The Research On TCM Syndrome Of Asymptomatic Hyperuricemia Based On Cluster Analysis

Objective:Discuss the TCM syndromes classification of asymptomatic hyperuricemia to guid e the clinical practice.Methods:200 patients with AHUA who met the research conditions were collected from September 2020 to December 2020 in The second Affiliated Hospital of Fujian Traditio nal Chinese Medical university.The TCM syndrome relevant information was collected from 200 patients’ s medical records according to the information collection of AHUA designed,and use the SPSS 25.0 to carry on the statistical analysis to the data.Results:1.General information:(1)200 patients were included in this study,Of these,152 were men,48 were women,The ratio of men to women is about 3.2:1.(2)Among the enrolled patients,the oldest was 88 years old and the youngest was 18 years old.The average age of the patients was 56.38±15.55 years,Mainly concentrated in the middle and elderly groups.(3)The serum uric acid in smoking group and smoking cessation group was higher than that in non-smoking group,And there was a significant difference(P<0.05),The serum uric acid in drinking group and abstaining group was higher than that in non-drinking group,And there was significant difference(P<0.05).(4)Among the associated metabolic diseases,those with overweight/obesity are the most,followed by those with dyslipidemia and hypertension,and those with diabetes are the least;those with only one metabolic disease are the most,followed by Concomitant with 2 kinds of metabolic diseases,The imum with 4 metabolic diseases.2.TCM syndrome classification results:(1)The high-frequency symptoms of AHUA include fatigue,dizziness,dry mouth,etc.The high-frequency tongue and pulse is white,greasy,and slippery.(2)According to the clustering results,According to the clustering results,it is considered that the most appropriate clinical practice is to cluster the syndrometypes into 4 categories,the AHUA TCM syndrome types are divided into four categories,including spleen deficiency and phlegm dampness syndrome,damp-heat syndrome,qi stagnation and blood stasis syndrome,kidney yang deficiency syndrome.Conclusions:1.Men are more likely to suffer from hyperuricemia than women,and the history of drinking,smoking and serum uric acid levels are closely related,suggesting that AHUA patients should maintain good living habits.2.AHUA is associated with metabolic diseases such as hypertension,diabetes,obesity/overweight,and active treatment of comorbidities is very beneficial to stabilize the uric acid value of AHUA patients,while reducing uric acid treatment also plays an important role in improving the microenvironment of patients,preventing the occurrence and development of more concomitant diseases.3.AHUA syndrome elements include:damp heat,phlegm dampness,blood stasis,qi stagnation,yin deficiency,yang deficiency,qi deficiency,its disease position is mainly concentrated in spleen,kidney,liver.AHUA TCM syndrome can be divided into spleen deficiency and phlegm dampness syndrome,damp-heat syndrome,qi stagnation and blood stasis syndrome,kidney yang deficiency syndrome.