上海市某社区老年高血压患者中医证型分布及临床特点调查

发布时间：2018-01-13 04:26

本文关键词：上海市某社区老年高血压患者中医证型分布及临床特点调查　出处：《中国老年保健医学》2017年02期 　论文类型：期刊论文

【摘要】：目的通过对上海市黄浦区社区在册管理的高血压患者中医证型的调查、挖掘,描述黄浦区在册管理高血压患者证型分布情况,探讨社区高血压患者的中医证型的分布情况,指导社区高血压患者的中医药健康管理和中医药健康服务。方法选择2016年底以前在上海市黄浦区社区在册管理的高血压患者491例,按2002年颁布的《中药新药临床研究指导原则》相关标准进行中医高血压病辨证分型,建立高血压患者电子健康档案,对高血压证型的信息进行对接、整合、清理、分析。结果完成423例社区高血压患者电子健康档案,在高血压患者证型分布中,阴虚阳亢证最多(31.44%),阴阳两虚证次之(26.95%),痰湿壅盛证和肝火亢盛证较少(21.95%和19.86%)。不同证型患者临床特点、健康档案的比较中,阴阳两虚证组和阴虚阳亢证组平均年龄、平均病程、高血压分级及高血压分期均明显高于肝火亢盛证组和痰湿壅盛证组(P0.01)。结论上海市黄浦区社区老年高血压患者,阴虚阳亢和阴阳两虚年龄偏大、病程较长、高血压分级及高血压分期较高。运用中医证型对应的健康教育和诊疗适宜技术,对在社区高血压患者开展中医慢性病预防保健、慢性病防治工作有着重要意义。
[Abstract]:Objective to investigate the TCM syndromes of patients with hypertension under community management in Huangpu District of Shanghai, and to describe the distribution of TCM syndromes of patients with hypertension in Huangpu District. To explore the distribution of TCM syndromes in patients with hypertension in community. Methods 491 patients with hypertension were selected for community management in Huangpu District before end of 2016. According to the "guidelines for Clinical Research of New drugs of traditional Chinese Medicine" issued in 2002, TCM hypertension syndrome differentiation and classification, the establishment of hypertension patients electronic health files, the information of hypertension syndrome docking. Results the electronic health records of 423 patients with hypertension in community were completed. In the distribution of syndromes of hypertension patients, the syndrome of yin deficiency and yang hyperactivity was 31.4444). Yin and Yang deficiency syndrome was followed by 26. 95m, phlegm dampness syndrome and liver fire hyperactivity syndrome were less 21.95% and 19.860.Comparison of clinical characteristics and health records of patients with different syndromes. The average age and course of disease in the two yin and yang deficiency syndrome group and the yin deficiency yang hyperactivity syndrome group. The grade and stage of hypertension were significantly higher than those of hyperactivity of liver-fire syndrome and phlegm-dampness syndrome group P0.01.Conclusion in the community of Huangpu District of Shanghai, the age of hyperactivity of yin and yang and deficiency of yin and yang are higher than those of the elderly patients with hypertension in Huangpu district of Shanghai. The course of disease is longer, the grade of hypertension and the stage of hypertension are higher. Using the health education and appropriate technique of diagnosis and treatment of TCM syndromes, the preventive health care of chronic diseases in community hypertension patients is carried out. The prevention and treatment of chronic diseases is of great significance.
【作者单位】：上海市黄浦区打浦桥街道社区卫生服务中心;
【分类号】：R259
【正文快照】： 切病情观察以及对症处理。不同年龄急性腹痛患者的临床表现以及患病情况往往存在较大差异,一般而言老年疾病腹痛患者的症状表现并不显著,疼痛性质不典型,且老年患者对疼痛刺激的敏感性有所降低,故多数老年患者并不能准确描述疼痛情况[5]。另外,老年患者多合并基础疾病,其在出

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