高血压患者动态血压节律类型的中医证候特点

TCM syndrome characteristics of rhythm types of ambulatory blood pressure in hypertensive patients

目的观察高血压患者在不同的体重指数(BMI)组,动态血压表现为不同昼夜节律时,其中医证候特点。方法测量160例高血压患者的身高、体重,计算BMI并据此分为超重组和非超重组,采用24h动态血压检测技术进行动态血压监测,分别观察并统计分析全部病例动态血压节律类型、中医证候分型的分布情况。结果高血压患者动态血压昼夜节律类型不同,中医证候分型分布有显著性差异。肝火亢盛者多表现为杓型,痰瘀内阻者多表现为非杓型。超重组多见痰瘀内阻,非超重组多见肝火亢盛。结论高血压患者BMI、动态血压节律类型与中医证候分型相关。

Objective To observe the TCM syndrome characteristics in hypertensive patients with different rhythms of ambulatory blood pressure（ABP） in different groups of body mass index（BMI）.Methods The height and weight were detected in 160 hypertensive patients and BMI was calculated,and the patients were divided into overweight group and non-overweight group according to BMI index.ABP was monitored in all patients by applying 24-h ABP detection technique.The rhythm types of ABP and distribution of TCM syndrome types were observed and analyzed in all patients.Results The rhythm types of ABP were different in hypertensive patients,and distribution of TCM syndrome types had significant difference.Dipper hypertension was common in the patients with syndrome of hyperactive liver fire,and non- dipper hypertension was common in the patients with syndrome of internal obstruction of phlegm- stasis.The syndrome of internal obstruction of phlegm- stasis was common in overweight group and syndrome of hyperactive liver fire was common in non-overweight group.Conclusion BMI and rhythm types of ABP are correlated to TCM syndrome types.