【摘要】：目的采用焦慮自評(píng)量表(SAS)、抑郁自評(píng)量表(SDS)評(píng)分驗(yàn)證肝氣郁滯型代謝綜合征(MS)患者中醫(yī)辨證分型的準(zhǔn)確性,為肝氣郁滯型MS的中醫(yī)辨證分型提供規(guī)范化、量化的依據(jù)。方法將548例(男287例,女261例)MS患者根據(jù)中醫(yī)四診資料分為肝氣郁滯型(147例)、痰濕壅盛型(140例)、瘀血阻絡(luò)型(131例)、脾腎兩虛型(130例)4種證型。測(cè)所有患者的身高、體重、腹圍、血壓、血糖、血脂(包括TG、TC、LDL-C、HDL-C)等指標(biāo)并計(jì)算患者體重指數(shù)(BMI)、SAS和SDS標(biāo)準(zhǔn)分,分析不同中醫(yī)證型中各觀察指標(biāo)的關(guān)系。結(jié)果肝氣郁滯型MS患者的SAS及SDS標(biāo)準(zhǔn)分與其余3種證型比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。肝氣郁滯型MS患者的體重、腹圍及TG與瘀血阻絡(luò)型、脾腎兩虛型比較,差異亦有統(tǒng)計(jì)學(xué)意義(P0.05),肝氣郁滯型MS患者的BMI與脾腎兩虛型比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論肝氣郁滯型MS患者的SAS、SDS標(biāo)準(zhǔn)分結(jié)果證實(shí)了肝氣郁滯型MS中醫(yī)辨證分型的準(zhǔn)確性,為肝氣郁滯型MS的中醫(yī)辨證分型提供了規(guī)范化、量化的依據(jù)。其可能引發(fā)心腦血管疾病的風(fēng)險(xiǎn)增加。
[Abstract]:Objective to verify the accuracy of TCM syndrome differentiation in patients with stagnation of liver-qi metabolic syndrome (MS) by using self-rating anxiety scale (SAS),) depression self-rating scale (SDS), and to provide standardization for TCM syndrome differentiation of MS with stagnation of liver-qi. The basis for quantification. Methods 548 cases (male 287 and female 261) with MS were divided into four types according to the four diagnosis data of TCM: stagnation of liver qi (147 cases), stagnation of phlegm and dampness (140 cases), stasis of blood and obstruction of collaterals (131 cases), deficiency of spleen and kidney (130 cases). Height, weight, abdominal circumference, blood pressure, blood glucose, blood lipid (including TG,TC,LDL-C,HDL-C) were measured and body mass index (BMI), SAS) and SDS standard score were calculated. To analyze the relationship between observation indexes of different TCM syndromes. Results the standard scores of SAS and SDS in MS patients with stagnation of liver-qi were significantly different from those of the other three syndrome types (P0.01). The weight, abdominal circumference and TG of MS patients with stagnation of liver-qi were significantly different from those of blood stasis, deficiency of spleen and kidney (P0.05), BMI of MS with stagnation of liver-qi and deficiency of spleen and kidney. The difference was statistically significant (P0.05). Conclusion the results of SAS,SDS standard scores of MS patients with stagnation of liver-qi confirmed the accuracy of TCM syndrome differentiation and classification of MS with stagnation of liver-qi, and provided a standardized and quantitative basis for the differentiation of TCM syndromes of MS with stagnation of liver-qi. It may lead to increased risk of cardiovascular and cerebrovascular diseases.
【作者單位】： 廣州中醫(yī)藥大學(xué)第二臨床醫(yī)學(xué)院;
【分類號(hào)】：R259

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