高血压病常见中医体质饮食习惯与情志变化调查研究

Study of the Dietary Habits and Emotional Changes of Hypertension on Common Constitution of Traditional Chinese Medicine

目的:探讨高血压病常见中医体质患者的饮食习惯与情志变化。方法:采用自制的问卷调查表,对4组(气虚质、阴虚质、痰湿质、气郁质)常见中医体质高血压病患者的饮食习惯及情志情况进行分析。结果:不同中医体质的高血压病患者目前饮食习惯都以清淡饮食为主,占总频次77.3%;高血压病患者的情志问题主要集中表现焦虑不安、精神抑郁、健忘、善恐易惊、精神不振、急躁易怒,其中以焦虑不安(24.3%)为最高,精神抑郁(20.1%)、健忘(19.6%)、善恐易惊(19.1%)次之;气虚质、阴虚质、痰湿质情志表现相对单一,气郁质情志表现则较为复杂,以多种情志交叉表现为主,其中3种及以上达到69.0%。结论:高血压病患者常见中医体质饮食习惯均有明显改善,而情志的影响日渐突出,从情志调节中医体质入手调整患者血压作为社区高血压防治的重点可能对社区高血压病健康管理有重要意义。

Objective:To explore the dietary habits and emotional changes of hypertension on common constitution of traditional Chinese medicine. Methods:A self-made questionnaire was used to analyze the dietary habits and emotions of four groups patients with hypertension on common constitution of traditional Chinese medicine(Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution,Qi-depression constitution). Results:The main dietary habits of hypertension patients with different constitutions were light diet,accounting for 77.3% of the total frequency;the main emotional problems of hypertension patients were anxiety,depression,forgetfulness,fear,alarm,lassitude,impatient and irritability,Among them,anxiety(24.3%)was the highest,followed by depression(20.1%),forgetfulness(19.6%)and fear(19.1%);Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution relatively single,but Qi-depression constitution was more complex,and with a variety of emotional cross-performance,of which three or over than three reached 69.0%. Conclusion:The common dietary habits of TCM constitution in patients with hypertension have been significantly improved, and the influence of emotions has become increasingly prominent. It may be of great significance to the health management of hypertension in community to adjust blood pressure as the focus of prevention and treatment of hypertension in community by regulating TCM constitution with emotions.