消脂合剂和阿托伐他汀对不同中医体质高脂血症的疗效差异.docx

消脂合剂和阿托伐他汀对不同中医体质高脂血症的疗效差异

陈璐佳刘宏飞邓艳华周建扬

[关键词]?消脂合剂；高脂血症；阿托伐他汀；中医体质分型；治疗效果

[中图分类号]?R589????[文献标识码]?A????[DOI]?10.3969/j.issn.1673-9701.2024.02.014

Different?clinical?effect?between?xiaozhi?decoction?in?the?treatment?of?hyperlipidemia?in?different?classification?of?physical?constitution?in?TCM

CHEN?Lujia，?LIU?Hongfei，?DENG?Yanhua，?ZHOU?Jianyang

Department?of?Zhiweibing，?Ningbo?Municipal?Hospital?of?TCM，?Affilitated?Hospital?of?Zhejiang?Chinese?Medical?University，?Ningbo?315000，?Zhejiang，?China

[Abstract]?Objective?To?analyze?the?effect?of?Xiaozhi?Decoction?in?the?treatment?of?hyperlipidemiain?different?classification?of?physical?constitution?in?TCM.?Methods?We?screened?206?patients?with?Hyperlipidemia?in?our?hospital?and?had?been?treated?with?drugs?during?May?2020?to?March?2023.?Totally?103?patients?in?the?TCM?group?were?treated?with?Xiaozhi?Decoction，?103?patients?in?the?western?medicine?group?were?treated?with?atorvastatin.?Selected?total?cholesterol?（TC），?triglyceride?（TG），?high-density?lipoprotein?cholesterol?（HDL-C），?low-density?lipoprotein?cholesterol?（LDL-C）?and?liver?transaminase?before?and?after?a?period?of?treatment.?The?non-high-density?lipoprotein?cholesterol?（non-HDL-C）?will?be?calculated，?too.?Results?In?the?Phlegm-Dampness?constitution，?TC，?TG，?LDL-C?and?non-HDL-C?decreased?significantly?all?in?the?TCM?group?（P0.05）;?TC，?TG?and?non-HDL-C?decreased?significantly?all?in?the?western?medicine?group?（P0.05）.?The?TCM?group?is?superior?to?the?western?medicine?group?in?TC，?LDL-C，?non-HDL-C?（P0.05）.?In?the?Qi-Deficiency?constitution，?TC，?TG，?LDL-C?and?non-HDL-C?decreased?significantly?all?in?the?TCM?group?（P0.05）;?TC，?LDL-C?and?non-HDL-C?decreased?significantly?all?in?the?western?medicine?group?（P0.05）.?The?TCM?group?is?superior?to?the?western?medicine?group?in?non-HDL-C?（P0.05）.?In?the?Blood-Stasis?constitution，?TC，?TG，?LDL-C?and?non-HDL-C?decreased?significantly?all?in?the?western?medicine?group?only?（P0.05）.?The?western?medicine?group?is?superior?to?the?T