摘要
目的通过原发性高血压中医证类的流行病学调查,分析高血压病的中医证类分布规律,了解痰瘀互结、毒损心络证类在高血压患者中的权重,并分析各相关发病因素与证类的相关性。方法采用问卷调查方式对500例原发性高血压患者进行横断面调查。结果痰瘀互结、毒损心络证类在高血压发病中居首位(44.6%),其次为肾阴亏虚证类(8.6%),瘀血阻络证类(7.2%),气血亏虚证类(5.8%),风痰上扰证类(4.4%),阴虚血瘀证类(3.8%),气虚血瘀证类(3.4%),阳虚血瘀证类(2.4%),阳虚痰瘀证类(2.4%),气阴亏虚证类(2.2%),肾阳不足证类(2.0%),阴亏痰瘀证类(1.8%),肝郁痰瘀证类(1.6%),肝阳上亢证类(1.6%),气虚痰瘀证类(1.2%)和阴阳两虚证类(0.4%)。同时,除痰瘀互结、毒损心络证类外,男性更易患肾阴不足证类,女性更易患瘀血阻络证类和气血亏虚证类;中青年患者肾阴不足证类患病率明显高于老年患者;病程延长则患瘀血阻络证类和肾阳不足证类的机率增加;超重者患痰瘀互结、毒损心络证类的整体机率增加;高脂血症者患痰瘀互结、毒损心络证类,风痰上扰证类和肝阳上亢证类的机率明显增加。结论痰瘀互结、毒损心络证类为高血压病的主要多发证类;不同性别、年龄、体重指数、腰围、腰臀比、饮酒、吸烟、病程、血压控制情况与中医的证类之间存在相关性。
Objective： Through the epidemiology investigation of Chinese medicine syndromes of primary hypertension, to analyze the distribution of Chinese medicine syndromes of primary hypertension, to discuss the distribution of phlegm-blood stasis, poison damaged heart meridian syndrome in the patients of hypertension, and to analyze each correlation between morbidity factors and Chinese medicine syndromes of primary hypertension. Methods： Used questionnaire survey to carry on the cross- sectional investigation through 500 examples of primary hypertension patients. Results： phlegm -blood stasis, poison damaged heart meridian syndrome occupy the first place in hypertension morbidity, accounts for 44.6%, next for the kidney - yin deficiency syndrome （8.6%）, the blood -stasis syndrome （7.2%）, the qi and blood deficiency syndrome （5.8%）, the wind -phlegm syndrome （4. 4% ）, the yin deficient and blood stasis syndrome （3.8%）, the qi deficient and blood stasis syndrome （3.4%）, the yang deficient and blood stasis syndrome （2.4%）, the yang deficiency and phlegm - blood stasis syndrome （2.4%）, the qi and yin deficiency syndrome （2.2%）, the kidney - yang deficiency syndrome （2.0%）, the yin deficiency and phlegm - blood stasis syndrome （ 1.8% ）, the liver - yang flaming syndrome （ 1.6% ）, the liver - qi stagnation and phlegm - blood stasis syndrome （ 1.6% ）, the qi deficient and phlegm - blood stasis syndrome （ 1.2% ）, the yin and yang deficiency syndrome （0. 4% ）. Has proven this viewpoint of phlegm - blood stasis, poison damaged heart meridian syndrome to be the very important cause of primary hypertension. Also discovered that besides the phlegm - blood stasis, poison damaged heart meridian syndrome, male patients easily were kidney - yin insufficient syndrome, while the female patients were blood stasis syndrome and qi -blood deficient syndrome; The prevalence rate of youth patient＇ s kidney - yin insufficient syndrome was higher than the old age patient obviously; While the disease course lengthens, the probability of blood stasis syndrome and kidney - yang insufficient syndrome increased; The overweight patients had a higher probability of phlegm - blood stasis, poison damaged heart meridian syndrome; The probability of phlegm - blood stasis, poison damaged heart meridian syndrome, the wind-phlegm syndrome, the liver-yang flaming syndrome obvious increase in hyperlipemia. Conclusion： The phlegmblood stasis, poison damaged heart meridian syndrome as hypertension mainly syndrome should obtain more recognition. The difference of sex, age, body weight index, waist, waist buttocks ratio, wine drinking, smoking, disease course and the control of blood pressure has a relativity to the Chinese medicine syndrome of hypertension.
出处
《中国中医急症》
2008年第9期1270-1274,共5页
Journal of Emergency in Traditional Chinese Medicine
基金
国家"793"课题(No.2006CB504805-1)
关键词
原发性高血压
痰瘀互结
毒损心络证类
流行病学
横断面调查
Primary hypertension
The phlegm - blood stasis, poison damaged heart meridian syndrome
Epidemiology
Cross - sectional survey
