血瘀高血压的文献研究及病例分析

发布时间：2018-02-11 07:15

本文关键词： 高血压血瘀文献研究病例分析　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过对血瘀高血压的文献整理研究及相关的病例分析,总结出血瘀致高血压的病机及特点,分析此类患者证候的要素分布、特点、规律以及证候组合情况。方法:文献研究法及频率分析法结果:本文搜集200余篇文献报道共83例病例总结血瘀致高血压的临床特点为:(1)血瘀高血压的发病男性比女性略高,二者并无明显差距。(2)发病年龄74.70%集中在40-70岁,血瘀高血压发病年龄段主要为中老年人。(3)51.81%高血压病程在1-10年。血瘀高血压主要症状是头晕及头疼。(4)血瘀高血压伴随症状中主要表现为:乏力、烦躁易怒、眠差、心慌心悸、口干苦、腰酸痛、胸闷胸痛、便干。(5)血瘀高血压的舌质主要为:舌暗红瘀紫、舌红、舌淡、舌下脉络迂曲。(6)血瘀高血压几种常见的舌苔有:薄白苔、薄黄苔、白腻苔、黄腻苔。(7)脉象相对来说比较分散,弦细和弦滑脉是最主要的两种。(8)出现频率较高的证型为:气滞血瘀、气虚血瘀、肝阳上亢、痰瘀互阻、阴虚阳亢血瘀。(9)高血压疾病证型以兼证为主,其中主要为两种证型结合在一起。而明确说明与血瘀相关的证型病例的频率达到71.08%。气虚血瘀、痰瘀互阻,阴虚阳亢血瘀是与血瘀相关证型中出现频率最高的三种。结论:血瘀高血压多发于中老年人,而且病程大多数都很长。血瘀是引起高血压的重要病理因素之一,可存在任何阶段,既能引起机体证候的变化,也可以由其他证候转化而来,也可以由于外力,外伤直接引起。高血压疾病的治疗,不管辩证为哪种证型,即使表现出无血瘀症状,也可以考虑加入活血化瘀药,从而对降低血压起到一定的辅助作用,也可以降低高血压引起脑梗死,冠心病,中风的风险。
[Abstract]:Objective: to summarize the pathogenesis and characteristics of hypertension caused by blood stasis through literature review and case analysis of blood stasis hypertension, and to analyze the distribution and characteristics of syndromes in these patients. Methods: the results of literature research and frequency analysis: 83 cases of hypertension caused by blood stasis were collected in this paper. The clinical characteristics of hypertension caused by blood stasis were: 1) the incidence of blood stasis hypertension in males was slightly higher than that in females. There was no significant difference between the two groups. (74.70%) the age of onset was 40 to 70 years old. The main symptoms of blood stasis hypertension are dizziness and headache. 4) the main symptoms of blood stasis hypertension are: fatigue, irritability, restlessness, poor sleep, palpitations and palpitation. The tongue quality of blood stasis hypertension is mainly: tongue dark red stasis purple, tongue red, tongue light, sublingual choroid winding. 6) several common tongue coating of blood stasis hypertension are: thin white fur, thin yellow fur, white greasy fur, Yellow and greasy moss. 7) the pulse pattern is relatively scattered. The two main syndromes are string fine and string smooth pulse. The syndrome types with high frequency are: Qi stagnation and blood stasis, qi deficiency and blood stasis, hyperactivity of liver yang, phlegm and blood stasis mutual obstruction. The syndrome type of hyperactivity of yang and blood stasis of yin deficiency is mainly syndromes, in which two syndromes are combined. The frequency of syndrome type related to blood stasis is 71. 08%, qi deficiency and blood stasis, phlegm and blood stasis mutual obstruction, Blood stasis is one of the three most frequent syndromes associated with blood stasis. Conclusion: blood stasis hypertension is more common in middle-aged and elderly people, and the course of disease is very long. Blood stasis is one of the important pathological factors leading to hypertension. Can exist at any stage, can not only cause the change of body syndrome, but also can be transformed by other syndrome, or can be directly caused by external force and trauma. The treatment of hypertension, no matter which syndrome type is dialectical, Even if showing no blood stasis symptoms, we can also consider adding drugs to promote blood circulation and remove blood stasis, which can play an auxiliary role in lowering blood pressure, and can also reduce the risk of cerebral infarction, coronary heart disease and stroke caused by hypertension.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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