基于九体医学分析高血压前期人群分布特点  

Exploration of the Distribution Characteristics of Prehypertensive Population Based on Nine-Constitution Medicine

作　　者：牛露娜 赵睿学 李雪菲 邓秘 朱若维 荆鲁[1] NIU Luna;ZHAO Ruixue;LI Xuefei;DENG Mi;ZHU Ruowei;JING Lu(Eye Hospital China Academy of Chinese Medical Sciences,Beijing 100040,China;Tsinghua University Yuquan Hospital)

机构地区：[1]中国中医科学院眼科医院,北京100040 [2]清华大学玉泉医院

出　　处：《中西医结合心脑血管病杂志》2025年第4期481-486,共6页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：国家重点研发计划课题(No.2019YFC1710101);中国中医科学院眼科医院高水平医院人才引进项目(No.GSP5-88)。

摘　　要：目的:以九体医学为理论指导,观察高血压前期人群的中医体质分布特点。方法:对500例来源于8所分中心医院体检示高血压前期人群进行体质辨析,采用Logistic回归分析高血压前期人群偏颇体质与性别、年龄、体质指数(BMI)、家族史、生活方式、心理因素、生化指标的相关性。结果:共收集高血压前期人群499例,69例为平和质,430例为偏颇体质,其中156例为单一体质,274例为兼夹体质。高血压前期人群以痰湿质人数最多(288例),其次为气虚质196例,阳虚质190例,阴虚质171例,气郁质156例,血瘀质138例,湿热质128例,特禀质94例,平和质69例。女性较男性多兼夹体质,且多气虚质、阳虚质、阴虚质、气郁质、血虚质(P<0.05)。BMI是痰湿质和湿热质的危险因素,特禀质与过敏史、心脑血管疾病家族史关系密切。气郁质及兼夹体质数目越多人群广泛焦虑量表(GAD-7)评分和患者健康问卷(PHQ-9)评分越高,差异有统计学意义(P<0.05)。结论:高血压前期人群多偏颇体质,以痰湿质占比最高,兼夹体质广泛分布且存在性别差异,对于多种兼夹体质及气郁质高血压前期人群,需要关注其心理健康。Objective:Using Nine-Constitution Medicine as a theoretical guide to observe the distribution characteristics of Chinese medicine constitution and related factors in the pre-hypertensive population.Methods:The 500 cases originating from 8 sub-central hospitals with physical examination showing prehypertension were identified by traditional Chinese medicine constitution,and Logistic regression were used to analyze the correlation between biased traditional Chinese medicine constitution and gender,age,body mass index(BMI),family history,lifestyle,psychological factors,and biochemical index in the pre-hypertensive population.Results:A total of 499 cases of prehypertension were collected,69 cases with mild constitution and 430 cases with biased constitution.In biased constitution,156 cases were single constitution and 274 cases were composite constitution.In the prehypertensive population,the phlegm-dampness constitution was the most prevalent(288 cases),followed by Qi deficiency constitution(196 cases),Yang deficiency constitution(190 cases),Yin deficiency constitution(171 cases),Qi-stagnation constitution(156 cases),blood stasis constitution(138 cases),dampness-heat constitution(128 cases),allergic constitution(94 cases),and mild constitution(69 cases).Females showed more composite constitution than males,and more Qi deficiency constitution,Yang deficiency constitution,Yin deficiency constitution,Qi-stagnation constitution,and blood stasis constitution(P<0.05).BMI was a risk factor for phlegm-dampness constitution and damp-heat constitution,and allergic constitution was closely related to the history of allergy and family history of cardiovascular and cerebrovascular diseases.The higher the number of people with Qi depression constitution and combined constitutions,the higher the scores on the Generalized Anxiety Disorder-7(GAD-7)and the Patient Health Questionnaire-9(PHQ-9),and the differences were statistically significant(P<0.05).Conclusion:Pre-hypertensive people often showed a biased constitution,with phlegm-d

关 键 词：高血压前期 中医体质 痰湿质 分布规律 兼夹体质 

分 类 号：R259[医药卫生—中西医结合]