【摘要】 目的探讨胆石症患者的中医体质分布及与相关检测指标的关系。方法采用中医体质调查表对84例胆石症患者进行中医体质的调查,并对84例患者中医体质与检测指标的关系进行分析。结果 84例患者中平和质、气虚质、湿热质、痰湿质所占比例均明显高于气郁质、血虚质、阳盛质、阳虚质、阴虚质、瘀血质(28.6%、19.0%、17.9%1、7.9%vs 2.4%、1.2%、2.4%、6.0%、3.6%、1.2%,均P<0.05)。检测指标中血脂升高(35.7%)为第1位,血清球蛋白升高(19.0%)为第2位,血清谷丙、谷草转氨酶升高(13.1%)为第3位。84例患者中平和质、痰湿质、气虚质、湿热质血脂升高所占比例逐渐降低(37.5%,33.3%,31.3%,20.0%);痰湿质、气虚质、平和质、湿热质谷血清丙、谷草转氨酶升高所占比例逐渐降低(26.7%,18.8%,12.5%,6.7%);气虚质、平和质、痰湿质、湿热质血清球蛋白升高所占比例逐渐降低(25.0%,25.0%,20.0%,20.0%)。结论胆石症体质主要以平和质、气虚质、湿热质、痰湿质为主。在相关检测指标中,血脂升高和谷丙、草转氨酶以及血清球蛋白升高较多见,且在4种主要体质中所占比例不同。更多还原

【Abstract】 Objective To explore the relationship between TCM-based constitution and relevant serum indexes in gallstone patients.Methods Eighty-four gallstone patients were investigated by TCM-based constitution questionnaires,and the relevant serum indexes were tested.ResultsAmong the 84 patients,the proportions of normal constitution(28.6%),Qi deficiency constitution(19.0%),ShiRe constitution(17.9%) and TanShi constitution(17.9%) were higher than those of Qi stagnation constitution(2.4%),blood deficiency constitution(1.2%),YangSheng constitution(2.4%),Yang deficiency constitution(6.0%),Yin deficiency constitution(3.6%) and blood stasis constitution(1.2%)(all P<0.05).The top three blood test results were hyperlipaemia(35.7%),high serum globulins(19.0%),and high glutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase(13.1%).The proportion of hyperlipaemia in normal constitution,TanShi constitution,Qi deficiency constitution and ShiRe constitution decreased gradually(37.5%,33.3%,31.3% and 20.0%,respectively),and the proportion of high lutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase in TanShi constitution,Qi deficiency constitution,normal constitution and ShiRe constitution decreased gradually(26.7%,18.8%,12.5% and 6.7%,respectively).The proportion of high serum globulins in Qi deficiency constitution,normal constitution,TanShi constitution and ShiRe constitution decreased gradually(25.0%,25.0%,20.0% and 20.0%,respectively).Conclusion ShiRe constitution,TanShi constitution,Qi deficiency constitution and normal constitution are the major constitution in gallstone patients.Hyperlipaemia,high serum globulins,and high lutamic-pyruvic transaminase and/or glutamic-oxalacetic transaminase are common in gallstone patients,but the distribution of the three abnormal indexes is different among the four major constitution.更多还原