中医头痛辨证分型与血管僵硬程度相关性研究

发布时间：2018-03-26 18:35

本文选题：高血压　切入点：头痛　出处：《山东中医药大学》2016年硕士论文

【摘要】：目的:应用横断面调查方法,收集高血压人群的证候资料,进行高血压中医证候和动脉僵硬度的大样本调查,探讨动脉僵硬度在社区高血压患者中有无头痛症状的人群不同特点,为头痛的高血压患者治疗提供新的思路,为通过控制血压,改善血管弹性治疗头痛提供参考依据。方法:本文对山东平原高血压具有头痛症状的患者与血管僵硬度之间的证候关系进行了调查研究和分析。采用了欧姆龙AI,奥特科,脉全,欧姆龙PWV等仪器。对生理数据特别是中心压力反射波增强指数(AI)及臂-踝动脉脉搏波传导速度(ba-PWV)进行测量。在统计时,也将患者的一些身体指标、生活习惯、病史等数据考虑在内。通过基线比较,动脉僵硬度功能参数比较等统计方法得到了科学的数据。结论:1.在基线计较中,得出平原高血压具有头痛症状的人群不同标准证候间在年龄、身高、Se DBP、PP方面均存在显著差异;BMI、WHR、Se SBP在各组标准证候间无显著性差异。2.动脉僵硬度功能参数比较中,在校正影响Ba PWV、AI等结果的资料前,轻度头痛如裹者以及轻度头痛者之间的Ba PWV之间存在显著的差异,AI在各标准证候间无显著差异。3.山东平原高血压头痛标准证型间动脉弹性参数校正其主因素影响后无显著性差异4.山东平原高血压患者头痛人群与非头痛人群间部分动脉弹性参数在校正其主因素前后均有显著性差异,其中头痛人群踝-臂脉搏搏波传导速度明显增高,动脉僵硬度显著增加。结果:通过研究社区高血压患者头痛人群证候与动脉僵硬度的相关性,发现不同证候间动脉僵硬度参数的差异性,比较动脉僵硬度参数在基于标准证候非头痛与头痛症两种证候分类标准下的差异性、灵敏性。在早期发现平原头痛人群动脉性功能减退和证候分类标准方面做出初步的尝试性研究,为动脉弹性的早期检测、简化平原头痛中医诊疗工作提供重要的参考依据。
[Abstract]:Objective: to collect the syndrome data of hypertensive population by cross-sectional investigation, and to investigate the large sample of hypertension syndrome and arterial stiffness in traditional Chinese medicine (TCM). To explore the different characteristics of arterial stiffness in people with or without headache symptoms in community hypertension patients, to provide a new idea for the treatment of hypertensive patients with headache, and to control blood pressure. Methods: the relationship between hypertension patients with headache symptoms and vascular stiffness in Shandong plain was investigated and analyzed. OMRON PWV and other instruments. The physiological data, especially the central baroreflex wave enhancement index (AII), and the brachial-ankle artery pulse wave conduction velocity (BAR-PWV) were measured. When statistics were made, some of the patient's body indexes and living habits were also measured. Scientific data were obtained by statistical methods such as baseline comparison and comparison of arterial stiffness function parameters. Conclusion: 1. In baseline comparison, It was concluded that there were significant differences in age and height of se DBP PP between different standard syndromes of patients with headache symptoms in plain hypertension. Before correcting the data that affect the results of Ba PWVU AI et al., There were significant differences in Ba PWV between mild headache patients and mild headache patients. There was no significant difference in AI among standard syndromes. 3. Adjustment of arterial elasticity parameter of hypertension headache standard syndrome type in Shandong Plain. There was no significant difference after 4. There were significant differences in arterial elastic parameters between the patients with headache and those without headache in Shandong plain before and after the adjustment of the main factors. Among them, the malleolus-brachial pulse wave velocity and arterial stiffness were significantly increased in patients with headache. Results: by studying the correlation between symptoms and arterial stiffness in patients with hypertension in community, The differences of arterial stiffness parameters between different syndromes were found, and the differences of arterial stiffness parameters based on the two classification criteria of non-headache and headache syndrome were compared. Sensitivity. In the early detection of plain headache population arterial dysfunction and syndrome classification criteria to make a preliminary trial study for the early detection of arterial elasticity and simplify the plain headache diagnosis and treatment work to provide an important reference basis.
【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】：R277.7

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