老年高血压病肾气亏虚证的临床回顾性研究  

Clinical Retrospective Study of Kidney-"Qi" Deficiency Syndrome for Elderly Hypertension

作　　者：戴霞[1] 郭伟星[1] 

机构地区：[1]山东中医药大学,山东济南250355

出　　处：《时珍国医国药》2010年第3期697-698,共2页Lishizhen Medicine and Materia Medica Research

基　　金：国家自然科学基金(No.30873247);山东省中医药科技发展计划项目(No.2009-009)

摘　　要：目的探索老年高血压病肾气亏虚证的证候分布规律,为建立证候宏观诊断标准提供依据。方法以三家医院老年高血压病近10年病历资料为研究对象,以中医证型和四诊信息为切入点,运用现代统计学方法探讨老年高血压病肾气亏虚证的临床证候分布规律。结果575份病历资料中单证占总数的15.7%,复合证型占84.3%;探索性因子分析共提取了4个公因子,分别为肾虚、气虚+痰湿、瘀血和阴虚阳亢。结论肾气亏虚证是老年高血压病临床常见中医证候类型,但是单证较少,在住院患者中大多以复合证候的形式出现,痰和瘀是肾气亏虚证最主要的兼夹证。Objective To study the distribution rules of kidney-＂qi＂ deficiency syndrome for elderly hypertension in order to provide evidence for establishing its diagnostic criteria.Methods The distribution rules of kidney-＂qi＂ deficiency syndrome for elderly hypertension were analyzed by using the medical records of three hospitals during ten years.Results The single syndromes accounted for 15.7% of 575 medical records while the compound syndromes accounted for 84.3%.Four common factors were extracted which were kidney deficiency,＂q＂i deficiency and phlegm-dampness,blood stasis,＂yin＂ deficiency with ＂yang＂ hyperactivity by using exploratory factor analysis.Conclusion kidney-＂qi＂ deficiency syndrome is a common TCM syndrome of elderly hypertension and most of which are compound ones.Phlegm-dampness and blood stasis are main concomitant syndromes of kidney-＂qi＂ deficiency syndrome.

关 键 词：老年高血压病 肾气亏虚证 回顾性研究 探索性因子分析 

分 类 号：R256.5[医药卫生—中医内科学]