基于因子分析对老老年原发性高血压病患者中医证素分析

TCM syndrome element analysis of very elderly hypertensive patients based on factor analysis

目的:研究老老年原发性高血压病(EH)患者中医证素分布特点,为临床中医辨证论治提供更多的依据。方法:选择2013年7月-2014年7月中国中医科学院广安门医院心内科住院的年龄≥80岁的EH病患者357例;对纳入患者进行高血压中医症状调查问卷,录入Epidata软件,将所导出的数据运用因子分析法进行分析,得出不同证素的频数分布情况。结果:病位证素:肝肾同病(32.77%)>脾肾同病(31.10%)>心(9.52%)>心肝肾同病(8.68%)>肾(7.56%)>肝(6.16%)>心肝同病(4.21%);病性证素:痰浊+气滞+血瘀+阳亢(22.69%)>阳虚+血瘀(16.25%)>水停+痰浊(14.85%)>阴虚+痰浊+湿困(10.08%)>阴虚+气虚(8.68%)>血瘀+气虚(9.52%)>痰浊+血瘀(7.56%)>气滞+血瘀(6.16%)>痰浊+血瘀+气滞(4.21%)。结论:老老年EH证素分布中病位证素以肝肾同病为主;病性证素为多证素组合,主要为虚实夹杂证素;故建议老老年EH的中医诊治应虚实兼顾。

Objective：To study the old elderly patients with primary hypertension（essential,hypertension,EH） in patients with TCM syndrome distribution characteristics,may provide more evidence for clinical syndrome differentiation in traditional Chinese medicine.Methods：2013 July-2014 July years of age or older hospitalized in the department of cardiology,Guang＇anmen Hospital at the age of 80,358 patients with essential is selecting;TCM symptoms questionnaire for patients enrolled in,input Epidata software,using factor analysis method,carries on the analysis,obtains the different syndrome distribution of pigment frequency condition.Results：The syndrome elements of disease location：liver and kidney disease（32.77%） spleen and kidney disease（31.10%） heart（9.52%） liver and kidney disease（8.68%） kidney（7.56%） liver（6.16%） heart disease（4.21%）;nature of disease syndrome：qi stagnation＋ blood stasis＋ phlegm ＋yang kang（22.69%） yang deficiency＋ blood stasis（16.25%） water stop＋phlegm（14.85%） yin ＋ phlegm ＋ wet trapped（10.08%） qi and yin deficiency（8.68%） blood stasis and qi deficiency（9.52%） phlegm ＋ blood stasis（7.56%） qi stagnation ＋ blood stasis（6.16%） phlegm ＋ blood stasis ＋ qi Stagnation（4.21%）.Conclusion：Liver and kidney is the main disease location of very elderly hypertensive patients;the nature of disease syndrome is complicated with real and deficiency,diagnosis and treatment of them should be taking into account the actual situation.