高血压前期人群体质类型与心血管危险因素的相关性研究  

The Relationship between Constitution Type and Cardiovascular Risk Factors in the Early Stage of Hypertension

作　　者：闫海慧[1] 王希利[1] 孙明祎[1] 王淑静[1] 汲泓[1] 

机构地区：[1]辽宁中医药大学,辽宁沈阳110000

出　　处：《中医药导报》2016年第12期69-71,74,共4页Guiding Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:探讨高血压前期体质类型及与心血管危险因素的相关性,为高血压前期及高血压的防治提供科学依据。方法:选取200例高血压前期人群,90例高血压人群,100例正常血压人群为研究对象;通过问卷调查的形式收集入选对象的基本信息、体质类型、心血管危险因素,对数据进行统计与分析。结果:高血压前期组与正常血压组相比,阴虚质、阳虚质、痰湿质是高血压前期的主要危险因素(OR值均>1);高血压前期组阴虚质、阳虚质、痰湿质体质类型与心血管危险因素有一定的相关性。3组体质人群在性别、有无吸烟史、有无饮酒史、年龄、BMI、血尿酸水平上有显著差异,在高血压家族史、空腹血糖、总胆固醇、甘油三酯、低密度胆固醇、高密度胆固醇水平上,差异均无统计学意义(P>0.05)。其中阴虚质年龄显著小于阳虚质(P=0.007<0.05);痰湿质男性发生率显著高于阴虚质、阳虚质(P<0.05);痰湿质吸烟人群显著高于阴虚质、阳虚质(P<0.05、P<0.05);阳虚质饮酒人群显著少于痰湿质、阴虚质(P<0.05、P<0.05);痰湿质、阴虚质的体重指数显著高于阳虚质(P<0.05、P<0.05);痰湿质血尿酸水平显著高于阴虚质、阳虚质(P<0.05、P<0.05)。结论:高血压前期组与正常血压组相比,痰湿质、阴虚质、阳虚质是高血压前期发生的主要危险因素;高血压前期组痰湿质、阴虚质、阳虚质体质类型与性别、有无吸烟史、有无饮酒史、年龄、BMI、血尿酸心血管危险因素存在一定的相关性。Objective： To investigate the correlation between pre-hypertension physical type and cardiovascular risk factors, and to provide scientific basis for the prevention of pre-hypertension and hypertension. Methods： 200 patients with pre-hypertension, 90 cases with hypertension, and 100 normal people were selected, and their basic information, type of constitution and cardiovascular risk factors were collected, by the form of question- naire, and analyzed. Results： Compared with normal group, Yin-deficiency, Yang-deficiency constitution and phlegmdampness constitution are the main risk factors of pre-hypertension （OR value 〉1）, it means the three types of constitution are probably correlated with the cardiovascular risk factors. The three groups of human constitution in gender, smoking history, drinking history, age, BMI, blood uric acid level were significantly dif- ferent, but the hypertension family history, fasting blood glucose, total cholesterol, triglyceride, low density lipoprotein cholesterol, high density lipoprotein cholesterol level have no statistical differences （P〉0.05）. The Yin deficiency age was significantly less than that of Yang deficiency （P〈0.05）; the incidence of male with phlegmdampness constitution was significantly higher than that of Yin deficiency, Yang deficiency constitution （P〈0.05）; smokers with phlegm-dampness constitution were significantly higher than that of Yin deficiency and Yang deficiency constitution （P〈0.05）; drinkers with Yang deficiency were significantly lower than that of phlegm- damp- ness and yin deficiency constitution （P〈0.05）; The body mass index （BMI） of patients with phlegm-dampness and yin deficiency constitution were significantly higher than that of the Yang deficiency （P〈0.05）; The blood uric acid level of phlegm-dampness constitution was significantly higher than that of Yin deficiency and Yang defi- ciency constitution （P〈0.05）. Conclusions： Yin-deficiency, Yang-deficiency constitution and phlegm-dam

关 键 词：高血压前期 体质 心血管危险因素 相关性 痰湿质 阴虚质 阳虚质 

分 类 号：R255[医药卫生—中医内科学]