正常高值血压人群症状学调查和证候分类研究

发布时间：2019-03-15 15:18

【摘要】：目的:探讨正常高值血压人群常见的中医临床症状,从而初步确定正常高值血压的证候要素及证候分类,为中医辨证论治提供临床依据。方法:本研究采用流行病学调查方法,编制调查问卷,收集四诊信息,建立数据库,运用统计软件对有症状人群的一般资料进行描述性统计分析,对症状指标进行因子分析和聚类分析。结果:(1)正常高值人群主要发生于40~49岁,被调查者中50%以上有高钠饮食、超重和肥胖现象,34%以上被调查者有高血压家族史;(2)30.23%被调查者没有临床症状表现,69.77%被调查者有临床症状表现,常见症状有头晕、头痛、腰膝酸软等;(3)对症状指标进行因子分析和聚类分析,因子分析共提取8个公因子,聚类分析共得到5类症状群。结论:(1)正常高值人群主要发生于中青年;高钠饮食、超重和肥胖、高血压家族史是正常高值血压人群的主要危险因素;(2)30.23%正常高值血压人群仅为血压达到正常高值血压水平而没有明显的相关临床症状表现,69.77%被调查者不但血压达到正常高值血压水平而且有相关临床症状表现,中医临床症状多表现为肝系、肾系症状,提示血压在正常高值血压时期与肝肾关系密切;(3)对有症状的正常高值血压人群进行因子分析和聚类分析,得出正常高值血压病位在肝、肾、脾,病性为阳亢、痰湿、阴虚、阳虚;初步分为肝火炽盛证、痰湿壅盛证、肾阳虚证和阴虚阳亢证4种证候分类。
[Abstract]:Aim: to explore the common clinical symptoms of normal high blood pressure population, so as to determine the syndrome elements and syndrome classification of normal high blood pressure, so as to provide clinical basis for syndrome differentiation and treatment of traditional Chinese medicine (TCM). Methods: in this study, epidemiological survey method was used to compile questionnaire, collect information of four diagnoses, set up a database, and use statistical software to make descriptive statistical analysis of the general data of the symptomatic population. The symptom indexes were analyzed by factor analysis and cluster analysis. Results: (1) the normal high-value population mainly occurred in 40-49 years old. More than 50% of the respondents had high sodium diet, overweight and obesity, and 34% had family history of hypertension. (2) 30.23% of the respondents had no clinical symptoms, 69.77% of them had clinical symptoms. The common symptoms were dizziness, headache, lumbago and softness of waist and knee. (3) by factor analysis and cluster analysis, 8 common factors were extracted by factor analysis and 5 groups of symptom groups were obtained by cluster analysis. Conclusion: (1) normal high-value people mainly occur in middle-aged and young people, high-sodium diet, overweight and obesity, hypertension family history are the main risk factors of normal high-value people with blood pressure; (2) 30.23% of the normal high blood pressure population only reached the normal high blood pressure level, but had no obvious clinical symptoms. 69.77% of the respondents not only reached the normal high blood pressure level but also had related clinical symptoms. Most of the clinical symptoms of traditional Chinese medicine were liver system and renal system symptom, suggesting that blood pressure was closely related to the liver and kidney during the period of normal high blood pressure. (3) Factor analysis and cluster analysis were carried out on the normal high blood pressure population with symptoms. The results showed that the normal high blood pressure diseases were located in liver, kidney, spleen, yang hyperactivity, phlegm dampness, yin deficiency and yang deficiency, and the diseases were hyperactivity of yang, dampness of phlegm, deficiency of yin and deficiency of yang. They were divided into four types: liver-fire incandescent syndrome, phlegm-dampness hyperactivity syndrome, kidney-yang deficiency syndrome and Yin-deficiency-yang hyperactivity syndrome.
【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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