中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2015年
6期
23-25
,共3页
代谢综合征%中医证候%益气活血降浊%疗效
代謝綜閤徵%中醫證候%益氣活血降濁%療效
대사종합정%중의증후%익기활혈강탁%료효
Metabolic syndrome%TCM syndrome%Benefiting qi%Promoting blood circulation and declining turbid%Curative effect
目的：通过回顾性分析老年代谢综合征的中医证候特征，总结其分布特点，为中药干预治疗提高参考。方法：选取2010年5月—2013年5月我院收治的112例诊断为代谢综合征的老年患者作为研究对象，填写我院制定的《代谢综合征中医证候临床调查表》，采集数据后进行SPSS研究分析。将112例患者分为研究组和对照组，研究组行益气活血降浊法干预治疗，对照组采取常规的西药二甲双胍肠溶片治疗，观察2组治疗前后血脂、血糖水平变化。结果：112例患者中痰浊阻遏证43例（38.4%）、气阴两虚证35例（31.2%），痰瘀互结证21例(18.8%)，阴虚热盛证13例(占11.6%)。研究组治疗后TC、TG、HDL-C和LDL-C改善幅度明显大于对照组同期（P＜0.01）。结论：老年代谢综合征早期以痰瘀互结证痰浊阻遏证居多，中晚期则肝肾阴虚证、脾虚湿盛证为主。益气活血降浊法干预治疗老年代谢综合征疗效确切，安全可行。
目的：通過迴顧性分析老年代謝綜閤徵的中醫證候特徵，總結其分佈特點，為中藥榦預治療提高參攷。方法：選取2010年5月—2013年5月我院收治的112例診斷為代謝綜閤徵的老年患者作為研究對象，填寫我院製定的《代謝綜閤徵中醫證候臨床調查錶》，採集數據後進行SPSS研究分析。將112例患者分為研究組和對照組，研究組行益氣活血降濁法榦預治療，對照組採取常規的西藥二甲雙胍腸溶片治療，觀察2組治療前後血脂、血糖水平變化。結果：112例患者中痰濁阻遏證43例（38.4%）、氣陰兩虛證35例（31.2%），痰瘀互結證21例(18.8%)，陰虛熱盛證13例(佔11.6%)。研究組治療後TC、TG、HDL-C和LDL-C改善幅度明顯大于對照組同期（P＜0.01）。結論：老年代謝綜閤徵早期以痰瘀互結證痰濁阻遏證居多，中晚期則肝腎陰虛證、脾虛濕盛證為主。益氣活血降濁法榦預治療老年代謝綜閤徵療效確切，安全可行。
목적：통과회고성분석노년대사종합정적중의증후특정，총결기분포특점，위중약간예치료제고삼고。방법：선취2010년5월—2013년5월아원수치적112례진단위대사종합정적노년환자작위연구대상，전사아원제정적《대사종합정중의증후림상조사표》，채집수거후진행SPSS연구분석。장112례환자분위연구조화대조조，연구조행익기활혈강탁법간예치료，대조조채취상규적서약이갑쌍고장용편치료，관찰2조치료전후혈지、혈당수평변화。결과：112례환자중담탁조알증43례（38.4%）、기음량허증35례（31.2%），담어호결증21례(18.8%)，음허열성증13례(점11.6%)。연구조치료후TC、TG、HDL-C화LDL-C개선폭도명현대우대조조동기（P＜0.01）。결론：노년대사종합정조기이담어호결증담탁조알증거다，중만기칙간신음허증、비허습성증위주。익기활혈강탁법간예치료노년대사종합정료효학절，안전가행。
Objective:Summarizing the distribution characteristics of elderly metabolic syndrome by retrospectively analyzing its TCM syndrome features, so as to provide reference for the intervention of Chinese medicine. Methods:112 elderly patients diagnosed as metabolic syndrome by our hospital from May 2010 to May 2013 were chosen as the research objects. They were asked to fill out the clinical questionnaire of TCM syndrome of metabolic syndrome. Then the data was collected for the SPSS analysis. The 112 patients were divided into research group and control group. The research group was treated by benefiting qi, promoting blood circulation and declining turbid. The control group was treated by conventional western medicine metformin hydrochloride entericcoated tablets. The changes of blood fat and sugar level before and after treatment of the two groups were observed. Result:In the 112 patients, the number of patients with phlegm and turbid stagnation syndrome was 43 (38.4%), qi and yin deficiency syndrome 35 (31.2%), phlegm-stasis syndrome 21(18.8%), syndrome of extreme heat caused by yin deficiency 13 (11.6%). After treatment, the reduction of TC, TG, HDL-C and LDL-C of the research group was more significant than that of the control group (P<0.01). Conclusion:In the early stage of elderly metabolic syndrome, phlegm-stasis syndrome and phlegm and turbid stagnation syndrome were more than other syndrome, in middle and late stage, the main syndromes were deficiency of liver and kidney, extreme dampness caused by spleen deficiency. Benefiting qi, promoting blood circulation and declining turbid had accurate curative effect on elderly metabolic syndrome and it was safe.
