原发性高血压患者脉压与中医体质相关性研究

Relationship between pulse pressure and TCM constitution among hypertension patients

目的探讨高血压患者脉压和中医体质的相关关系。方法采用一般情况调查表及中医体质量表调查高血压患者,收回问卷219份。结果调查对象平均脉压为(71.89±18.18)mm Hg,其中医体质分布按照频率依次为阴虚质25.57%(56例),血瘀质18.72%(41例),气虚质16.43%(36例),痰湿质11.87%(26例),阳虚质11.42%(25例)。平和质与脉压呈负相关(r=-0.364,P=0.017)并且进入了脉压的多元回归方程,痰湿质与脉压呈正相关(r=0.324,P=0.034)。结论平和质可能是脉压增大的保护因素,而痰湿质可能是脉压增大的危险因素。

Objective To explore the relationship between pulse pressure and TCM constitution among hypertension patients. Methods General information questionnaire and TCM constitution scale were employed to investigate 219 hypertension patients. Results Mean pulse pressure of the hypertension patients was （71.89 ± 18.18） mmHg. The most common TCM constitution types were yin asthenia 25.57% （56 cases）, stagnated blood 18.72% （41 cases）, deficiency of vital energy 16.43% （36 cases）, phlegmatic hygrosis 11.87% （26 cases）, yang asthenia 11.42% （ 25 cases ）. Scores of mild constitution were negatively related with pulse pressure （ r = -0. 364, P =0. 017 ）, and scores of phlegmatic hygrosis were positively related with pulse pressure （r = 0. 324, P =0. 034 ）. Conclusions Mild constitution may be protective factor that could help body decrease pulse pressure, and phlegmatic hygrosis is a risk factor that will increase pulse pressure.