摘要
目的通过调查100例右向左分流(RLS)偏头痛患者的中医体质,探讨右向左分流偏头痛患者的中医体质分布规律,并探讨血脂水平与中老年人右向左分流性偏头痛的相关性。方法对患者性别、年龄、中医体质、右向左分流类型、VAS评分、共患疾病等数据进行分析。并选取右向左分流性偏头痛患者为试验组,健康志愿者为对照组,测定2组血清中TC、TG、LDL-C的水平,进行统计分析。结果100例患者平均年龄35.37岁,男性25例,女性75例;右向左分流小型55例,占比最多,大型34例,中型11例;中医体质中,气郁质、血瘀质和痰湿质患者居多;VAS平均4.57分。且右向左分流性偏头痛组TC、LDL-C水平与对照组健康志愿者相比无统计学差异,偏头痛组TG水平与对照组健康志愿者相比差异有统计学意义(P<0.05)。结论青年女性是右向左分流偏头痛发生的主要人群。气郁质是右向左分流偏头痛患者最常见的体质,痰、瘀是右向左分流偏头痛患者常见的兼夹体质。TG可能是影响偏头痛的因素。
Objective To investigate the TCM constitutions of the 100 patients with right-to-left shunt(RLS)migraine,explore their TCM constitution distributions,and to explore the correlation between blood lipid levels and the disease in the middle-aged and elderly people,so as to provide a scientifi c basis for its further research from the aspect of TCM constitutions,and to prevent its occurrence and its transmission.Methods The data of the patients’gender,age,TCM constitutions,types of right-to-left shunt,VAS scores and comorbidities were analyzed.The patients with RLS shunt migraine were selected as the experiment group,while the healthy volunteers were selected as the control group.The serum levels of TC,TG and LDL-C were measured and statistically analyzed in the two groups.Results The average age of the patients was 35.37,with 25 males and 75 females.They were further classifi ed into 55 small-sized cases of right-to-left shunt,accounting for the largest proportion,34 large-sized cases and 11 mediumsized cases.In terms of their TCM constitutions,the majority of patients had the qi stagnation constitution,the blood stasis constitution and the phlegm-dampness constitution.Their average VAS score was 4.57.There was no significant difference in the levels of serums TC and LDL-C between the experiment group and the control group,while there was a statistically significant difference in the level of TG between the two groups(P<0.05).Conclusion Young women are the main population suff ering RLS migraine,and the qi stagnation constitution is the most common type in them,while the phlegm and blood stasis constitutions are the common accompanying ones,and the serum TG may be its contributing factor.
作者
牛萍
于子乔
马春玉
王旭
NIU Ping;YU Ziqiao;MA Chunyu;WANG Xu(Affi liated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Changchun University of Chinese Medicine,Changchun 130117,China)
出处
《吉林中医药》
2022年第12期1422-1425,共4页
Jilin Journal of Chinese Medicine
基金
吉林省中医药科技项目(2021043)。
关键词
偏头痛
右向左分流
卵圆孔未闭
中医体质
血脂
migraine
right-to-left shunt
patent foramen ovale
TCM constitution
blood lipid
