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企业退休人员非酒精性脂肪性肝病患者中医体质及相关因素分析
作者:胡亚芳  杨佳琦 
单位:南京中医药大学 南京 210023 
关键词:脂肪肝 非酒精性 中医体质类型 危险因素 体质指数 血糖 
分类号:
出版年,卷(期):页码:2017,9(3):60-64
摘要:

摘要:目的 探讨企业退休人群非酒精性脂肪性肝病(NAFLD)中医体质及相关因素。方法 收集
2016年3月至7月杭州市某社区企业退休人群的体检结果,结合问卷随机选取NAFLD患者1273例,无
NAFLD者2073例为研究对象。对两组研究对象进行中医体质辨识,分析NAFLD患者中医体质构成
比,以血压、血糖、体质指数(BMI)和血脂为重点观察指标分析NAFLD的危险因素及其与患者体
质的关系。结果 NAFLD患者痰湿质和湿热质的比例显著高于对照组,差异有统计学意义(χ 2 值分别
为213.123、9.138,P均< 0.001)。NAFLD组的BMI、血压、血糖、TC、TG、HDL-C及LDL-C超标
比例均高于无NAFLD组,差异有统计学意义(P均< 0.001)。血压异常的NAFLD患者痰湿质体质所
占比例最高(28.59%),显著高于对照组,差异有统计学意义(χ 2 = 35.191,P < 0.001)。所有体
质NAFLD患者的BMI、FBG和TG均高于对照组。结论 NAFLD有其独特的体质偏向性,痰湿质、湿
热质与NAFLD的危险因素密切相关。NAFLD的危险因素可能包括BMI、血压、血糖、血脂(TG、
HDL-C、LDL-C)。NAFLD的危险因素与体质类型间存在一定的关联性,无论何种体质,NAFLD患
者的相关指标更易超标。

Abstract: Objective To investigate the Traditional Chinese Medicine (TCM) constitution type and
related factors of enterprise retirees with nonalcoholic fatty liver disease. Methods The results of physical
examination and questionnaire of a community in Hangzhou from March 2016 to July 2016 were selected.
Total of 1273 patients with NAFLD and 2073 cases without NAFLD were randomly selected from the retired
people according to the examination results. The Traditional Chinese Medicine (TCM) constitution types of
the objects were identified and its constitution were analyzed. The indexes of blood pressure, blood sugar,
body mass index (BMI) and blood lipid were observed, and the risk factors of NAFLD and its relation with
the constitution of TCM constitution types were analyzed. Results The proportion of phlegm dampness
and dampness and heat in NAFLD group were significantly higher than those in non-NAFLD group, the
differences were statistically significant (χ 2 = 213.123, 9.138, P < 0.001). The exceeding standard proportion
of BMI, blood pressure, blood sugar, TC, TG, HDL-C and LDL-C in patients with NAFLD were higher than
those without NAFLD, the differences were statistically significant (P < 0.001). Phlegm wet matter ratio
of NAFLD patients with abnormal blood pressure was significantly higher than that of control group, the
difference was statistically significant (χ 2 = 35.191, P < 0.001). BMI, FBG and TG in NAFLD patients with
all kinds of TCM constitution type were all higher than those in control group. Conclusions NAFLD had
its unique constitution bias, phlegm dampness and dampness heat were closely related to the risk factors of
NAFLD. The risk factors of NAFLD included BMI, blood pressure, blood sugar and blood lipid (TG, HDL-C,
LDL-C). There is a certain correlation between the risk factors of NAFLD and the type of TCM constitution.
No matter what kind of TCM constitution, the related indicators of patients with NAFLD were more likely to
exceed the standard.

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