180例高血压病中医证型分布与动脉弹性的相关性研究

Correlation study of TCM syndrome type distribution and arterial elasticity on 180 cases of patients with hypertensive

目的探讨大动脉硬化度在高血压病患者不同中医证型间的差异性。方法对180例高血压病患者进行研究,分析PWV在不同中医证型间比较及各影响因素对PWV值的影响。结果 PWV数值的影响因素有心率、年龄、坐位上臂收缩压、坐位上臂舒张压、脉压差及是否合并冠心病,PWV在中医各证型之间差异有统计学意义(P<0.05),其排列顺序为:肝火亢盛证>阴虚阳亢证>痰湿壅盛证>阴阳两虚证。结论 (1)肝阳上亢型高血压病患者发生血管意外及脑血管意外事件概率更高。(2)坐位上臂收缩压、坐位上臂舒张压、年龄、心率、脉压差是PWV的显著影响因素。

Objective To study the difference of artery hardenability in different TCM syndrome types in patients with hypertensive. Methods The data of 180 patients were studied. Analyzed the difference of PWV between different TCM syndrome types and the influence of variousing factors on the value of PWV. Results The heart rate, age, sitting systolic pressure of upper arm, sitting diastolic pressure of upper arm, pulse pressure and whether merger of coronary heart disease were the influencing factors of PWV value, and there were significant differences between different TCM syndrome types（P 〈 0.05）, the sort order were liver-fire hyperactivity 〉 Yin deficiency and Yang hyperactivity 〉excessive phlegm-dampness 〉 Yin and Yang Deficiency. Conclusion （1）The probability of vascular accident and cerebrovascular accident is higher in liver-fire hyperactivity patients with hypertensive.（2）The sitting systolic pressure of upper arm, sitting diastolic pressure, age, heart rate, and pulse pressure are significant influencing factors on PWV value.