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Analysis Of TCM Constitution Types And Metabolic Indexes In Patients With Metabolic Syndrome And Coronary Heart Disease

Posted on:2024-03-15Degree:MasterType:Thesis
Country:ChinaCandidate:X Y XuFull Text:PDF
GTID:2544307085479204Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Objective: To collect clinical information and laboratory indicators of patients with metabolic syndrome(MS)combined with coronary heart disease(CHD),compare them with traditional Chinese medicine,and explore their internal relevance,so as to provide certain basis for early detection and early intervention of disease.Methods: For 372 patients diagnosed with MS in Xinjiang Medical College from December 2019 to December 2022,basic information and laboratory indicators were collected: body mass index(BMI),glutamate transaminase(ALT),glutamate transaminase(AST),blood lipid,blood vitamin D(25 H vitamin D),creatinine(Cr),blood glucose and uric acid(UA),and analyzed,according to the standard of classification and judgment of TCM CHD patients.Results: 1.A total of 105 patients with combined constitution,accounting for 28.23%,among which qi deficiency and phlegm dampness,phlegm dampness and qi deficiency and blood stasis were more common.The baseline analysis showed no correlation,so it was not analyzed down.Only a single constitution analysis,a total of 267 cases,accounting for 71.77%,among which phlegm and dampness,gas deficiency quality,hot and humid quality are more common.2.Correlations between different constitution and gender,smoking history,diastolic blood pressure,BMI and MS patients with CHD(P<0.05).(1)Association with sex: there were statistical differences between sputum dampness and Yin deficiency(P <0.05).(2)Association with smoking: there were statistical differences between dampness and heat and qi deficiency,qi depression,Yang deficiency(P <0.05),blood stasis and peace,Yin deficiency(P <0.05),and statistical differences between qi deficiency and phlegm dampness(P <0.05).(3)Correlation with BMI: the differences between phlegm and dampness,qi deficiency,Yang deficiency,peace,qi deficiency,qi deficiency,qi dampness deficiency,and qi deficiency were statistically significant(P <0.05).(4)Association with diastolic blood pressure: the difference between qi deficiency,sputum dampness and humid heat quality was statistically significant(P <0.05).3.Different physique were different from vitamin D,AST,UA,Cr and UA / Cr(P <0.05).(1)Correlation with vitamin D: the differences between qi stasis and blood stasis,peace,qi deficiency,dampness and heat,Yang deficiency,Yin deficiency and phlegm dampness were all statistically significant(P<0.05).(2)Correlation with AST: the differences between qi depression and special quality,Yang deficiency,blood stasis,phlegm,dampness,peaceful quality,qi deficiency,Yin deficiency,and dampness and heat were statistically significant(P <0.05).(3)Association with UA: the differences between phlegm and peaceful,specific,qi and Yang;dampness and Yang were statistically significant(P <0.05).(4)Correlation with Cr: the difference between Qi deficiency and Yang deficiency,Yin deficiency,phlegm dampness and special,and statistical(P <0.05).(5)Association with UA / Cr: the difference between special temperament and peace,qi deficiency,Yang deficiency,Yang deficiency,Yin deficiency,phlegm,blood stasis,qi depression,and dampness and heat were statistically significant(P <0.05).Conclusion: The correlation of different TCM constitution with gender,smoking history,diastolic blood pressure,BMI,AST,vitamin D,UA,Cr and UA/ Cr showed(P <0.05).Based on the constitution theory of traditional Chinese medicine,improve the constitution bias,so as to further prevent the occurrence and development of diseases into a new perspective.
Keywords/Search Tags:metabolic syndrome combined with coronary heart disease, traditional Chinese medicine constitution, phlegm and dampness, qi deficiency quality
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