代谢综合征中医证型与检验指标相关性研究进展

    方卉1，骆天炯2*

    (1.南京中医药大学，南京 210029；2.南京中医药大学第三附属医院， 南京 210001)

    摘要：中医认为代谢综合征的发生与先天禀赋不足、情志不畅、饮食不节、劳逸失调等密切相关。本虚标实是基本病机,不同患者在本病的不同阶段病机各不相同。本虚包括气血阴阳的亏虚,标实包括气滞、水湿、痰浊、血瘀等。中医辨证可将代谢综合征分为气滞湿阻、痰瘀互结、气阴两虚及脾肾气虚4种证型。总结代谢综合征不同中医证型与临床常用理化指标水平高低的关系，明确其在现代医学常用检测指标上的差异性,可为各证候判定提供可能的客观化临床检测参考依据，为早期防治提供预测指标，为临床治疗提供新思路和方法。

    关键词：代谢综合征；中医证型；检验指标

    DOI:10.13463/j.cnki.cczyy.2015.06.079

    中图分类号：R259文献标志码：A

    文章编号：2095-6258(2015)06-1317-04

    基金项目：江苏省中医药局科技项目“E-选择素基因A561C多态性与代谢综合征中医证型的相关性研究”(LZ13111)。

    作者简介：方卉(1990-)，女，硕士研究生，主要从事中医内科学老年病临床研究。

    收稿日期:(2015-05-23)

    *通信作者：骆天炯 ，女，主任中医师，电话-18951755199， 电子信箱-969914725@qq.com

    Research progress about relationship between traditional Chinese medicine distinction of MS and lab examinations

    FANG Hui1，LUO Tianjiong2*

    (1.Nanjing University of Traditional Chinese Medicine，Nanjing 210029,China;

    2.The Third Affiliated Hospital to Nanjing University of TCM，Nanjing 210001,China)

    Abstract：Traditional Chinese medicine (TCM) believes that the occurrence of metabolic syndrome (MS) is closely related to congenital weakness, emotional disturbance, improper diet and physique difference. The basic pathogenesis is principal deficiency and secondary excess. Different patients have different pathogeneses during different periods of MS. Principal deficiency includes insufficiency of qi, blood, yin and yang and so on, while secondary excess involves qi stagnation, dampness stagnation ,phlegm turbidity and blood stasis and so on. TCM can classify MS into four distinctions which include qi and dampness stagnation, accumulation of sputum and blood, deficiency of qi and yin, qi deficiency of spleen and kidney. This thesis reveals the level relationship between TCM distinctions of MS and usual clinical lab examinations, and clarifies its variation within modern medicine usual examinations, which can offer possible and objective factors for determining various kinds of clinical manifestations, and offer predicted index for patients in the early stage of MS, as well as provide a new idea and method for treatment. ......