老老年高血压病患者中医证候分布特点的研究  

Studies on Distribution Characteristics of Syndromes in Traditional Chinese Medicine on Elderly Hypertensive Patients

作　　者：周佳[1] 陈海玲[1] 骆丽菊[1] 陈远园[1] 

机构地区：[1]浙江省杭州市中医院,杭州310007

出　　处：《中国中医药科技》2014年第2期117-118,120,共3页Chinese Journal of Traditional Medical Science and Technology

基　　金：浙江省中医药科技计划项目No.2012ZB111

摘　　要：目的:探讨老老年高血压病病人的中医证候分布规律和特点。方法:依据文献调研结果制订中医证候调查表,对老老年高血压患者进行调查。结果:老老年高血压病患者临床症状以头晕、头胀、不寐、肥胖、口干、目干、心悸等为多见;舌象以暗红舌、红舌多见,薄苔、白苔为常见苔质;弦脉为常见脉象。证候以阴虚阳亢、瘀血阻络最为常见,气阴两虚最为少见;证素以阴虚、血瘀、痰浊、阳虚比例较大。结论:老老年高血压患者中医证候表现为虚证以阴阳两虚为主,实证以痰瘀互结为主,且虚证多于实证。Objective：To study the distribution laws and characteristics of traditional Chinese medicine syndromes on elderly hypertensive patients.Methods：The elderly hypertensive patients were inquired by the questionnaire forms formulated according to the results of literature surveys.Results：The clinical symptoms of the elderly hypertensive patients were commonly seen as dizziness,fullness in head,insomnia,obesity,dry mouth,dry eyes,palpitation,etc.; the tongue images were commonly seen as red or dark red tongues,thin or white furred tongues; the wiry pulse was the common pulse condition.The syndromes were commonly seen as yin-deficiency and yang-hyperactivity and obstruction of collaterals by blood stasis,and were rarely seen as yin-deficiency and qi-deficiency; yin-deficiency,blood stasis,phlegm evil,and yang-deficiency accounted for a large proportion in the syndrome elements.Conclusions：The syndrome representations of traditional Chinese medicine on the elderly hypertensive patients is the deficiency syndromes which were mainly in yin and yang deficiency while the excess syndromes were mainly in the phlegm and stnsis; and the deficiency syndromes were more than the excess ones.

关 键 词：高血压 辨证规范化 老年人 80以上 

分 类 号：R259[医药卫生—中西医结合]