中医辨证分型对高血压前期患者血压进展的影响  

Effect of TCM syndrome differentiation on blood pressure in patients with prehypertension

作　　者：刘振岳[1] LIU Zhen-yue(Tianjin Hongqiao Hospital TCM Department, Tianjin 300131,China.)

机构地区：[1]天津市红桥医院中医科,天津300131

出　　处：《中国处方药》2017年第6期98-100,共3页Journal of China Prescription Drug

基　　金：天津市中医药管理局中医中西医结合科研课题(13172)

摘　　要：目的研究不同类型中医辨证分型对高血压前期患者血压进展的影响,并试探血压进展程度与初始血压水平、年龄、性别、体重指数的相关性。方法纳入初诊为高血压前期组受试者200例,其中肝火亢盛型52例,阴虚阳亢型48例,痰湿壅盛型51例,阴阳两虚型49例,同时纳入理想血压健康体检组受试者30例为对照组。分别测定上述受试者初始24 h动态血压水平,连续随访3年后再次测试其24 h动态血压水平并进行统计分析。结果 (1)高血压前期组收缩压、舒张压、平均动脉压显著高于对照组(P<0.01),且高血压前期组进展为高血压病的发生率显著高于对照组(P<0.01);(2)肝火亢盛型受试者血压进展程度水平高于其他3个证型(P<0.05),其他3个证型经两两比较差异无统计学意义(P>0.05);(3)在高血压前期组中,受试者进展成为临床高血压的发生率与体重指数、收缩压、平均动脉压具有相关性,与年龄、舒张压无相关性。在对照组中受试者进展成为临床高血压病的发生率与年龄、体重指数、初始血压水平无明显相关性。结论 (1)高血压前期组较理想血压组的临床高血压病的发生率更高,同时与年龄、体重指数、初始血压水平呈正相关,因此早期、及时的干预,特别是对高龄、肥胖、血压较高人群有效的随访治疗对减少临床高血压病的发生发展具有重大意义;(2)肝火亢盛型受试者血压进展程度高于其他3个证型,说明中医辨证分型可作为判断高血压前期患者预后的指标之一。Objective To study the effect of different TCM Syndrome Types on blood pressure in patients with prehypertension,and explore thecorrelation between the degree of blood pressure and the initial blood pressure,age,sex and body mass index(BMI).Methods Bring into200cases ofnewly diagnosed prehypertensive subjects,including52cases of hyperactivity of liver fire type,48cases of hyperactivity,51cases of excessive phlegmdampness type,49cases of deficiency of yin and yang,at the same time,30healthy subjects were enrolled as control group.The subjects in the initial24hours ambulatory blood pressure levels were measured,continuous follow-up after three years of testing the24hour ambulatory blood pressure levels again andstatistical analysis.Results①The systolic blood pressure,diastolic blood pressure and mean arterial pressure in the pre hypertensive group were significantlyhigher than those in the control group(P<0.01),and the incidence of hypertension was significantly higher than that in the control group(P<0.01);②Hyperactivity of liver fire type subjects blood pressure progression level is higher than three other syndrome types(P<0.05),three other syndromes bypairwise comparison there was no significant difference between(P>0.05);③In the pre hypertensive group,the incidence of clinical hypertension wasassociated with body mass index,systolic blood pressure,mean arterial pressure,and there was no correlation with age and diastolic blood pressure.Therewas no significant correlation between the incidence of hypertension and age,body mass index and initial blood pressure in the control group.Conclusion①Prehypertension group ideal blood pressure group clinical hypertension incidence is higher,at the same time correlated with age,body mass index,bloodpressure level of the initial positive,so early and timely intervention especially for the elderly,obesity,high blood pressure in effective follow-up treatmenthas great significance to reduce the incidence of clinical hypertension;②Hyperactivity of liver fire type subje

关 键 词：高血压前期 辨证分型 相关性 

分 类 号：R259[医药卫生—中西医结合]