高血压病中医证型与心血管危险因素的相关性研究

发布时间：2018-03-17 12:21

  本文选题：高血压病　切入点：中医证型　出处：《中国中医急症》2014年07期 　论文类型：期刊论文

【摘要】：目的初步探索上海及周边地区高血压病中医证型与心血管危险因素的相关性。方法按纳入标准选择原发性高血压病患者213例,充分收集中医四诊信息,对其进行辨证分型,并进行统计分析。结果 (1)高血压各证型分布比例从高到低依次为肝肾阴虚证,肝阳上亢证,阳气虚衰证,气阴两虚证,痰湿壅盛证。(2)高血压不同中医证型与心血管危险因素的比较。①高血压不同中医证型组年龄从高到低依次为阳气虚衰证,肝肾阴虚证,痰湿壅盛证,肝阳上亢证,气阴两虚证,高血压不同中医证型组间在病程、性别中未见明显差异;②高血压不同中医证型组血同型半胱氨酸均值均高于指南界定范围(≥10 mmol/mL),各组间比较差异无统计学意义;③高血压不同中医证型组空腹血糖水平从高到低依次为气阴两虚证,阳气虚衰证,肝肾阴虚证,肝阳上亢证,痰湿壅盛证;高血压不同中医证型组糖化血红蛋白水平从高到低依次为气阴两虚证,阳气虚衰证,肝肾阴虚证,痰湿壅盛证,肝阳上亢证;各证型组餐后2 h血糖差异无统计学意义;④高血压不同中医证型组三酰甘油水平从高到低依次为痰湿壅盛证,气阴两虚证,阳气虚衰证,肝肾阴虚证,肝阳上亢证;高血压不同中医证型组高密度脂蛋白水平从高到低依次为肝肾阴虚证,痰湿壅盛证,肝阳上亢证,阳气虚衰证,气阴两虚证,各证型组其余血脂指标差异无统计学意义。结论肝肾阴虚证在高血压患者中所占比重最高;阳气虚衰证组患者年龄最大;各证型高血压患者血同型半胱氨酸水平普遍较高;气阴两虚证组患者血糖水平最高;痰湿壅盛证患者甘油三酯最高。
[Abstract]:Objective to explore the correlation between TCM syndromes of hypertension and cardiovascular risk factors in Shanghai and its surrounding areas. Results 1) the distribution ratio of each syndrome type of hypertension from high to low is liver and kidney yin deficiency syndrome, liver yang hyperactivity syndrome, yang qi deficiency failure syndrome, qi and yin deficiency syndrome, and the following four syndromes: liver and kidney yin deficiency syndrome, liver yang hyperactivity syndrome, yang qi deficiency failure syndrome, qi and yin deficiency syndrome, Comparison of different TCM Syndrome types and Cardiovascular risk factors of Hypertension. The age of hypertension with different TCM syndromes from high to low is Yang qi deficiency syndrome, liver and kidney yin deficiency syndrome, phlegm dampness accumulation syndrome, liver yang hyperactivity syndrome, qi and yin deficiency syndrome. Hypertension in different TCM syndrome groups in the course of disease, There was no significant difference in sex. The mean value of homocysteine in different TCM syndromes of hypertension group was higher than that defined in the guideline (鈮，

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