代谢综合征人群中医体质调查及个体化调养保健方案的疗效-中西医结合临床专业论文.docx

万方数据 万方数据 糖水平无统计学差异（P0.05）。两组患者分别采用不同治疗方案进行 干预，在干预6个月后，复查结果显示，与本组患者治疗前相比较，两 组患者治疗后的体重指数、血压和血甘油三酯水平均降低（P0.05）， 血高密度脂蛋白胆固醇水平增高（P0.05）。干预组患者的空腹血糖水 平较治疗前降低（P0.05），而对照组患者的空腹血糖水平较治疗前未 见明显改变（P0.05）。两组患者的治疗结果组间比较显示，干预组患 者治疗前、后的体重指数、血压、空腹状态下的血甘油三酯、高密度脂 蛋白胆固醇和血糖水平各项指标变化情况均较对照组更显著（P0.05）。 结论 对该研究中的280例代谢综合征患者进行中医体质辨识，主要 体质类型依次为痰湿质、气虚质、湿热质，其中以痰湿体质所占比例最 多。本研究中对干预组患者实施针对不同体质的个体化调养保健方案， 结合各项指南指导服用西医药物治疗，而对照组仅在各项指南指导下服 用西医药物治疗。两组患者分别治疗6个月后，干预组患者的体重指数、 血压、空腹状态下的血甘油三酯、高密度脂蛋白胆固醇和血糖各项指标 的均较对照组改善更显著, 说明根据不同中医体质类型制定的个体化 调养保健方案对代谢综合征的治疗切实有效。这体现了中西医结合的治 疗特色和优势。 硕士研究生 马海峰 （中西医结合临床） 指导教师 封颖璐 副教授 关键词：代谢综合征；中医体质；个体化调养保健方案 Absract Objective To investigate the traditional Chinese medicine constitution in patients with metabolic syndrome, and evaluate the effectiveness of individualized medical care plans. Methods 280 patients with metabolic syndrome were randomly divided into control group and intervention group, 140 cases in each group. Indentify the traditional Chinese medicine constitution of each patient by traditional Chinese medicine constitution survey. Individualized medical care plans were given to intervention group, while control group with no specific intervention. After six months, observe the changes of body mass index, blood sugar, blood lipid and blood pressure in each group. Results Among the 280 patients with metabolic syndrome, 79 cases were phlegm-dampness constitution, 66 cases were qi-insufficiency constitution, 48 cases were dampness-heat constitution, 32 cases were yin deficiency constitution, 18 cases were blood stasis constitution, 15 cases were yang deficiency constitution, 11 cases were qi depression constitution, 9 cases were peace constitution, and 2 cases were great mass constitution. After six months treatment, the BMI, TG and blood pressure level decreased(P 0.05), and the HDL-C level increased (P 0.05)in both group. The blood sugar of the intervention group decreased (P 0.05), while no obvious change in the blood sugar level of the control group (P 0.05).