上海真如社区老年人脂肪肝与相关指标的关系及脂肪肝患者中医体质分析
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摘要
目的:分析上海真如镇街道社区老年人的健康体检结果,探讨老年脂肪肝患者中医体质分布特点及脂肪肝与其他指标的关系。方法:选择2018年上海真如镇街道社区卫生服务中心进行健康体检的社区老年人体检资料1000份,运用中医体质辨识表对体检者进行中医体质辨识,应用SPSS 21.0统计软件对体检结果进行统计分析。结果:体检人群疾病检出率由高到低分别为:脂肪肝、高血压病、心电图异常、高甘油三酯血症、超重或肥胖。脂肪肝患者体质类型由高到低分别是痰湿质、阴虚质、气虚质、平和质、阳虚质、湿热质。体质量指数(BMI)、甘油三酯水平在脂肪肝组与无脂肪肝组组间的差异有统计学意义(P<0.01)。结论:社区老年人脂肪肝患病率极高,中心中医科要充分发挥中医药"治未病"方面的优势。具体包括:养生科普健康宣教、中药调理体质、推广中药降脂茶包、针灸减肥、埋线减肥等行之有效的措施,更好地服务社区居民,做好"健康守门人"的职责。
Objective:To analyze the health status of elderly people in Shanghai Zhenru community,further to explore the TCM constitution of elderly people with fatty liver,and the relations of fatty liver with other indicators. Methods:A total of 1000 physical examination data were selected in 2018,and the TCM Constitution Identification Form was used. The physical examination results were statistically analyzed by using SPSS 21.0 statistical software. Results:Physical examination of the prevalence of chronic diseases among the top five are:fatty liver,hypertension,abnormal electrocardiogram,hypertriglyceridemia,overweight or obesity. The TCM constitution of fatty liver patients among the top five are phlegm-dampness,yin deficiency,qi deficiency,peace,yang deficiency,and damp heat. BMI,triglyceride levels are the indicators that closely related to fatty liver(P<0.01). Conclusion:The prevalence rate of fatty liver is extremely high in the elderly.The Chinese medicine department of our center should give full play to the advantages of the Chinese medicine in treating diseases. It includes health science popularization education,promotion of effective measures such as traditional Chinese medicine,lipid-lowering tea,acupuncture weight loss,and embedding weight loss. We should give better serve to the community residents and be responsible for the"healthy gatekeeper".
Objective:To analyze the health status of elderly people in Shanghai Zhenru community,further to explore the TCM constitution of elderly people with fatty liver,and the relations of fatty liver with other indicators. Methods:A total of 1000 physical examination data were selected in 2018,and the TCM Constitution Identification Form was used. The physical examination results were statistically analyzed by using SPSS 21.0 statistical software. Results:Physical examination of the prevalence of chronic diseases among the top five are:fatty liver,hypertension,abnormal electrocardiogram,hypertriglyceridemia,overweight or obesity. The TCM constitution of fatty liver patients among the top five are phlegm-dampness,yin deficiency,qi deficiency,peace,yang deficiency,and damp heat. BMI,triglyceride levels are the indicators that closely related to fatty liver(P<0.01). Conclusion:The prevalence rate of fatty liver is extremely high in the elderly.The Chinese medicine department of our center should give full play to the advantages of the Chinese medicine in treating diseases. It includes health science popularization education,promotion of effective measures such as traditional Chinese medicine,lipid-lowering tea,acupuncture weight loss,and embedding weight loss. We should give better serve to the community residents and be responsible for the"healthy gatekeeper".
引文
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[2]范建高.中国脂肪肝的研究[J].世界华人消化杂志,2001,9(1):6-10.
[3]潘金友.脂肪肝中医药治疗[J].同济大学学报:医学版,2001,22(4):72-72.
[4]姚建军.中医体质辨识在社区老年人保健中的应用体会[J].临床医药文献电子杂志,2017,4(13):2379.
[5]王琦.中医体质学[M].北京:人民卫生出版社,2008:56.
[6]梁立超.脂肪肝与肥胖、血脂、血糖关系的研究[J].中国临床保健杂志,2004,7(3):30-31.
[7]陈泽莉.穴位埋线治疗肥胖症52例[J].江苏中医药,2008,40(12):57-57.
[8]周永昌,郭万学.超声医学[M].北京:科学技术文献出版社,2009:793.
[9]徐凤励,赵凡平,郁斌,等.上海市程家桥社区老年人群中医体质辨识分析[J].河北医学,2011,17(5):663-666.
[10]沈丽萍.上海长风社区1059名中老年居民中医体质调查分析[J].医学信息旬刊,2010,23(10):174-174.