体重指数与血脂、尿酸及中医证素的关系(1)
摘要：目的 探讨体重指数与血尿酸、血脂及中医证素的相关性。方法 回顾性分析2017年8月～2018年12月我院行健康体检的5912例体检者的体检资料，根据BMI分为体重过低组223例、正常组3048例、超重组2087例、肥胖组554例，比较各组血脂异常率、尿酸异常率，分析BMI与血脂、尿酸的关系及不同性别超重和肥胖者中医证素特征。结果 肥胖组血脂异常率及尿酸异常率>超重组>正常组>体重过低组，差异有统计学意义(P<0.05)。有序Logistics回归分析显示，血脂、尿酸异常是BMI异常的危险因素。证素分析中病性、病位均按频次降序排列结果为：男性超重者：湿>痰>阴虚>气滞>热>阳虚，肾>肝>肺>脾>胃>经络;女性超重者：湿>阴虚>气滞>痰>气虚>阳虚，肝>肾>筋骨>经络>胃>脾;男性肥胖者：湿>痰>热>气滞>阴虚>血瘀，肝>肾>肺>脾>胃>筋骨;女性肥胖者：湿>气滞>阴虚>痰>气虚>阳虚，肝>肾>筋骨>胞宫>胃>脾。结论 血脂、尿酸异常是超重和肥胖的危险因素，在肥胖和超重者中，常见病位证素为肝和肾，常见病性证素为湿、痰、阴虚、气滞。
关键词：体重指数;血脂;尿酸;中医证素
中图分类号：R589 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2020.09.023
文章编号：1006-1959(2020)09-0080-04
Relationship of Body Mass Index with Blood Lipids，Uric Acid
and Traditional Chinese Medicine Syndrome
ZHANG Fu，FU Kai-li
(Department of Treatment，People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Fuzhou 350004，Fujian，China)
Abstract：Objective To explore the correlation between body mass index and blood uric acid， blood lipid and TCM syndromes.Methods A retrospective analysis of the physical examination data of 5912 medical examinees who underwent a physical examination in our hospital from August 2017 to December 2018 was divided into 223 cases of underweight group， 3048 cases of normal group， 2087 cases of super-recombination， and 554 groups of obesity according to BMI For example， compare the abnormal rate of dyslipidemia and uric acid in each group， analyze the relationship between BMI and lipids， uric acid， and the characteristics of TCM syndromes of overweight and obese people of different genders.Results The abnormal rate of dyslipidemia and uric acid in the obese group>super reorganization>normal group>underweight group， the difference was statistically significant (P <0.05) Ordered logistics regression analysis showed that abnormal blood lipids and uric acid were risk factors for abnormal BMI. In the analysis of syndromes， the pathology and disease location are sorted in descending order of frequency. The results are： male overweight： wet>phlegm> yin deficiency>qi stagnation>heat>yang deficiency， kidney>liver>lung>spleen>stomach>meridian;female overweight patients： wet>yin deficiency>qi stagnation>phlegm> qi deficiency>yang deficiency， liver> kidney>ribs and bones>meridian>stomach>spleen; male obesity： wet>phlegm>heat>qi stagnation>yin deficiency>blood stasis， liver>kidney>lung>spleen>stomach>musculoskeletal;Female obesity： wet>qi stagnation>yin deficiency> phlegm>qi deficiency>yang deficiency， liver>kidney>musculoskeletal>cell palace>stomach>spleen.Conclusion Abnormal blood lipid and uric acid are risk factors for overweight and obesity. In obese and overweight people， the common disease syndromes are liver and kidney， the common disease syndromes are dampness， phlegm， yin deficiency， and stagnation., http://www.100md.com(张富 傅凯莉)
关键词：体重指数;血脂;尿酸;中医证素
中图分类号：R589 文獻标识码：A DOI：10.3969/j.issn.1006-1959.2020.09.023
文章编号：1006-1959(2020)09-0080-04
Relationship of Body Mass Index with Blood Lipids，Uric Acid
and Traditional Chinese Medicine Syndrome
ZHANG Fu，FU Kai-li
(Department of Treatment，People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine，Fuzhou 350004，Fujian，China)
Abstract：Objective To explore the correlation between body mass index and blood uric acid， blood lipid and TCM syndromes.Methods A retrospective analysis of the physical examination data of 5912 medical examinees who underwent a physical examination in our hospital from August 2017 to December 2018 was divided into 223 cases of underweight group， 3048 cases of normal group， 2087 cases of super-recombination， and 554 groups of obesity according to BMI For example， compare the abnormal rate of dyslipidemia and uric acid in each group， analyze the relationship between BMI and lipids， uric acid， and the characteristics of TCM syndromes of overweight and obese people of different genders.Results The abnormal rate of dyslipidemia and uric acid in the obese group>super reorganization>normal group>underweight group， the difference was statistically significant (P <0.05) Ordered logistics regression analysis showed that abnormal blood lipids and uric acid were risk factors for abnormal BMI. In the analysis of syndromes， the pathology and disease location are sorted in descending order of frequency. The results are： male overweight： wet>phlegm> yin deficiency>qi stagnation>heat>yang deficiency， kidney>liver>lung>spleen>stomach>meridian;female overweight patients： wet>yin deficiency>qi stagnation>phlegm> qi deficiency>yang deficiency， liver> kidney>ribs and bones>meridian>stomach>spleen; male obesity： wet>phlegm>heat>qi stagnation>yin deficiency>blood stasis， liver>kidney>lung>spleen>stomach>musculoskeletal;Female obesity： wet>qi stagnation>yin deficiency> phlegm>qi deficiency>yang deficiency， liver>kidney>musculoskeletal>cell palace>stomach>spleen.Conclusion Abnormal blood lipid and uric acid are risk factors for overweight and obesity. In obese and overweight people， the common disease syndromes are liver and kidney， the common disease syndromes are dampness， phlegm， yin deficiency， and stagnation., http://www.100md.com(张富 傅凯莉)