心血管危险因素与高血压病中医证型的相关性研究

Study on Correlation between Cardiovascular Risk Factors and Hypertension TCM Syndrome Types

目的:通过对浦东某社区高血压患者的中医证型研究,探讨其证型分布情况与心血管危险因素相关性,为该病的早期治疗提供依据。方法:设计前瞻性观察方案,按照一定的诊断、纳入标准、排除标准,采用问卷调查的方式,随机收集王港户籍居民高血压病例225例。分析该地区高血压患者的中医证型分布情况,以及相关危险因素。结果:由多到少依次为:肝火亢盛占40.44%,阴虚阳亢24.89%,肾气亏虚23.56%,无症状7.11%,痰瘀互结4%。中医证型分布与年龄、性别有相关性,收缩压阴虚阳亢组明显高于肾气亏虚、痰瘀互结、肝火亢盛及无症状四组,差异有统计学意义(P<0.05)。结论:高血压中医证型分布以肝火亢盛为多见;中医证型与年龄,性别及收缩压密切相关。

Objective： To survey a community hypertensive patients living in Pudong new area and study the correlation between cardiovascular risk factors and hypertension TCM syndrome types to provide the evidence for early treatment of the disease.Methods： We designed the prospective observational program. According to the certain diagnosis,inclusion criteria and exclusion criteria and by the questionnaire survey,we randomly collected 225 cases hypertension patients of Wanggang community health center to analyze the relationship between TCM sign types and risk factors. Results： Hypertension TCM sign types distributed from the most to the least： liver-fire hyperactivity 40. 44%,Yin deficiency and Yang excess 24. 89%,kidney-Qi deficiency 23.56%,no symptoms 7. 11%,phlegm and blood stasis accumulation 4%. TCM symptoms types were associated with age and gender. The number of kidney-Qi deficiency was significantly higher than that of the other TCM symptoms and the results had significant statistical differences（P〈0. 05）. Conclusion： Liver-fire hyperactivity mainly displays in hypertensive patients. TCM symptoms types are closely correlated with age,gender and systolic pressure.