1760例高血压患者中医证候分布规律及构成模型研究

Analysis on TCM syndrome distribution laws and component model in 1 760 patients with hypertension

目的:利用因子分析方法研究高血压病中医证候构成及分布规律,并建立数学模型。方法:采用以门诊为基础的非随机、大样本病例现场抽样调查方法,采集符合西医诊断为高血压患者的资料,运用因子分析方法提取公因子进行分类研究。结果:建立9因子35条目高血压病证候构成模型。中医证型为肾精亏虚,心肝火旺证;心阴亏虚,心神失养证;气阴两虚证;肝肾不足,心脉瘀阻证;肝阳上亢证;肝肾阴虚证;肝火亢盛证;痰瘀内阻证;肝火上炎证。结论:高血压中医证候病位在心、肝、肾,以虚证为主、虚实夹杂。

Objective： To study TCM syndrome distribution laws in patients with hypertension by factor analysis and establish the mathematical model.Methods： Method of non-random,large sample cases at the scene based on the out-patient cases are adopted to collect the information of hypertension patient and was typed by extracting common factor.Results： Establish the 9 factors-35 items component model of hypertension.And the TCM syndrome type include： syndrome of deficiency of kidney essence and hyperactivity of heart-liver fire;yin deficiency of the heart and malnutrition of heart-mind;deficiency of both qi and yin;insufficiency of liver and kidney,stagnant blockade of heart vessels;syndrome of hyperactivity of liver yang;yin deficiency of liver and kidney;exuberance of liver fire;syndrome of phlegm and blood stasis,syndrome of flaming up of liver fire.Conclusion： The location of hypertension lied in the heart from syndromes of TCM,liver and kidney.the diseases are mostly associated with deficiency syndrome and syndrome of intermingled deficiency and excess.