the artery.
