新疆高血压病中医症状、证型分析及其与西北燥证的关联研究

Analysis of TCM symptoms and types of hypertension in Xinjiang area and association study with northwest dryness syndrome

目的:探讨新疆高血压病中医症状证侯特点及其与西北燥证的相关关系。方法:采用问卷量表形式进行病例对照研究,共调查高血压病例组249例,正常血压对照组245例,对高血压病例组进行高血压诊断性评估、高血压中医证候类型调查及西北燥证计量评分,而对正常血压对照组仅进行西北燥证计量评分,并对高血压病患者主要症状及西北燥证罹患率进行分析,高血压燥证组与非燥证组西医病情积分及中医证型证情指数进行分析。结果:①新疆地区高血压病患者较常出现眩晕、头痛、心悸、失眠、腰膝酸软、急躁易怒、口干、健忘、耳鸣、夜尿频等症状;②高血压病例组患者西北燥证的罹患率(61.85%)远高于正常血压对照组人群(14.69%),差异具有统计学意义(P<0.01);③高血压燥证组患者的西医病情积分亦明显高于非燥证组患者(P<0.01);④高血压燥证组与非燥证组的中医证型证情指数比较,高血压燥证组患者在肝火亢盛证、阴虚阳亢证的中医证候积分均高于高血压非燥证组患者(P<0.01),两组在痰湿壅盛证与阴阳两虚证比较无统计学差异。结论:西北燥证与新疆地区高血压病之间存在着密切的相关关系。

Objective： To analyze the TCM symptoms and types of hypertension in Xinjiang area and correlation with northwest dryness syndrome（NDS）.Methods： This study used methods of case-control,totally 249 hypertension cases group and 245 normal blood pressure cases control group.The hypertension cases group was analyzed with diagnostic assessment of hypertension patients,the questionnaire on TCM syndrome score and northwest dryness syndrome sore.The normal blood pressure control group was only analyzed with northwest dryness syndrome sore.The hypertension cases group was analyzed on the main symptoms and prevalence rate of NDS,and disease state scores and TCM syndrome indices were analyzed between dryness group and no-dryness group.Results： ①The main symptoms of the hypertension patients in Xinjiang area were vertigo,cephalalgia,palpitation,insomnia,soreness and weakness of waist and knee,etc.②The incidence of NDS in the hypertension case group was 61.85%,higher than 14.69% in the normal blood pressure control group（P0.01）.③The score of pathological conditions of hypertension combining with NDS group was higher than no NDS group（P0.01）.④Compared the indices of the TCM symptoms in two groups,the scores of TCM syndrome of excessive liver-fire and yin deficiency and yang hyperactivity in the hypertension with NDS group were higher than that of hypertension with no NDS group（P0.01）,while the difference was not significant in the excessive accumulation of phlegm-dampness syndrome and the deficiency syndrome of both yin and yang.Conclusion： There was a closed correlation between NDS and hypertension in Xinjiang area.