原发性高血压患者表型与中医体质分类关系的研究  

Studies on the Relationship of the Phenotype and the Traditional Chinese Medicine Constitution of the Essential Hypertensive Patients

作　　者：钱岳晟[1] 张伟忠[1] 周怀发[1] 王勤[1] 

机构地区：[1]上海第二医科大学附属瑞金医院,上海市高血压研究所,上海200025

出　　处：《中国中医基础医学杂志》2002年第2期49-51,共3页JOURNAL OF BASIC CHINESE MEDICINE

摘　　要：目的 :从生理和生化角度 ,探讨原发性高血压患者不同表型与中医体质分类的相关性。方法 :采用中医体质分类标准进行分类 ,并做血压、体量指数、心电图和生化等指标测定。结果 :阳亢质、痰湿质和平和质分别占原发性高血压患者的 37 4 %、4 7 6 %、15 0 % ;从体态上 ,痰湿质属于肥胖型 ,血糖、胆固醇、甘油三脂水平痰湿质组最高 ,高密度脂蛋白水平则最低 ,心电图的异常率痰湿质明显高于阳亢质组。结论 :在原发性高血压患者中阳亢质和痰湿质是两大基本类型 ;痰湿质高血压患者多数属于肥胖型 ,预后可能要比其他体质的患者差。Objective:From the viewpoint of the physiology and biochemistry,to research the relativity of the different phenotype and the traditional Chinese medicine constitution classification of the essential hypertensive patients.Methods:to classify constitution according to the traditional Chinese medicine sorting standard and to assay blood pressure、boody mass index、electrocardiogram and biochemistry indexes.Results:yangkang、tanshi and pinghe are in the proportion of 37 4%、47 6%、1 5%among essential hypertensive patients,respectively.Tanshi belongs to obesity type and the level of its serum glucose、cholesterol、triglyceride is the highest,the level of its high density lipoprotein is the lowest and the percentage of the abnormal electrocardiogram is obviously higher than yangkang group.Conclusions:yangkang and tanshi are two essential types in the patients of the essential hypertension.Tanshi hypertensive patients mostly belong to obese type and the prognosis of them may be worse than that of the patients of other constitutive types.

关 键 词：原发性高血压 体质分类 阳亢 痰湿 中医病理学 

分 类 号：R259.441[医药卫生—中西医结合]