高血压病影响因素与中医体质类型相关性研究

A Research for the Constitutional Situation and Its Relations with the Effecting Factors of Hypertension

目的:分析衢州市区中老年高血压病人群的体质特点;探讨高血压病的影响因素与中医体质类型的关系。方法:采用流行病学病例对照设计,通过对875例高血压病患者和654例非高血压病人的问卷调查,并对其进行体质分类。采用SPSS10.0 for Windows统计软件进行统计分析,探讨其中的规律性和相关性。结果:1)两组人群的体质构成比存在显著差异(P<0.001),高血压病组痰湿质、阳盛质、阴阳两虚质显著高于非高血压组;2)不同的年龄、性别、劳动强度、饮食习惯、五味偏嗜、吸烟、饮酒、体重指数与体质类型之间存在显著的相关性(P<0.001);高血压病家族史与体质类型之间也存在相关性(P<0.001);3)有无体育锻炼与体质类型之间存在差异性(P<0.05)。结论:高血压病患者的体质特点是阳盛质、痰湿质和阴阳两虚质,符合高血压病机特点;高血压病影响因素对人体体质的影响是客观存在的,且有明确的规律可循。这种规律与中医基本理论相一致,可作为通过体质干预来控制高血压病的依据;体育锻炼是改善体质的有效手段。

Objective: To analyse the characters of constitutions of middle - aged and old hypertensive patients in the urban area of QuZhou city;to go further into the relation between effective factors of hypertension and Traditional Chinese medicine constitution types. Method :Designed according to epidemiological case comparison, through a survey of 875 hypertensive patients and 654 non - hypertensive people, and by constitution analysis. Using statistical software of SPSS10.0 for Windows to do statistical analysis, to explore the regularity and relation. Result: ①There is a notable difference of consisting constitution proportion between the two groups( P <0.001). The percentage of Tanshi, Yangsheng and yingyangliangxu constitution in the hypertensive group is obviously higher than that in the non - hypertensive group. ②There are outstanding relation between different ages, sexes, intensity of labour, food, tastes, smoking and drinking habits, MBI and constitution types( P <0. 001). ③Differences of constitution types also exist between people who have and not have physical training( P< 0.001). Conclusions :The characters constitution of hypertensive patients are Yangsheng, Tanshi and yinyangliangxu, the influence of effective factors of hypertension on the constitution of human boby objectively exists, and has clear regularity. Thisty. This regularity concide with the basic theory of traditional Chinese medicine, and can be used as basis for the control of hypertension by constitutional intervention.Physical training is an effective way to improve one's constitution.