探讨研究高血压合并颈动脉硬化患者中医证型与相关指标的关系

Investigation of the Relationship between TCM Syndrome Types and Related Indexes in Patients with Hypertension Complicated with Carotid Atherosclerosis

目的探讨研究高血压合并颈动脉硬化患者中医证型与相关指标的关系。方法方便选取2013年11月—2016年11月该院就诊的427例高血压患者的病历资料进行回顾性分析,统计所有患者中医证型、血脂、血纤维蛋白原、C反应蛋白、尿酸等资料,并用统计学方法分析其关系。结果各中医证型与HDL-C、TG之间差异无统计学意义(P>0.05),气虚痰浊证型的LDL-C、TC水平分别为为(3.77±0.94)、(5.71±1.00)mmol/L,高于其他证型,差异有统计学意义(P<0.05)。气虚痰瘀证型的FIB、CRP、UA水平分别为(3.38±0.72)g/L,(6.29±0.68)mg/L,(402.29±62.57)mmol/L,高于其他证型,差异有统计学意义(P<0.05)。结论不同中医证型可以反映高血压合并颈动脉硬化患者的相关指标水平,对临床诊断治疗工作有重要意义。

Objective This paper tries to investigate the relationship between TCM syndrome types and related indexes in patients with hypertension complicated with carotid atherosclerosis.Methods 427 cases of hypertension patients from November 2013 to November 2016 in this hospital were convenient retrospectively analyzed.TCM syndrome type,blood lipid,fibrinogen,C reactive protein,uric acid and other information were recorded,and their relationship was analyzed by using statistical method.Results There was no significant difference between the TCM syndrome type and HDL-C,TG(P>0.05).The levels of LDL-C and TC in Qi deficiency and phlegm turbidity syndrome were(3.77±0.94),(5.71±1.00)mmol/L,higher than those of other syndromes,the difference was statistically significant(P<0.05).The levels of FIB,CRP and UA in Qi deficiency,phlegm and blood stasis syndrome were(3.38±0.72)g/L,(6.29±0.68)mg/L,(402.29±62.57)mmol/L,higher than those of other syndromes,the difference was statistically significant(P<0.05).Conclusion Different TCM syndromes can reflect the related indexes of patients with hypertension and carotid atherosclerosis,and have important significance for clinical diagnosis and treatment.