高血压病临床特征分型研究  

Research on the syndrome classification of hypertension

作　　者：张叶青[1] 王忆勤[2] 董耀荣[1] 燕海霞[2] 许文杰[2] 郭睿[2] 郝一鸣[2] 许朝霞[2] ZHANG Ye-qing;WANG Yi-qin;DONG Yao-rong;YAN Hai-xia;XU Wen-jie;GUO Rui;HAO Yi-ming;XU Zhao-xia(Shanghai TCM Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200071,China;Basic Medical College,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学附属市中医医院,上海200071 [2]上海中医药大学基础医学院,上海201203

出　　处：《中华中医药杂志》2018年第8期3704-3706,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：目的:对高血压病患者临床特征进行辨证分型研究,探讨不同证型临床分布特点。方法:符合纳入标准的243例高血压病例根据其临床表现进行辨证,分为不同证型组。结果:原发性高血压患者临床证型以兼夹证为主,单一证型较少,其中兼痰证者占66%,兼瘀证者占43%。证型分为4大类:肝火亢盛及其兼证、痰湿壅盛、阴虚阳亢及其兼证和阴阳两虚及其兼证。结论:痰瘀是高血压两个重要的致病因素,并相互转化,贯穿于高血压病的始终。Objective： To explore the syndrome classification of hypertension, and discuss the clinical distribution characteristics of different syndromes. Methods： A total of 243 hypertension patients were involved in this study, and all the cases were divided into different syndrome types according to the clinical characteristics by TCM experts. Results： The mainly clinical syndromes of primary hypertension are mixed, less single syndromes, 66% mixed with phlegm syndrome, 43% mixed with blood stasis syndrome. The syndromes are divided into four categories, including syndrome of liver fire flaming upward and its mixed, syndrome of phlegm-dampness, syndrome of yin deficiency with yang hyperactivity and its mixed, syndrome of dual deficiency of yin and yang and its mixed. Conclusion： Phlegm and blood stasis are the two important pathogenic factors of hypertension, and they could transform each other, as well as throughout the course of hypertension.

关 键 词：高血压 辨证分型 分布特征 

分 类 号：R259[医药卫生—中西医结合]