公务员人群原发性高血压与中医体质相关性研究

Correlation Between TCM Constitution and Essential Hypertension in Civil Servants

目的:探讨公务员人群中原发性高血压与中医体质的相关性。方法:随机抽取2010至2011年度在我院参加体检的公务员人群3700例,并对筛选出的原发性高血压中的174例根据《中医体质分类与判定》的分类方法进行中医体质评估分析,并对原发性高血压痰湿质与非痰湿质的相关因素进行比较研究。结果:公务员人群原发性高血压中医体质以痰湿体质比例最高(21.84%),痰湿质组BMI明显高于非痰湿质组,而痰湿质组HDL明显低于非痰湿质组,差异有统计学意义(P<0.01)。结论:痰湿体质是公务员人群中原发性高血压患病的主要危险因素。高体重是造成原发性高血压痰湿体质者的主要因素,对原发性高血压痰湿体质者主要通过干预体重指数的健康管理方式以有效预防心脑血管疾病的发生。

Objective： To study the correlation between traditional Chinese medicine （TCM） constitution and essential hypertension （EH） in civil servants. Methods：A total of 3700 civil servants participated in the examination were randomly sampled from 2010 to 2011, Questionnaire on TCM constitution was performed in 174 cases of EH for clinical investigation according to the classification meth- od of ＂classification and determination of constitution in TCM＂. And the comparative Study of the relevant factors on phlegm-dampness constitution and non-phlegm-dampness constitution of EH was done. Results ： Phlegm-dampness constitution was the most biased constitution in the civil servants crowd of EH （21.84%）. Phlegm-dampness constitution BMI was significantly higher than that of non-phlegmdampness constitution, and Phlegm-dampness group HDL was significantly lower than that of non-Phlegm-dampness group, the difference was statistically significant（ P 〈 0.01 ）. Conclusion：Phlegm dampness constitution is the main risk factor in civil servants of EH. High weight is a major cause of EH phlegm-dampness constitution. The intervention for Phlegm-dampness constitution of EH is mainly through the management of the index weight of health, so as to effceively prevent the cardiovascular and eerebrovascular diseases.