不同地域高血压病患者中医证型分布特点及相关因素分析  

Relationship Between Traditional Chinese Medical Syndrome Pattems end Associated Factors in Essential Hypertension Patients from Different Regions

作　　者：王严冬[1] 刘志龙[1] 刘培中[1] 刘立昌[1] 杨华伟[1] 方统念[1] 潘伊凡[1] 劳成峰[1] 吴小秋[1] 成杰辉[1] 关少侠[1] 李国焕[1] 刘克锋[1] 申春悌[2] 陆岩[2] 

机构地区：[1]广东省中医院珠海医院,广东珠海519015 [2]常州市中医医院,江苏常州213001

出　　处：《新中医》2009年第6期23-25,共3页New Chinese Medicine

基　　金：国家重点基础研究发展(973)计划子项目--高血压病病证结合证候要素研究(编号:2003CB517101)

摘　　要：目的:探讨不同地域高血压病患者中医证型的分布特点及相关因素。方法:不同地域多中心参与研究,以统一调查表形式,调查600例高血压病患者(广东省珠海市300例、江苏省常州市100例,江苏省南京市100例,辽宁省沈阳市100例),分析地域不同所致高血压病患者基本情况、体质、生活方式、饮食习惯等的差异,及对中医辨证分型的影响。结果:不同地域高血压病患者中医证型分布有较明显差异,珠海市高血压病患者的临床主要证型为瘀血阻络(32.7%)、痰瘀阻络(22.3%)、肝肾阴虚(21.7%)、肝阳上亢(17.0%)、痰火上扰(15.7%)、肝火亢盛(14.7%);常州市和南京市分布无明显差异,主要证型为肝肾阴虚(29.0%, 39.0%)、肝阳上亢(26.0%,37.0%)、痰浊壅盛(13.0%,12.0%)、痰瘀阻络(6.0%,12.0%);沈阳市主要证型为肝阳上亢(31.0%)、心血亏虚(30.0%)、瘀血阻络(24.0%)、肝肾阴虚(23.0%)。不同地域患者体质、部分生活及饮食习惯等也有较大差异(P<0.05,P<0.01)。结论:不同地域高血压病患者中医证型分布有明显差异,与其生活方式、饮食习惯、体质等有一定相关性。Objective:To explore the relationship between traditional Chinese medical(TCM) syndrome patterns and associated factors in essential hypertension(EH) patients from different regions. Methods:An investigation was carried out in a total of 600 EH patients,of which 300 were from Zhuhai of Guangdong province,100 from Changzhou of Jiangsu province,100 from Nanjiang of Jiangzu province,and 100 from Shenyang of Liaoning province.The general status,constitution, lifestyle,dietary habits of EH patients were observed,and the relationship between TCM syndrome patterns and the above associated factors were analyzed.Results:TCM syndrome patterns varied from different regions.The principal syndrome patterns of EH patients from Zhuhai were blood-stasis blocking collaterals(32.7%),phlegm and blood-stasis blocking collaterals (22.3%),yin deficiency of liver and kidney(21.7%),hyperactivity of liver yang(17.0%), upward disturbance of phlegm-fire(15.7%),hyperactivity of liver-fire(14.7%).The main syndrome patterns shown in EH patients from Changzhou and Nanjing were as follows:yin deficiency of liver and kidney(29%and 39%respectively),hyperactivity of liver yang(26%and 37%respectively),excessive turbid phlegm(13%and 12%respectively),and phlegm and blood-stasis blocking collaterals(6%and 12%respectively).The main syndrome patterns in EH patients from Shenyang were hyperactivity of liver yang(31%),insufficiency of heart blood (30%),blood-stasis blocking collaterals(24%),yin deficiency of liver and kidney(23%).The difference of syndrome patterns was significant in EH patients with different constitution,Lifestyle and dietary habits also have obvious differences among defferent regions(P<0.05,P<0.01). Conclusion:The TCM syndrome patterns in EH patients vary from different regions,and are correlated with their lifestyle,dietary habits and constitution to some extent.

关 键 词：高血压 辨证分型 地域 证候特点 

分 类 号：R544.1[医药卫生—心血管疾病]