南宁市青秀区思贤社区原发性高血压患者中医体质学调查分析

Investigation and Analysis on Traditional Chinese Medicine Constitution of Primary Hypertension Patients in Sixian Community,Qingxiu District,Nanning City

分析南宁市青秀区思贤社区原发性高血压患者的中医体质学调查结果,找出易患原发性高血压的危险体质,为中医治未病提供循证经验。调查南宁市青秀区思贤社区464例老年人,根据其是否患原发性高血压,将其分为观察组(确诊原发性高血压,n=197)和对照组(未患原发性高血压,n=267)。经统计,464例老年人中197例确诊原发性高血压(42.46%),其中70~79岁人群居多,共计90例(45.69%)。患者布及中医九大体质,其中痰湿质最多,47例(23.86%),特禀质最低,1例(0.51%)。两组气虚质性别差异比较,差异有统计学意义(P<0.05);其他八大体质性别差异比较,差异无统计学意义(P>0.05)。研究发现,70~79岁为南宁市青秀区思贤社区老年人原发性高血压的高发年龄段,痰湿质为原发性高血压的高发体质。另外,气虚质男女分布在该社区原发性高血压与非原发性高血压老年群体之间有显著差异。

Analyze the results of a traditional Chinese medicine constitutional survey on patients with primary hypertension in Sixian Community,Qingxiu District,Nanning City,identify the dangerous constitutions that are prone to primary hypertension,and provide evidence-based experience for the treatment of diseases with traditional Chinese medicine.The research period was from January 2022 to December 2022.A total of 464 elderly people in Sixian Community,Qingxiu District,Nanning City were investigated.They were divided into an observation group(diagnosed with primary hypertension,n=197)and a control group(not diagnosed with primary hypertension,n=267)based on whether they had primary hypertension;According to statistics,197 out of 464 elderly people were diagnosed with primary hypertension(42.46%),with the majority of them aged 70-79,totaling 90 cases(45.69%).The patient has nine major constitutions in traditional Chinese medicine,of which phlegm dampness is the highest in 47 cases(23.86%),and intrinsic quality is the lowest in 1 case(0.51%).The gender difference between the two groups of Qi deficiency syndrome was statistically significant(P<0.05);There was no statistically significant difference in gender among the other eight major constitutions(P>0.05).Research has found that the age range of 70-79 years old is a high-risk age group for primary hypertension among elderly people in Sixian Community,Qingxiu District,Nanning City,and phlegm dampness is a high-risk constitution for primary hypertension.In addition,there is a significant difference in the distribution of Qi deficiency constitution between men and women in the elderly population with primary hypertension and non primary hypertension in the community.Qi deficiency constitution is the fifth most susceptible constitution to primary hypertension and should be noted.