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目的:探讨代谢综合征的中医证素与微量白蛋白尿的关系。方法:采集340例代谢综合征患者的四诊资料,应用“证素辨证”的方法,对四诊资料进行分析统计,同时检测微量白蛋白尿(MAU)。结果:①代谢综合征基本证素:气虚、血虚、阴虚、阳虚、津亏、痰、血瘀、湿、热、气滞、心、肝、脾、肺、肾。②影响MAU的因素有中医证素肾、阳虚、血瘀,标准回归系数分别为0.47(P<0.01)、0.42(P<0.01)、0.334(P<0.05)。结论:由此推测MAU可作为代谢综合征肾、阳虚的参考指标之一。
Objective: To investigate the relationship between TCM syndromes and microalbuminuria in metabolic syndrome. Methods: Four diagnostic data of 340 patients with metabolic syndrome were collected and analyzed by using “syndrome differentiation and syndrome differentiation” method. Microalbuminuria (MAU) was also detected. Results: ① basic syndromes of metabolic syndrome: Qi, blood deficiency, yin deficiency, Yang deficiency, Tianjin deficiency, phlegm, blood stasis, wet, heat, qi stagnation, heart, liver, spleen, lung and kidney. (2) The factors influencing MAU were TCM syndromes of kidney, yang deficiency and blood stasis with the standard regression coefficients of 0.47 (P <0.01), 0.42 (P <0.01) and 0.334 (P <0.05) respectively. Conclusions: It is speculated that MAU can be used as a reference index of metabolic syndrome kidney and yang deficiency.