摘要
目的:探讨原发性高血压(EH)中医证候与24h动态血压监测水平的相关性。方法:对333例EH患者行24h动态血压监测和中医辨证。根据本虚标实辨证原则,将全部病例分为单纯实证、单纯虚证和虚实夹杂证三种类型;根据夹痰、夹瘀的不同,将全部病例分为夹痰证、夹瘀证、夹痰夹瘀证和非夹痰、夹瘀证四种类型。研究EH中医辨证分型各组24h动态血压监测水平的差异。结果:虚实辨证分组的单纯虚证、单纯实证、虚实夹杂证三组各项血压指标及血压形态均无统计学差异(P>0.05)。对夹痰、夹瘀分组的分析表明,夹痰夹瘀证组的全程、白天、夜间收缩压及脉压均高于夹瘀证组(P<0.05),舒张压及脉压指数无统计学差异(P>0.05)。结论:痰瘀互结与原发性高血压患者的收缩压和脉压升高有关,祛痰化瘀法应作为治疗原发性高血压的重要方法之一。
Objective： To investigate the correlationship between ambulatory blood pressure monitoring and different syndromes of essential hypertension. Methods： Essential hypertensive patients（n=333） were detected by 24-hour ambulatory blood pressure monitoring and diagnosed the syndromes with traditional Chinese medicine. At the same time, they were categorized into 3 groups according to the mixture syndrome of excess and deficiency and 4 groups in the light of the combinations of pathological productions, phlegm and blood stasis. We tried to find the differences of the ambulatory monitoring blood pressure levels among these groups. Results： The systolic blood pressure levels during the 24-hour-course, the daytime and the night in the phlegm-blood stasis combination syndrome were higher than those in the blood stasis combination syndrome（P〈0.05）. Conclusion： Increasion of systolic blood pressure and pulse pressuer had relationship with stagnation of phlegm and blood stasis. Method of expelling phlegm and blood stasis should be come one of the important ways to treat essential hypertension.
出处
《山东中医药大学学报》
2009年第3期206-208,共3页
Journal of Shandong University of Traditional Chinese Medicine
基金
北京市科技计划项目资助(编号:H020920010490)
关键词
原发性高血压
证候
动态血压监测
关系研究
essential hypertension
syndrome
ambulatory blood pressure monitoring
eorrelationship study
