中文摘要：

目的：明确不同腰围的肥胖患者的虚实证候特点。方法：将874例肥胖患者依据腰围的不同分为腹型肥胖组和非腹型肥胖组，比较两组中医证候的差异。结果：北京市社区居民腹型肥胖组和非腹型肥胖组中女性皆高于男性，随着年龄的增大，腹型肥胖组比例明显加大。腹型肥胖患者合并高血压224例（25.6%）、糖尿病前期160例（20.3%）、糖尿病179例（27.4%），非腹型肥胖患合并高血压20例（23.0%）、糖尿病前期12例（13.8%）、糖尿病14例（16.1%）;腹型肥胖与非腹型肥胖在虚实证候上有显著性差异（P〈0.01），实证中腹型肥胖的比例低于非腹型肥胖，虚证、虚实夹杂证中腹型肥胖的比例高于非腹型肥胖。结论：不同腰围的肥胖患者的虚实证候特点不同，需给予不同的治疗。

英文摘要：

Objective： Clearing the different waist of the obese patients＂xushi＂Syndrome characteristics.Methods：874 cases of obesity based on waist circumference of the abdominal obesity divided into different groups and non-abdominal obesity group,the comparison group syndrome differences.Result：Beijing residents abdominal obesity and non-abdominal obesity in the group of women were higher than males,with the increase of age,abdominal obesity significantly increased the proportion of group.Abdominal obesity hypertension patients with 224 cases（25.6%）,diabetes early 160（20.3 per cent）,diabetes 179（27.4%）,non-abdominal obesity with hypertension from 20 cases（23.0%）,12 pre-diabetes（accounted for 13.8%）,diabetes mellitus 14（16.1%）：abdominal obesity and non-abdominal obesity in the“xushi”Syndrome.There was significant difference（P〈0.01）,in abdominal obesity Empirical the proportion of lower abdominal obesity,deficiency,the strength permit inclusion in abdominal obesity higher than the proportion of non-abdominal obesity.Conclusion：Waist circumference of obese patients“xushi”characteristics of different syndromes,the need for the different treatment.