| Objective:In order to analyze the distribution characteristics of traditional Chinese Medicine Constitution of the elderly in a community,we investigated the constitution of traditional Chinese medicine,and studied the relationship between the Constitution and gender,age,body mass index,serum uric acid level and related serum biochemical indicators.Objective To observe and evaluate the clinical efficacy of Lingyu Qingluo Decoction in the treatment of Senile Hyperuricemia with damp heat or blood stasis constitution,so as to provide clinical basis for the prevention and treatment of Senile Hyperuricemia with traditional Chinese medicine in the community.Method:1.From April 2019 to December 2019,we collected no less than 500 cases of elderly people from Community Health Service Center for physical examination.The trained professionals conducted on-site questionnaire on the respondents,and determined their physical types according to the physical standards of traditional Chinese medicine.2.Collect the basic data of the survey objects in detail,and divide them into hyperuricemia group(observation group)and normal control group(control group)according to the blood uric acid index,and make statistical analysis on them,so as to get the distribution characteristics of TCM Constitution of the elderly in the community and the correlation with relevant detection indexes.3.Methods: 60 cases of hyperuricemia patients with dampness heat or blood stasis constitution were randomly divided into treatment group and control group,30 cases in each group,and observed for 4 weeks.Two groups of patients were given health education of related diseases before intervention.The control group was given conventional treatment with sodium bicarbonate tablets,while the treatment group was given Lingyu Qingluo Decoction on the basis of the intervention of the control group.The blood uric acid level,TCM syndrome score and related safety indexes of the two groups before and after the intervention were observed and recorded,so as to observe and evaluate the clinical efficacy.Result:1.The TCM constitution types of the elderly in the community accounted for 23% of damp heat constitution,19.2% of blood stasis constitution,14.9% of yin deficiency constitution,12.3% of Yang deficiency constitution,10.2% of qi deficiency constitution,8.8% of phlegm dampness constitution,6.7% of peace constitution,4.2% of qi depression constitution and 0.8% of special constitution.2.The TCM constitution types of the observation group(hyperuricemia)were mainly damp heat and blood stasis,accounting for 46.3% and 26.3% respectively,followed by Yin deficiency and phlegm dampness,accounting for 8% and 5.7% respectively;the control group was mainly Yin deficiency and yang deficiency,accounting for 18.4% and17.3% respectively,followed by blood stasis and Qi deficiency,accounting for 15.6%and 12.4% respectively.3.In the elderly with damp heat syndrome,the BMI,alt,AST,SCR and TG of the observation group were higher than those of the control group,and HDL-C was lower than that of the control group with statistical significance;in the elderly with blood stasis syndrome,the body mass index of the observation group was lower than that of the control group,but bun and SCR were higher than those of the control group with statistical difference.4.Methods: 60 cases of hyperuricemia patients with dampness heat or blood stasis constitution were intervened.The blood uric acid,TCM syndrome score and other related indicators of the two groups were decreased before and after treatment,and the results were statistically different.The levels of UA and TG in the treatment group decreased significantly,with statistical significance;After the intervention,the TCM syndrome score of the treatment group decreased significantly,and the total clinical effect of the treatment group was higher than that of the control group,with statistical significance.During the treatment,there was no obvious abnormality in the safety indexes of the two groups.Conclusion:1.The TCM constitution types of the elderly Hua in this community are mainly damp heat,phlegm dampness,blood stasis and yin deficiency.There were differences in BMI,AGE,ALT,AST,BUN,SCR and TG between HUA group and non HUA group,and MALE,FPG,BUN,SCR and TG were independent risk factors for HUA.2.On the basis of routine western medicine prevention and treatment,Lingyu Qingluo decoction can significantly improve the clinical symptoms and signs of elderly patients with hyperuricemia,reduce the level of blood uric acid and ensure its safety. |
PDF Full Text Request