| 徐济民,蔡沛源,李龙官,冯桂萍.痰浊型冠心病与血脂水平关系的探讨[J].中国中西医结合杂志,1984,(5):265-267,258 |
| 痰浊型冠心病与血脂水平关系的探讨 |
| A Preliminary Study on the Relationship Between Phlegm-Stagnant Type Coronary Heart Disease and Serum Lipid Levels |
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| DOI： |
| 中文关键词: 冠心病 痰浊型 正常对照组 血脂水平 肾虚型 亚型 物质基础 胆固醇 中医辨证分型 标实 |
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| 中文摘要: |
| 50例正常对照组、82例痰浊型和28例非痰浊型冠心病血脂水平分析的结果:不仅表明血清 TG 和 LDL-C 含量升高,是冠心病痰湿和痰热两亚型特有的重要生化物质基础;而且提示 AI 升高和 HDL-C 值下降,可能与冠心病肾虚型辨证有一定关系。本文为探讨冠心病痰浊和肾虚分型的客观指标及估价中药疗效,提供了初步研究途径。 |
| 英文摘要: |
| In this paper,the relationship between phlegm-stagnant type coronary heart disease and serum lipid levels has been investigated.The results show that the levels of TG,LDL-C and TC in patients with this disease are higher than those in non-phlegm-stagnant and normal controls(P<0.001).Assessment of the rank correlation reveals that the degrees of phlegm stagnation of the two subtypes,the phlegm-damp and the phlegm-heat,positively correlate with serum TG levels.Thus,TG contents have been confirmed to be the essential biochemical material basis of phlegm stagnation,and LDL-C levels may have been involved as well. It is possible that the decrease of serum HDL-C and increase of AI are relavant to the diagnosis of kidney- asthenic type coronary disease to some extent.Functional disturbances of the digestive system,such as obesity, epigastric fullness,and greasy fur,are the main manifestations in phlegm stagnation,the secondary manifestations comprising sweet and greasy taste,shortness of breath,palpitation,dizziness,nausea etc.Moreover,according to the paper the pathogenesis of phlegm stagnation is the work of improper diet as an exogenous factor through endogenous factors of the spleen and kidney.Finally,the paper presents with the mechanism of correlation between phlegm-stagnant type coronary heart disease with Yin Xu or essence deficiency and sudden death caused by it. |
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