老年高血压患者的中医体质辨识与健康指导分析

Analysis of TCM Constitution Identification and Health Guidance in Elderly Hypertensive Patients

目的分析整理社区老年高血压患者的中医体质辨识及健康指导。方法对社区内老年高血压患者病历资料进行整理分析,共635例,依据中华中医药学会《中医体质分类与判定》,将患者分为平和质、气虚质、痰湿质、阴虚质、阳虚质、血瘀质、气郁质、湿热质、特禀质九种类型,对应给予健康指导。结果高血压患者按照中医体质辨识分类,种类分布不均,阴虚质、痰湿质、阳虚质为主要类型,其他体质类型的患者较少分布。结论阴虚质、痰湿质可能与高血压疾病有某种内在联系,高度相关,针对这两种体质患者,给予健康指导,对患者控制血压有着重要的现实意义。

Objective To analyze and sort out the TCM constitution identification and health guidance of in elderly patients with hypertension in the community.Methods The medical records of elderly hypertensive patients in the community were collated and analyzed.There were 635 cases in total.According to the'Classification and Judgment of Constitution of Traditional Chinese Medicine'by the Chinese Society of Traditional Chinese Medicine.The patients were divided into balanced,qi-deficiency,phlegm-dampness,yin-deficiency,yang-deficiency,blood stasis,qi-stagnation,dampness-heat and special intrinsic constitution,corresponding to health guidance.Results Hypertensive patients are classified according to constitution identification of traditional Chinese medicine.The main types are yin-deficiency,phlegm-dampness and yang-deficiency.The other constitutional types of patients were less distributed.Conclusion Yin-deficiency and phlegm-dampness constitution may have some internal relationship with hypertension,which is highly relevant.For patients with these two constitutions,giving health guidance has important practical significance for patients to control blood pressure.