老年高血压病中医辨证分型与血压变异性  

Syndrome Differentiation of Traditional Chinese Medicine of Senile Hypertension and Variability of Blood Pressure

作　　者：马丽[1] 尚玉红[1] 

机构地区：[1]新疆医科大学附属中医医院,新疆乌鲁木齐830000

出　　处：《中医学报》2014年第2期265-266,共2页Acta Chinese Medicine

基　　金：新疆医科大学科研创新基金项目(编号:XJC201065)

摘　　要：目的:探讨老年高血压病中医辨证分型与血压变异相关参数的关系。方法:监测112例老年高血压患者24小时动态血压和中医辨证分型,计算夜间血压下降率,以此判断血压昼夜节律变化。结果:阴虚阳亢证收缩压变异性和舒张压变异性较其他组均最显著(P<0.05)。肾阴虚证收缩压夜间下降率、血压变异性明显降低(P<0.01)。结论:老年高血压患者血压变异性的相关参数、血压昼夜节律与中医不同证型之间可能存在一定关系,通过中医辨证分型能初步判断靶器官损害及预后。Objective ： To discuss the relationship between syndrome differentiation of traditional Chinese medicine of senile hypertension and blood pressure variation related parameters. Methods ： Monitored 24 hours ambulatory blood pressure and syndrome differentiation of TCM of 112 cases of senile hypertension patients, calculated the nighttime blood pressure decrease rate, so as to determine the blood pressure circadian rhythm changes. Results：Systolic blood pressure variability and diastolic blood pressure variability of yin deficiency and yang excess syndrome were the most significant compared to other groups （ P 〈 0.05 ）. The nighttime blood pressure fall rate and variability of blood pressure was lower in the pattern of kidney yin deficiency syndrome than other syndrome（P 〈0.01 ）. Conclusion： TCM syndrome pattern is related to circadian parameters of blood pressure variabihty and blood pressure circadian rhythm of senile hy- pertension. We can infer target organs damage and prognosis by TCM syndrome.

关 键 词：老年高血压病 中医辨证 阴虚阳亢证 痰瘀互阻证 肾阴虚证 血压变异性 

分 类 号：R259.441[医药卫生—中西医结合]