Study on traditional chinese medicine constitution and laboratory indicators of non alcoholic fatty liver disease
Objective:To study the pathogenic factors of nonalcoholic fatty liver disease(NAFLD)by cross-sectional investigation,to classify the patient's physique,and to compare the blood pressure,blood sugar,blood lipid,and fatty degree of patients with different TCM physiques,to provide a basis for the differentiation of physique and treatment.Methods:A survey was conducted on 195 patients with NAFLD according to the"Classification and Judgment of Traditional Chinese Medicine Constitution"to determine the type of constitution,record blood pressure,blood sugar,blood lipids,and degree of adiposity,and analyze the relationship between traditional Chinese medicine constitution and laboratory indicators,as well as B-ultrasound results.Then we used logistic regression to analyze the risk factors of different traditional Chinese medicine constitutions.Results:The proportion of NAFLD patients from high to low was 42.56%for phlegm dampness,21.54%for damp heat,12.82%for qi deficiency,8.21%for qi stagnation,5.13%for blood stasis,4.62%for yin deficiency,3.08%for yang deficiency,and 2.05%for intrinsic quality.There was no significant difference in gender and age among patients with different constitutions(P>0.05).The abnormal rate of blood pressure in NAFLD with phlegm dampness,dampness heat,and qi stagnation was relatively high(P<0.05).The ratio of NAFLD Dyslipidemia in qi deficiency syndrome was higher(P<0.05).The ratio of NAFLD dyslipidemia in phlegm dampness syndrome,damp heat syndrome,qi deficiency syndrome,and qi stagnation syndrome was higher(P<0.05).The moderate fatty rate of phlegm dampness NAFLD was relatively high(P<0.05).Taking whether the constitution was the dependent variable(assigned 1 =yes,0 =no)and using the meaningful indicators in the single factor analysis as independent variables for logistic regression analysis,it was found that hypertension and high blood sugar were also risk factors for phlegm dampness,dampness heat,and qi stagnation in NAFLD.Hyperlipidemia and hyperglycemia were also risk factors for NAFLD due to qi deficiency.Conclusion:Clinical intervention should be conducted on the risk factors of NAFLD patients from the perspective of traditional Chinese medicine constitution,mainly through health education and life intervention,to eliminate risk factors,improve constitution,and prevent the occurrence of NAFLD.
non alcoholic fatty liver diseasetraditional Chinese medicine constitutionlaboratory indicators