目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h...目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h SBP)、24小时平均舒张压(24 h DBP)、白昼平均收缩压(dSBP)、白昼平均舒张压(dDBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、脉压(PP)、平均动脉压(MAP)等ABPM参数并分析相关性。结果:蒙古族人群脑卒中组平均收缩压、平均舒张压、脉压与非脑卒中组相比,差异有统计学意义(P<0.05),呈正相关;平均动脉压与非脑卒中组相比,差异有统计学意义(P<0.01),呈显著正相关。同时,蒙古族人群脑卒中组平均收缩压、平均舒张压、平均动脉压明显高于汉族人群脑卒中组。结论:蒙古族人群原发性高血压平均收缩压、平均舒张压、脉压、平均动脉压与脑卒中的发生密切相关。展开更多
[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constit...[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constitutions,in order to provide new ideas for the treatment of patients with hypertension and insomnia.[Methods]Cross sectional observation method was used,and 420 patients with hypertension and insomnia were selected.Required information was collected,and the constitution type of traditional Chinese medicine was determined,and relevant data were recorded.SPSS and Logistic regression analysis method were used to explore the correlation between the distribution of TCM constitution types and gender,age,24 h-SBP,24 h-DBP,24 h-BPV,PSQI score,etc.[Results]Among 420 patients,the proportion of gentleness constitution was the most,and others in turn were Qi deficiency constitution>Yang deficiency constitution>phlegm dampness constitution>Qi stagnation constitution>Yin deficiency constitution>blood stasis constitution>damp heat constitution>special constitution.Among male patients,the proportion of gentleness constitution was the most.Among female patients,the proportion of Qi deficiency constitution was the most.In each constitution,the proportion of men and women was different,and the difference in gentleness constitution,Qi deficiency constitution and Yin deficiency constitution had statistical significance(P<0.05).The proportion of gentleness constitution for young and middle-aged patients was the most,while elderly patients with Qi deficiency constitution was the most.There was difference in the distribution of TCM constitution in different age groups,and the difference had statistical significance(P<0.05).Compared with the patients with gentleness constitution,the patients with Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,damp heat constitution,blood stasis constitution and Qi stagnation constitution had different differences in terms of age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score,and there was statistical significance(P<0.05).Except damp heat constitution,blood stasis constitution and special constitution,other constitutions had certain correlation with age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score.[Conclusions]TCM constitution types of patients with hypertension and insomnia were dominant by gentleness constitution,Qi deficiency constitution and Yang deficiency constitution.The distribution of TCM constitution in different gender and age groups was different,and different TCM constitution was related to ABPM and PSQI.展开更多
文摘目的:探讨蒙古族人群原发性高血压动态血压(ABPM)参数与脑卒中筛查的相关性。方法:选择蒙古族人群原发性高血压患者170例,分为脑卒中组(74例)与非脑卒中组(96例),同时选择对照组(汉族人群脑卒中患者82例),比较各组24小时平均收缩压(24 h SBP)、24小时平均舒张压(24 h DBP)、白昼平均收缩压(dSBP)、白昼平均舒张压(dDBP)、夜间平均收缩压(nSBP)、夜间平均舒张压(nDBP)、脉压(PP)、平均动脉压(MAP)等ABPM参数并分析相关性。结果:蒙古族人群脑卒中组平均收缩压、平均舒张压、脉压与非脑卒中组相比,差异有统计学意义(P<0.05),呈正相关;平均动脉压与非脑卒中组相比,差异有统计学意义(P<0.01),呈显著正相关。同时,蒙古族人群脑卒中组平均收缩压、平均舒张压、平均动脉压明显高于汉族人群脑卒中组。结论:蒙古族人群原发性高血压平均收缩压、平均舒张压、脉压、平均动脉压与脑卒中的发生密切相关。
基金the National Key R&D Program Funded Project(2018 YFC17056009)Study on Insomnia and Its Relationship with Climacteric Syndrome,Hypertension,Mild Cognitive Impairment in the Elderly and Comprehensive Treatment Plan(2018YFC1705604)Pilot Project of Clinical Cooperation between Traditional Chinese and Western Medicine for Major and Difficult Diseases by the State Administration of Traditional Chinese Medicine:"Refractory Hypertension"(GZYYBYZF[2018]3).
文摘[Objectives]The research aimed to explore the distribution characteristics of TCM constitution types of patients with hypertension and insomnia,and study the clinical characteristics of patients with different constitutions,in order to provide new ideas for the treatment of patients with hypertension and insomnia.[Methods]Cross sectional observation method was used,and 420 patients with hypertension and insomnia were selected.Required information was collected,and the constitution type of traditional Chinese medicine was determined,and relevant data were recorded.SPSS and Logistic regression analysis method were used to explore the correlation between the distribution of TCM constitution types and gender,age,24 h-SBP,24 h-DBP,24 h-BPV,PSQI score,etc.[Results]Among 420 patients,the proportion of gentleness constitution was the most,and others in turn were Qi deficiency constitution>Yang deficiency constitution>phlegm dampness constitution>Qi stagnation constitution>Yin deficiency constitution>blood stasis constitution>damp heat constitution>special constitution.Among male patients,the proportion of gentleness constitution was the most.Among female patients,the proportion of Qi deficiency constitution was the most.In each constitution,the proportion of men and women was different,and the difference in gentleness constitution,Qi deficiency constitution and Yin deficiency constitution had statistical significance(P<0.05).The proportion of gentleness constitution for young and middle-aged patients was the most,while elderly patients with Qi deficiency constitution was the most.There was difference in the distribution of TCM constitution in different age groups,and the difference had statistical significance(P<0.05).Compared with the patients with gentleness constitution,the patients with Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,damp heat constitution,blood stasis constitution and Qi stagnation constitution had different differences in terms of age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score,and there was statistical significance(P<0.05).Except damp heat constitution,blood stasis constitution and special constitution,other constitutions had certain correlation with age,24 h-SBP,24 h-DBP,24 h-BPV and PSQI score.[Conclusions]TCM constitution types of patients with hypertension and insomnia were dominant by gentleness constitution,Qi deficiency constitution and Yang deficiency constitution.The distribution of TCM constitution in different gender and age groups was different,and different TCM constitution was related to ABPM and PSQI.
