CAJ | 학술논문

目的：：探讨胆囊结石合并高脂血症患者中医体质分布规律。方法：选取符合纳入标准的胆囊结石合并高脂血症患者，采用问卷调查和理化检查的方法，通过Logistic回归分析，从而发现胆囊结石与高脂血症的关系以及胆囊结石合并高脂血症患者的中医体质分布情况。结果：419例胆囊结石患者中合并高脂血症的共计245例，构成比为58.47%。通过回归模型的建立发现总胆固醇（TC）水平的升高与胆囊结石的发生具有相关性(OR值=2.69)，胆囊结石合并高脂血症患者的体质类型主要以痰湿质和气虚质为主，分别占总数的44.1%和24.1%。结论：高脂血症与胆囊结石的发病具有相关性，而痰湿质和气虚质的患者更应关注血脂的变化情况，预防胆囊结石的发生。
목적：：탐토담낭결석합병고지혈증환자중의체질분포규률。방법：선취부합납입표준적담낭결석합병고지혈증환자，채용문권조사화이화검사적방법，통과Logistic회귀분석，종이발현담낭결석여고지혈증적관계이급담낭결석합병고지혈증환자적중의체질분포정황。결과：419례담낭결석환자중합병고지혈증적공계245례，구성비위58.47%。통과회귀모형적건립발현총담고순（TC）수평적승고여담낭결석적발생구유상관성(OR치=2.69)，담낭결석합병고지혈증환자적체질류형주요이담습질화기허질위주，분별점총수적44.1%화24.1%。결론：고지혈증여담낭결석적발병구유상관성，이담습질화기허질적환자경응관주혈지적변화정황，예방담낭결석적발생。
Objective To discuss the regularity of gallbladder stone with physical constitution distribution in patients with hyperlipidemia. Methods Some questionnaire surveys and physical and chemical inspections were accomplished, in selected method to the inclusion criteria of cholecystolithiasis complicated with hyperlipid?emia patients, to reveal the relationship between cholecystolithiasis and hyperlipidemia and to observe the pa?tient's physical constitution distribution. Results 245 patients both had cholecystolithiasis and hyperlipid?emia, and the constituent ratio was 58.47%. The statistic analysis showed that total cholesterol level associated with gallstones,with adjusted odds ratio was 2.69. Gallbladder calculi complicated with hyperlipidemia patient’s physical constitution types were based on the unfair or interspecific constitution. Phlegm dampness and Qi defi?ciency were the top two in 9 types of constitutions respectively, the constituent ratio of 44.1% and 24.1%. Conclusion In Phlegm dampness and Qi deficiency patients more attention should be paid to the changes of blood lipids, to prevent the formation of gallstones.