社区低、中危高血压病患者中医体质辨识及干预研究

TCM Constitution Identification and Intervention Study in Mild and Moderate Hypertension Patients in Community

目的:观察社区低、中危高血压病患者的体质辨识及中医药干预的临床疗效。方法:对228例低中危高血压患者进行体质辨识,并随机分为干预组116例和对照组112例,对照组采用口服降压药物治疗,同时进行常规控制体重、限盐、戒烟、限酒、改善生活方式的宣教和监督控制,干预组则在此基础上,根据不同中医体质类型,增加中医药干预方法。随访1年。结果:痰湿质(26.32%),阴虚质(21.05%)是低中危高血压患者的主要体质;干预后平和质增加;干预后两组收缩压及舒张压水平均有下降(P<0.05),其中,干预组的收缩压水平明显低于对照组(P<0.05);干预后两组血压控制率均有提高(P<0.05),干预组的血压控制率明显高于对照组(P<0.05)。结论:根据体质类型对社区低、中危高血压病患者进行中医药干预,在一定程度上能改善低、中危高血压病病人的中医体质状态,同时有助于控制血压。

Objective ： The key is to observe the clinical effect of mild and moderate high blood pressure in communitypatients with physical identification and intervention of TCM. Method：228 cases of patients with mild and moderate hyper-tension in the physical identification were randomly divided into treatment group 116 cases a1nd control group 112 cases.The control group used oral antihypertensive drugs along with conventional treatments, including controlling weight, limit-ing salt, smoking and alcohol, improving the way of life education and supervision and control. The treatment group on thebasis of that, according to the different types of TCM constitution, increased the intervention methods of traditional Chinesemedicine,followed up for one year. Results： Phlegm - dampness （26.32%） and Yin deficiency （21.05%） were themain constitutions of low quality dangerous patients with high blood pressure. After the treatment, the gentleness constitu-tion increased and diastolic blood pressure and systolic blood pressure levels in the two groups were declined （P 〈 0.05 ）.Among them, systolic blood pressure in the treatment group was lower than that of control group （ P 〈 0.05 ）. After thetreatment, two groups ＇ blood pressure control rates were improved （ P 〈 0.05 ）. Blood pressure control rates of treatmentgroup were obviously higher than that of control group. Depending on constitutional types, taking intervention of TCM tomild and moderate high blood pressure in community patients can improve the patients＇TCM constitutions to a certain ex-tent and at the same time can help to control blood pressure.