高脂血症中医证型的临床流行病学调查分析-clinical epidemiological investigation and analysis of tcm syndrome types of hyperlipidemia.docxVIP

症状有：心悸、眩晕、五心烦热、两目干涩、口干、腰酸、膝软、盗汗、耳鸣，舌淡，舌红，少苔，脉细数；气滞血瘀证的主要症状有：半身不 遂、语言蹇涩、视力减退、手脚麻木、面唇紫暗、舌紫有瘀斑，舌紫暗， 有瘀斑，苔薄白，脉涩或结代。脾肾阳虚证的主要症状有：胸闷、神疲 乏力、视力减退、畏寒肢冷、纳差、面色白、口淡、两目干涩、眩晕， 胖大边有齿痕，苔薄白，脉沉细弱。湿热壅滞证的主要症状有：眩晕、 口苦、口干、胁肋胀痛、视力减退、手脚麻木、便秘、小便黄、急躁易 怒、胸闷，舌红，苔黄，脉弦数。痰瘀互结证的主要症状有：头重如裹、 语言謇涩、咳吐痰涎、手脚麻木、两目干涩、视力减退、面唇紫暗、口 苦，舌紫暗，苔薄白或白腻。结论:1、高脂血症常见的证候类型有 6 种，分别是痰湿遏阻、脾肾阳虚、 肝肾阴虚、湿热壅滞、气滞血瘀及痰瘀互结型。2、高脂血症证候主要以 肝脾肾三脏与痰浊、血瘀最为多见。3、高脂血症中医证型在文献调查研 究与临床调查中的分布规律具有高度相似性。关键词高脂血症；中医证型；证候；流行病学；多元回归分析Hyperlipidemia clinical epidemiology research of TCMsyndrome AbstractObjective: In this paper, the literature on the basis of the distribution of TCM syndromes, patients with hyperlipidemia clinical epidemiological study, collected through surveys met the inclusion of the general standard in patients with hyperlipidemia, symptoms, tongue and pulse as well as some laboratory findings, using the method of statistical analysis, in-depth system study the epidemiological characteristics of TCM syndrome of hyperlipidemia hyperlipidemia TCM rationalization, standardization, standardization of the establishment of further improving TCM Differential Treatment level to provide a clinical basis.Methods:Through clinical epidemiological investigation methods on thepatients with hyperlipidemia were prospective investigation. Collected 305cases of hyperlipidemia in patients with clinical data, There were 87 male,218 female cases. A total of 61 symptoms, physical signs of selected(including the tongue, pulse). Access to relevant documents, standards,develop hyperlipidemia clinical type of syndrome and syndrome observationtable, By having high year endowment experienced clinical experience ofexperts in clinical diagnosis, has rich clinical experience of the physicianresponsibleforcompletethetable,byprofessionalguidanceteacherscompleted statistics statistics, Based on the statistical results, the conclusion,testing demonstration hyperlipidemia syndrome distribution rule, syndromesand syndrome of corresponding relati