中医体质和高血压前期及心血管病影响因素相关性分析

Analysis on correlations among TCM constitution, prehypertension and influence factors of cardiovascular disease

目的:分析中医体质和高血压前期及心血管病影响因素相关性。方法:统计分析2013年1月至2014年9月来我院体检的80例高血压前期患者的临床资料。结果:最终进入回归方程的有平和质、痰湿质、阴虚质、血瘀质4个相关体质因素;男性高血压前期中医体质影响因素为平和质、痰湿质、阴虚质,女性高血压前期中医体质影响因素为平和质、痰湿质、血瘀质;各高血压前期各中医体质患者的年龄、腰围、体质量指数(BMI)、血糖(FBG)、总胆固醇(TC)、甘油三脂(TG)、低密度脂蛋白(LDL-C)、吸烟、饮酒、缺乏运动、家族史分布之间均有显著差异(P<0.05),但尿素氮(BUN)、尿酸(UA)、肌酐(Cr)、睡眠缺乏分布之间均无显著差异。结论:高血压前期的影响因素包括平和质、痰湿质、阴虚质、血瘀质,中医体质类型和心血管病影响因素密切相关,值得临床充分重视。

Objective： To analyze the correlations among TCM constitution, prehypertension and influence factors of cardiovascular disease. Methods： The clinical data of 80 patients with prehypertension of our hospital for physical examination from January 2013 to September 2014 wasstatistically analyzed. Results： Ultimately 4 related constitution factors entered the regression equation, including mild constitution, phlegm-dampness constitution, yin deficiency constitution and static-blood constitution. The TCM constitution factors of male patients with prehypertension mainly covered mild constitution, phlegm- dampness constitution and yin deficiency constitution, and the TCM constitution factors of female patients with prehypertension were mild constitution, phlegm-dampness constitution and static-blood constitution. The differences in age, waist, BMI, FBG, TC, TG, LDL-C, smoking, drinking, lack of exercise and family medical history of patients with prehypertensionall were significant （P〈0.05）, but the differences in BUN, UA, Cr and sleep of patients with prehypertension were not significant. Conclusion： The influence factors of prehypertension included mild constitution, phlegm-dampness constitution, yin deficiency constitution and static-blood constitution, and there were close correlations between TCM constitution and influence factors of cardiovascular disease, which was worth paying attention to.