高血压病中医证素分布研究  

Distribution of TCM Syndrome Factors of Hypertension

作　　者：梁君昭 董秋芬 苏建[3] 姜浩[3] 马丽君[3] 高琪[3] 刘畅[3] LIANG Jun-zhao;DONG Qiu-fen;SU Jian;JIANG Hao;MA Li-jun;GAO Qi;LIU Chang(1. Xi＇an Hospital of Chinese Medicine, Xi＇an, Shaanxi, China, 710021 ; 2. Hubei Provincial Hospital of Chinese Medicine, Wuhan, Hubei, China, 430000; 3. Shaanxi University of Chinese Medicine, Xianyang, Shaanxi, China, 71002)

机构地区：[1]西安市中医医院,陕西西安710021 [2]湖北省中医医院,湖北武汉430000 [3]陕西中医药大学,陕西咸阳710021

出　　处：《河南中医》2018年第2期241-243,共3页Henan Traditional Chinese Medicine

基　　金：陕西省社会发展科技攻关项目(编号:2015SF233)

摘　　要：目的:探讨高血压病患者中医证素分布特点,指导中医临床辨证。方法:按照流行病学调查研究的要求,制定高血压病临床调查表,收集420例合格高血压病患者的一般资料,根据朱文峰教授的证素辨证方法和中医证候分级标准,进行高血压病中医证素诊断和量化积分,记录相关数据。通过统计分析,结合中医证素频数分布情况和各症状积分结果,明确高血压病患者中医证素分布情况,并探讨各证素积分的特点。结果:420例高血压病患者的病位证素在频数分布主要为肝(83.1%)、脾(70.4%)、肾(68.3%),三者之间比较无统计学意义(P>0.05);以阳亢、痰湿证素分布最高,两者比较无统计学意义(P>0.05),分别与其他各实性证素相比具有统计学意义(P<0.05);以阴虚、气虚频数分布最高,与其他各虚性证素比较具有统计学意义(P<0.05)。结论:在眩晕的防治上不仅要重视肝、脾、肾的调护,还要注重对阳亢、痰湿、阴虚、气虚等致病因素的干预。Objective： To explore the distribution characteristics of TCM syndrome factors of hypertension for guiding the TCM clinical syndrome differentiation. Methods： According to the requirement of epidemiological investigation,the clinical questionnaires of hypertension were set out and totally 420 hypertension patients accorded with criteria were collected. Based on the syndrome differentiation method of syndrome factors and TCM symptom grading criteria of Professor Zhu Wenfeng,the diagnosis and quantization scoring of the TCM syndrome factors were conducted and related data were recorded. With statistical analysis and combined with the frequency distribution condition and scores of various symptoms,the distribution of TCM syndrome factors of hypertension was identified and the characteristics of various syndrome factor scores were discussed. Results： Among 420 cases of patients with hypertension,their frequency distribution of syndrome factors mainly focused on the liver（83. 1%）,the spleen（70. 4%）,kidney（68. 3%）,and the differences between the three organs were significant（P 0. 05）; Yang hyperactivity,and phlegm dampness syndrome factors had the highest frequency distribution,and the difference between them was not significant（P 0. 05）. But the differences between them and each of other excess syndrome factors had statistical significance（P 0. 05）. Yin deficiency and qi deficiency had the highest frequency distribution,but the differences between them and each of other deficient syndrome factors had statistical significance（P 0. 05）. Conclusion： The disease location of syndrome factor distribution is mostly seen in the liver,spleen and kidney,and the liver is of the most frequency. The disease nature of syndrome factor distribution pertaining to excess syndrome is mainly yang hyperactivity and phlegm dampness while deficiency syndrome is mainly yin deficiency,qi deficiency and essence deficiency.

关 键 词：高血压 中医证素 证素辨证 

分 类 号：R259.441[医药卫生—中西医结合]