高血压颈动脉粥样硬化危险因素及常见证候临床调研

Clinical Research on Risk Factors and Common Syndromes of Hypertensive Carotid Atherosclerosis

目的:探讨高血压颈动脉粥样硬化(CAS)相关危险因素及临床常见证候,以期为卒中防治提供参考。方法:通过收集高血压CAS患者临床资料,分析本病常见危险因素,并运用前期研制的证素诊断量表进行证候调研,探讨临床常见证候。结果:高血压CAS多见于老年人,男性平均发病年龄早于女性(P<0.05);超重/肥胖率较高(59.2%),常见危险因素中,血脂异常最多见,吸烟/被动吸烟及饮酒存在性别差异(P<0.01);痰、瘀为高血压CAS最常见证素,痰瘀互结为最常见复合证候,痰或瘀+其它一种证素为本病最基本的证候表现形式。结论:高血压CAS危险因素众多,综合因素的长期作用推动疾病进展。痰瘀互结为最常见证候,痰、瘀组合其它证素构成本病复杂证候。

Objectives：To observe the relevant risk factors and common syndromes of hypertensive CAS, and thus provi- ding references for the prevention and treatment of apoplexy. Methods ： Through the collection of the clinical data of the pa- tients with hypertensive CAS to analyze the common risks of the disease, and by applying the premade diagnosis scale to make the syndrome research, and to explore the common clinical syndromes. Results ： Hypertensive CAS was more common among the elderly,and the average onset age of men was earlier than women＇s （P 〈 0.05 ） ;overweight/obesity ratio was higher （59.2%）, among the common risk factors ,dys!ipidemia was the most common form,and there were gender differ- ences among the factors of smoking/passive smoking and drinking ; phlegm and blood stasis were the common syndrome factors of hypertensive CAS while the combination of the two was the most common composite syndrome, and the combina- tion of phlegm,blood stasis and another syndrome factor were the basic forms of the disease. Conclusion：There are various risk factors of hypertensive CAS, and the long -term effects of the comprehensive factors push forward the evolvement of the disease. The combination of phlegm and blood stasis is the most common syndrome, and the combination of phlegm, blood stasis and other syndrome factors forms the complex syndrome of the disease.