CAJ | 학술논문

目的：探讨健康人不同中医体质者血清血脂水平的状况。方法收集2012年7月—2013年7月在中国中医科学院广安门医院体检中心的体检者312人为研究对象，测定不同体质健康人的总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白胆固醇(HDL C)及低密度脂蛋白胆固醇(LDL C)水平。结果 TC：阴虚质<血瘀质<气郁质<平和质<湿热质<气虚质<痰湿质<阳虚质<特禀质；TG：阴虚质<阳虚质<血瘀质<平和质<痰湿质<气郁质<湿热质<气虚质<特禀质；HDL C：特禀质<湿热质<平和质<阴虚质<气郁质<阳虚质<气虚质<痰湿质<血瘀质；LDL C：阴虚质<血瘀质<气郁质<气虚质<平和质<痰湿质<湿热质<阳虚质<特禀质。同时，平和质、气郁质、血瘀质、阴虚质 TC与特禀质比较差异有统计学意义(P<0.05)；血瘀质与平和质、特禀质HDL C比较差异有统计学意义(P<0.05)，痰湿质与特禀质HDL C比较差异有统计学意义(P<0.05)。结论9种体质中，体内湿邪为重者，脂质代谢紊乱性可能大，对高脂血症、动脉粥样硬化性疾病具有易感性。湿热质、痰湿质、阳虚质及特禀质则易罹患动脉粥样硬化，其中特禀质与湿热质较痰湿质与阳虚质为甚。而阴虚质、血瘀质、气郁质患血脂代谢紊乱的几率低，形成高脂血症、动脉粥样硬化性疾病的可能性低。
목적：탐토건강인불동중의체질자혈청혈지수평적상황。방법수집2012년7월—2013년7월재중국중의과학원엄안문의원체검중심적체검자312인위연구대상，측정불동체질건강인적총담고순(TC)、삼선감유(TG)、고밀도지단백담고순(HDL C)급저밀도지단백담고순(LDL C)수평。결과 TC：음허질<혈어질<기욱질<평화질<습열질<기허질<담습질<양허질<특품질；TG：음허질<양허질<혈어질<평화질<담습질<기욱질<습열질<기허질<특품질；HDL C：특품질<습열질<평화질<음허질<기욱질<양허질<기허질<담습질<혈어질；LDL C：음허질<혈어질<기욱질<기허질<평화질<담습질<습열질<양허질<특품질。동시，평화질、기욱질、혈어질、음허질 TC여특품질비교차이유통계학의의(P<0.05)；혈어질여평화질、특품질HDL C비교차이유통계학의의(P<0.05)，담습질여특품질HDL C비교차이유통계학의의(P<0.05)。결론9충체질중，체내습사위중자，지질대사문란성가능대，대고지혈증、동맥죽양경화성질병구유역감성。습열질、담습질、양허질급특품질칙역리환동맥죽양경화，기중특품질여습열질교담습질여양허질위심。이음허질、혈어질、기욱질환혈지대사문란적궤솔저，형성고지혈증、동맥죽양경화성질병적가능성저。
Objective To explore the serum lipid levels in healthy individuals with different traditional Chinese medical(TCM)constitu-tions.Methods Taking the volunteers in the South Area of Guang’anmen Hospital from July 2012 to July 2013 as the blood samples, and detecting the serum levels of cholesterol(TC),triglyceride (TG),high density lipoprotein(HDL C)and low density lipoprotein (LDL C)in healthy individuals with nine kinds of TCM constitutions,to screen 312 healthy individuals as the objects of research.Results The serum level of TC in healthy individuals with various TCM constitutions was as fol ows yin deficiency,blood stasis,qi qualita-tive,gentleness,humid mass,qi deficiency,phlegm,yang quality ,special intrinsic quality in ascending order.The serum level of TG in healthy individuals was as fol ows yin deficiency,yang quality,blood stasis,peaceful qualitative,phlegm,qi quality,humid mass,qi de-ficiency,special intrinsic quality in ascending order.The serum level of HDL C in healthy individuals was as fol ows special intrinsic quality,humid mass,gentleness,yin deficiency,qi quality,yang quality,qi deficiency,phlegm,blood stasis in ascending order.The ser-um level of LDL C in healthy individuals was as fol ows yin deficiency,blood stasis,qi qualitative,qi deficiency,gentleness,phlegm, humid mass,yang quality,special intrinsic quality in ascending order.Conclusion Among nine kinds of TCM constitutions,the main constitudion is the body dampness,the possibility of lipid metabolism may be high,and the susceptibility of hyperlipidemia and athero-sclerosis disease is great.The damp heat,phlegm dampness,yang deficiency nature and characteristics intrinsic quality is likely to suffer from atherosclerosis,in which characteristics intrinsic quality and phlegm dampness are more tendency to special quality than the damp heat and yang deficiency nature.Moreover,there is less probability of suffering from dyslipidemia,low form of hyperlipi-demia,atherosclerosis,low probability of disease for the yin deficiency,blood stasis,qi quality natures.