新疆高脂血症病人证候分布特点及与血脂水平的关系探讨

摘要

目的：探讨新疆高脂血症病人证候分布特点，并分析其与血脂水平的关系，为中医治疗高脂血症提供科学依据。方法制定有关中医证型及实验室指标的调查表，进行统计分析。结果本次入组新疆地区汉族、维吾尔族、哈萨克族高脂血症病人1504例。其中阴虚证组551例，占36.6%；湿阻证组362例，占24.1%，实热证组299例，占19.9%；阳虚证组173例，占11.5%；瘀血证组119例，占7.9%。新疆汉族、维吾尔族、哈萨克族高脂血症湿阻证、实热证、阳虚证、阴虚证、瘀血证病人总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL C)、高密度脂蛋白胆固醇(HDL C)水平比较，差异无统计学意义(P>0.05)。结论本次观察的高脂血症人群中以阴虚证居多，其次是湿阻证。各民族高脂血症病人不同证型中 TC、TG、HDL C、LDL C水平比较无明显差异。%Objective To study the characteristics of traditional Chinese medicine(TCM)syndromes distribution and its relationship with blood lipid levels in patients with hyperlipidemia syndrome in Xinjiang region,and to provide scientific basis for treatment of hy-perlipemia.Methods Questionnaire on TCM syndrome types and laboratory indexes were formulated.Statistical analysis was conduc-ted.Results Total of 1 504 Xinjiang Han,Uygur and Kazak patients with hyperlipidemia were enrol ed,of which 551 cases(36.6%)in yin deficiency syndrome group,362 cases(24.1%)in wet resistance syndrome group,299 cases(19.9%)in damp heat syn-drome group;173 cases(11.5%)in yang deficiency syndrome group,119 cases (7.9%)in blood stasis syndrome group.There was no significant difference in the levels of total cholesterol (TC),triglyceride (TG),high density lipoprotein cholesterol (HDL C), low density lipoprotein cholesterol (LDL C)in Xinjiang Han,Uygur and Kazak patients with yin deficiency syndrome,wet resist-ance syndrome,damp heat syndrome,yang deficiency syndrome,blood stasis syndrome(P>0.05).Conclusion The main syn-drome in patients with hyperlipidemia was yin deficiency syndrome,fol owed by wet resistance syndrome.There was no significant difference in the levels of TC,TG,HDL C,LDL C among Xinjiang Han,Uygur and Kazak patients with yin deficiency syndrome in hyperlipidemia patients with different syndrome types.