新疆部分地区血压正常高值不同中医证型与影响因素相关性研究

A study on high-normal blood pressure with different TCM syndromes and influencing factors correlation in some areas of Xinjiang

目的探讨新疆部分地区血压正常高值不同中医证型与影响因素相关性。方法以2012年8月至2014年8月挑选新疆有代表性区域（阿勒泰福海县、伊犁新源县、库尔勒焉耆、乌鲁木齐南山牧区）,各区随机抽取2个调查点,每个调查点预计调查400~450人进行现场调查,对符合诊断标准的维、哈、汉不同民族血压正常高值者共1046例研究对象进行中医辨证分型并进行体重指数、腰围、脂代谢等的测量及一般资料的搜集,探讨血压正常高值不同中医证型与影响因素之间的相关性。结果肝火亢盛证的影响因素为吸烟,痰湿壅盛证的影响因素为食盐、吸烟、BMI（体重指数）、LDL（低密度脂蛋白）、TRIG（甘油三酯）,阴虚阳亢证的影响因素为性别,阴阳两虚证的影响因素为家族史。结论对血压正常高值不同中医证型与各影响因素相关性做了进一步分析统计,血压正常高值影响因素在各中医证型间存在一定差异,以上客观指标可为血压正常高值中医证型分型提供依据,有助于中医辨证的客观化,为因人制宜防治高血压起到借鉴指导作用。

Objective To discuss the correlation between high- normal blood pressure with different TCM syndromes and influencing factors in some areas of Xinjiang. Methods Some representative areas in Xinjiang were selected in August,2012- August,2014（ Altay Fuhai County,Ili Xinyuan County,Korla Yanqi,and Urumqi South Mountain Pastures）. For each area,2survey spots were drawn at random,and 400 ~ 450 people were expected to be involved in field investigation at each spot. A total of 1046 research objects from Uygur,Kazak and Han nationalities who suffered from high normal BP and met the diagnostic criteria were treated by TCM syndrome differentiation typing,their body mass index（ BMI）,waist circumference,lipid metabolism,etc. were measured,and other general data was collected,so as to discuss the correlation between high- normal blood pressure with different TCM syndromes and influencing factors. Results The influencing factor of syndrome of liver- fire hyperactivity was smoking; abundant phlegm- dampness syndrome was influenced by elements including salt,smoking,BMI,LDL（ low- density lipoprotein） and TRIG（ triglyceride）; Yin deficiency and Yang excess syndrome can be affected by gender; and the factor of family history can influence syndrome of deficiency of both Yin and Yang. Conclusion Based on further analysis and statistics of the correlation between high- normal blood pressure different with TCM syndromes and various influencing factors,the influencing factors vary in a certain degree among all TCM syndromes; the above objective indexes can provide a basis for different typing which involved high- normal blood pressure with different TCM syndromes,help objectify the TCM syndromes differentiation,and act as the reference and guidance for preventing and controlling hypertension of different patients.