Relationship between Traditional Chinese Medicine Syndrome Types and Laboratory Indicators in Elderly Hyperuricemia Population
Objective To explore the relationship between the laboratory indicators[uric acid(UA),blood glucose(GLU),glomerular filtration rate(eGFR),blood urea nitrogen(BUN)]and the syndrome types of kidney deficiency and phlegm stasis,and spleen deficiency and damp heat in elderly hyperuricemia(HUA)population,to provide objective clinical guidance and basis for the auxiliary diagnosis of traditional Chinese medicine syndrome differentiation in individuals with elderly hyperuricemia.Methods 189 cases of elderly hyperuricemia(97 cases of kidney deficiency and phlegm stasis type,92 cases of spleen deficiency and damp heat type)and 94 cases of elderly healthy physical examination in the same period were selected from the physical examination population aged 60 and above in Qingpu District Traditional Chinese Medicine Hospital in Shanghai from June 2023 to September 2023 as the control group.For patients with hyperuricemia and healthy physical examination,a comparison was made,and the data indicators such as uric acid,blood glucose,glomerular filtration rate,and urea nitrogen under two different traditional Chinese medicine syndrome types were analyzed.Results There was no significant difference in UA level between kidney deficiency and phlegm stasis type and spleen deficiency and damp heat type hyperuricemia population(P>0.05);eGFR:kidney deficiency and phlegm stasis type<spleen deficiency and damp heat type<healthy group,the difference was statistically significant(P<0.05);there was no significant difference in GLU and BUN levels among the three groups(P>0.05).Conclusion The eGFR level of patients with kidney deficiency and phlegm stasis type hyperuricemia is significantly lower than that of patients with spleen deficiency and damp heat type hyperuricemia,therefore,eGFR can be used as a reference for the syndrome differentiation of hyperuricemia in traditional Chinese medicine.
hyperuricemiatraditional chinese medicine syndrome differentiationglomerular filtration rate