黄芸（上海市普陀区长风街道长风社区卫生服务中心 上海 200062）

长风社区老年高脂血症患者与其中医体质的相关性分析

黄芸
（上海市普陀区长风街道长风社区卫生服务中心 上海 200062）

摘 要目的：对老年高脂血症患者进行中医体质辨识，探讨高脂血症患者的中医体质特点。方法：采用横断面研究，从2013-2014年长风社区健康体检居民6 638例中，抽取老年高脂血症患者638例作为观察组，无血脂异常470例作为对照组，对两组患者进行中医体质辨识，比较两组患者的体质分布情况。结果：观察组痰湿质（25.86%）、平和质（10.34%）、阳虚质（9.71%）、阴虚质（5.33%）4种体质类型与对照组（分别为11.19%、18.74%、16.52%、13.24%）比较差异有统计学意义（P<0.05），其中痰湿质与高脂血症相关。结论：老年高脂血症患者中医体质辨识中的痰湿体质与高脂血症相关。

关键词高脂血症 中医体质 痰湿质 回归分析

Correlation of the hyperlipidemia with Chinese medicine constitution in the elderly patients of Changfeng Community

HUANG Yun
(Changfeng Community Health Service Center of Putuo District, Shanghai 200062, China)

ABSTRACTObjective: To explore the characteristic of the Chinese medicine constitution through identifying the Chinese medicine constitution for the elderly patients with hyperlipidemia. Methods: From 6 638 cases who participated in the physical examination in Changfeng community from 2013 to 2014, 638 cases with hyperlipidemia were selected as an observation group and 470 cases without hyperlipidemia as a control group with a cross-sectional study. The constitution of the Chinese medicine was identified in two groups and the distribution of their body constitution was compared. Results: Four types of the constitutions of the phlegm dampness constitution (25.86%), gentle temperament (10.34%), Yang quality (9.71%) and Yin deficiency (5.33%) in the observation group were compared with those in the control group (11.19%, 18.74%, 16.52% and 13.24 %, respectively), whose comparison difference had the statistical significance (P<0.05), in which the phlegm dampness constitution had the relationship with hyperlipidemia. Conclusion: The phlegm dampness constitution of the constitution of the Chinese medicine of the elderly patients with hyperlipidemia is related to hyperlipidemia.

KEY WORDShyperlipidemia; constitution of Chinese medicine; phlegm dampness constitution; regression analysis

长风社区是老龄化程度较高的居住型社区，社区卫生服务中心每年为60岁以上老年人进行健康体检，2012年社区居民血脂异常发病率达63.42%。本文从近2年参加健康体检的老年居民中抽取高脂血症患者进行中医体质辨识，分析患者的体质分类与高脂血症的关系，发挥中医“治未病”优势，为临床防治高脂血症的研究提供理论依据。

1 资料与方法

1.1 一般资料

在2013-2014年中心健康体检的6 638例居民中抽取单纯高脂血症患者638例作为观察组，其中男性298例，女性340例，平均年龄68.78岁；470例无脂代谢异常者为对照组，其中男性214例，女性256例，平均年龄67.35岁，两组性别、年龄构成均差异无统计学意义（P>0.05）。两组患者均无其他慢性疾病，如高血压、糖尿病、动脉粥样硬化性疾病、脑卒中、外周血管病、肾