高血压病中医证型与左心室构型的关系  

Relationship between TCM Syndrome Type and Left Ventricular Geometry in Hypertension

作　　者：解静[1,2] 张改英 李菁[2] 史娜 代二庆 XIE Jing;ZHANG Gai-ying;LI Jing;SHI Na;DAI Er-qing(Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;Department of Prevention and Health Care,Affiliated Hospital of Medical College of Chinese People＇s Armed Police Force,Tiaajin 300162,China;Department of clinical laboratory,Baotou Mongolian Hospital of Traditional Chinese Medicine,Baotou 014040,China)

机构地区：[1]天津中医药大学,天津300193 [2]中国人民武装警察部队后勤学院附属医院预防保健科,天津300162 [3]包头市蒙医中医医院检验科,内蒙古包头014040

出　　处：《中国中医基础医学杂志》2018年第8期1098-1100,1112,共4页JOURNAL OF BASIC CHINESE MEDICINE

基　　金：武警后勤学院附属医院科研种子基金面上项目(FYM201528)-高血压病临床调查及中医辨证分型健康教育干预;包头市医药卫生科技计划项目(wsjj2016023)-高血压病Hcy水平调查及中医辨证分型健康教育干预;武警后勤学院附属医院科研种子基金面上项目(FYM201628)-2型糖尿病临床调查及中医辨证分型健康教育干预

摘　　要：目的:探讨高血压病左心室构型与中医证型的关系。方法:采用流行病学研究方法对133例高血压病患者行高血压病门诊中医病历表格确定中医证型;依彩色多普勒超声指标计算LVMI(左心室质量指数)和RWT(相对室壁厚度),并将患者分组,运用SPSS17.0软件统计分析数据。结果:高血压病患者左心室构型的排序为左心室正常构型组>向心性重构组>向心性肥厚组>离心性肥厚组,不同证型高血压病患者在IVST(室间隔厚度)和LVMI方面的差异有统计学意义,其中肝火亢盛型在IVST和LVMI方面明显低于痰湿壅盛型、阴虚阳亢型和阴阳两虚型,阴阳两虚型则在IVST方面明显高于其他3个证型,向心性重构组、向心性肥厚组和离心性肥厚组分别以肝火亢盛型和痰湿壅盛型、痰湿壅盛型和阴阳两虚型以及阴阳两虚型为主。结论:高血压病中医证型与左心室构型具有一定的关系,不同证型高血压病患者均有不同程度左心室重构的影像学表现。Objective： To investigate the relationship between left ventricular function and traditional Chinese medicine（ TCM） syndromes for the hypertensive patients. Methods： With epidemiology methods,the TCM syndrome types for the133 hypertensive patients are determined by filling the hypertensive medical record forms of TCM. LVMI（ left ventricular mass index） and RWT（ relative wall thickness） are calculated according to the results of the color doppler ultrasound,and then the patients are grouped. SPSS 17. 0 statistical software is used for statistical analysis of the data. Results： The number order of the hypertensive patients with left ventricular hypertrophy is as follows： normal left ventricle geometric group concentric remodeling group concentric hypertrophy group eccentric hypertrophy group. The differences in IVST and LVMI for the patients with the four syndromes exist statistically significant,in which the score of the overabundant liver-fire hyperactivity type is much lower than that of the stagnation of phlegm-dampness type,the Yin deficiency and yang hyperactivity as well as the Yin-Yang deficiency type in IVST and LVMI,while the score of the Yin-Yang deficiency type is obviously higher than that of the other three types in IVST. In the groups of the concentric remodeling,concentric hypertrophy and eccentric hypertrophy, the overabundant liver-fire hyperactivity type and the stagnation of phlegmdampness type,the stagnation of phlegm-dampness type and Yin-Yang deficiency type as well as Yin-Yang deficiency type holds the highest proportion,respectively. Conclusion： There exists some relationship between TCM and left ventricular function in hypertension. The patients with different TCM syndrome types appear the imaging performance to a certain degree in left ventricular remodeling.

关 键 词：高血压病 左心室构型 中医证型 

分 类 号：R544.1[医药卫生—心血管疾病]