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KMID : 0363320090300040772
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Journal of Korean Oriental Internal Medicine
2009 Volume.30 No. 4 p.772 ~ p.779
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Study on the Obesity and Blood parameters Differences between Fire/Heat and Qi-deficiency Pattern Identification/Syndrome Differentiation among Acute Stroke Patients
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Cha Min-Ho
Kim So-Yeon
Lim Ji-Hye
Kang Byeong-Gab
Ko Mi-Mi
Kim No-Soo
Lee Jung-Sup
Bang Ok-Sun
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Abstract
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Object: In the present study, we investigated the obesity and blood parameters between Qi-deficiency and Fire/Heat pattern identification/syndrome differentiation (PI/SD) in acute stroke patients.
Materials and Methods: A total of 391 stroke patients within 7 days after onset were consecutively recruited from 12 hospitals across South Korea from Nov. 1st, 2006 to Jun. 31st, 2009. They were diagnosed as Fire/Heat or Qi-deficiency among five PI/SD subtypes by two independent stroke experts. We investigated the differences of obesity and blood characteristics between Fire/Heat and Qi-deficiency by statistical analyses.
Results: In male subjects, obesity was significantly associated with Fire/Heat PI/SD. The averaged mean BMI () and waist circumference(89.34cm) of the Fire/Heat group were higher than those of the Qi-deficiency group ( and 83.43 cm, respectively). The number of obese patients was larger in the Fire/Heat group than in the Qi-deficiency group (p = 0.001). Hyperlipidemia was also related with Fire/Heat. However, obesity was not associated with PI/SD in female subjects where the number of hyperlipidemic patients was higher in the Qi-deficiency group. Among blood parameters, the levels of triglycerides and fasting blood sugar were higher in the Fire/Heat group compared with the Qi-deficiency group in male subjects. However, total cholesterol of the Qi-deficiency group was higher than in the Fire/Heat group among female subjects.
Conslusion: This study shows that obesity and hyperlipidemia are significantly difference between Qi-deficiency and Fire/Heat. We suggests that PI/SD may be associated with clinical characteristics and large population study between PI/SD and clinical characteristics including blood parameters are needed.
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KEYWORD
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stroke, pattern identification/syndrome differentiation, obesity, hyperlipidemia, clinical characteristics
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