壮、汉民族高血压患者中医证型分布及相关因素研究
[Abstract]:Objective: To study the distribution of TCM syndrome and related factors in Zhuang and Han nationality patients with hypertension, and to provide scientific basis for the objective and standardization of TCM syndrome differentiation in Chinese and Chinese patients with hypertension. Methods: There were 644 cases of primary hypertension, including 343 cases of Zhuang nationality and 301 cases of Han nationality, in which 343 cases of Zhuang nationality and 301 cases of Han nationality were diagnosed as essential hypertension. The TCM syndrome differentiation was carried out, and the database was established and the software of SPSS19.0 was used. To analyze the distribution of TCM syndrome types in Zhuang and Han patients, and to analyze the distribution of TCM syndrome type in the Zhuang and Han nationality, the general situation of the Zhuang and Han patients with hypertension, and the comparative analysis of the blood biochemical indexes. The classification of TCM syndrome and the distribution of TCM syndrome and syndrome were compared between Zhuang and Han patients with hypertension. Results: (1) The distribution of TCM syndrome type in Zhuang nationality was as follows: the phlegm and dampness, the yin deficiency (32.65%), the yin and yang deficiency (18.07%) and the liver fire hyperactivity (8.16%), and the distribution of the syndrome type of the Chinese traditional Chinese medicine in the Han nationality was: the phlegm and dampness (52.49%). The yin and yang deficiency (21.97%), the yin and yang deficiency (16.24%) and the liver-fire hyperactivity (9.30%) were not significant (P0.05). There was a significant difference in the distribution proportion of the Han nationality and the Han nationality in the Han nationality (P 0.01), (2) the distribution of the Chinese traditional Chinese medicine syndrome type, the Han nationality and the female high blood pressure TCM syndrome type in the Zhuang nationality and the female hypertension. There was no significant difference in the distribution of TCM syndrome types between Zhuang and Han Chinese (P0.05). There was a significant difference in the distribution of TCM syndromes among Zhuang and Han women (p0.05), (3) the TCM syndrome of Zhuang nationality, (4) The age, history of drinking, family history of cardiovascular and fasting blood glucose were not significant (p0.05). The differences of blood ua, cr, tc, tg, ldl-c and hdl-c in the Zhuang and Han patients with hypertension were of statistical significance (p0.05); (5) The blood biochemical indexes of different TCM syndromes in Zhuang nationality were compared with those of the liver-fire type. There was a difference (p0.01, p0.05) between the deficiency of the yin and the yang, and the difference between the yin deficiency of the yin and the yin and yang (p0.01, p0.05), and the difference between the yin and yang deficiency type of the blood (p0.05). Compared with the hyperactive type of the liver fire, the blood cr of the phlegm-wet type was different (p0.05), and the difference between the yin deficiency and the yin-yang and the yin-yang deficiency-type blood cr (p0.05) was compared with that of the phlegm-dampness type. Compared with the liver-fire type, the type of yin-deficiency-yang-type tc, ldl-c, and hdl-c had a difference (p0.05). Compared with the liver-fire type, both the yin deficiency and the yin-yang deficiency and the yin-yang deficiency type fbs have the difference (p0.05). There was a significant difference between yin deficiency and yin-yang and yin-yang deficiency type blood (p0.01), compared with the blood biochemical index of the type of liver-fire, the yin-deficiency-yang-hyperactivity, and the yin-yang deficiency type of the blood-ua (p0.01), compared with the blood biochemical indexes of the patients with high blood pressure in the Han nationality. Compared with the liver-fire type, the blood cr of the phlegm-dampness type was different (p0.05), and the difference between the yin deficiency and the yin-yang and the yin-yang deficiency-type blood cr (p0.05) and the difference of the distribution of the integral grade of the traditional Chinese medicine syndrome in the Zhuang and Han-Han patients (p0.05). (7) The distribution of TCM syndrome types and syndrome points in Zhuang nationality patients with high blood pressure is mainly manifested as medium-sized, phlegm-dampness and high-type, and the yin-deficiency-yang hyperactive type mainly manifested as the middle and heavy-duty of the TCM syndrome integration. The yin-yang and yin-deficiency type mainly manifested as the heavy-duty of the syndrome of the traditional Chinese medicine; the classification and distribution of the TCM syndrome type and the syndrome integration of the Han-type hypertension patients, the hyperactivity of the liver-fire type, the phlegm-dampness type and the yin-deficiency-yang type are the middle-and medium-sized with the integral of the syndrome of the Chinese medicine, The two-deficiency type of Yin and Yang is the heavy-duty of TCM syndrome, and there is no significant difference in the distribution of TCM syndrome type and syndrome integration in the Zhuang and Han patients (P0.05). Conclusion: (1) The distribution ratio of Chinese traditional Chinese medicine syndrome of Zhuang and Han is different, and the difference between Zhuang and Han type of hypertension is not obvious in the distribution of sex distribution. (2) There is a certain difference in the distribution of Chinese traditional Chinese medicine syndrome of Zhuang and Han nationality in different age groups, which may be related to the evolution of the etiology and pathogenesis of the traditional Chinese medicine. (3) There was some difference in the general condition of cardiovascular disease (BMI, smoking history) and blood biochemical index in Zhuang and Han patients with hypertension. (4) The TCM syndrome type and some blood biochemical indexes of the Zhuang and Han patients with hypertension have a difference, indicating that the TCM syndrome type has a certain correlation with the modern laboratory index. (5) There was no significant difference in the distribution of TCM syndrome in Zhuang and Han patients.
【学位授予单位】:广西中医药大学
【学位级别】:硕士
【学位授予年份】:2016
【分类号】:R259
【相似文献】
相关期刊论文 前10条
1 李跃华;薛李;赵芳芳;朱倩倩;李岩;杨虹婕;刘华晖;;原发性骨质疏松症中医证型分布及其与骨折关系研究[J];中国中西医结合杂志;2010年05期
2 郝锦红;戴雁彦;张为;;慢性充血性心力衰竭患者中医证型分布规律初探[J];中国中医急症;2011年07期
3 常智玲;何江;管慧;周锦勇;;黔南州汉族与布依族冠心病中医证型分布规律对比研究[J];右江医学;2012年02期
4 杨国棠;黄金花;;高血压病中医证型分布规律的临床研究[J];中医临床研究;2013年12期
5 滕久祥;谭洁;彭芝配;李灼珊;李为;;湖南省原发性高血压中医证型分布及其相关因素的流行病学调查研究[J];湖南中医药大学学报;2006年06期
6 董国菊;刘剑刚;王承龙;史大卓;;300例冠心病患者中医证型分布特点分析[J];环球中医药;2009年02期
7 靳瑾;曾斌芳;;新疆维吾尔族 汉族脂肪肝患者350例中医证型分布特点及相关因素分析[J];山西医药杂志;2010年07期
8 王若飞;李伟;丁天鹏;孙庆明;何永林;施根林;李定宪;;慢性乙型肝炎中医证型分布与实验室检测特点[J];时珍国医国药;2013年09期
9 刘永家;382例冠心病中医证型分布与病因关系[J];辽宁中医学院学报;2000年04期
10 方素清;张艳;礼海;;75例高血压中医证型分布研究[J];辽宁中医杂志;2009年02期
相关会议论文 前10条
1 张艳;;心、脑粥样动脉硬化中医证型分布研究[A];中华中医药学会心病分会第十一届学术年会论文精选[C];2009年
2 刘贵颖;乔亚珍;刘e,
本文编号:2474232
本文链接:https://www.wllwen.com/zhongyixuelunwen/2474232.html