摘要
[主要目的]分析原发性高血压合并焦虑相关因素及中医证型分布规律。[资料来源]选取广西中医药大学附属瑞康医院心血管内科2010年10月至2012年3月住院及门诊高血压患者,发放基本情况量表及SAS量表。[选择文献量及依据]①研究类型:问卷调查。②研究对象:年龄>18岁;符合原发性高血压诊断标准;辨证分型:肝火亢盛、阴虚阳亢、阴阳两虚和痰湿壅盛;无合并症;未系统服药,或服用降压药治疗但未达到正常血压;知情同意,签署知情同意书。排除继发性高血压、高血压并发严重疾病;阳性精神病家族史和个人史,意识障碍及语言交流困难,不合作者。[数据提炼规则及应用方法]根据焦虑自评量表(SAS)评分,统计焦虑发生率。以是否合并焦虑分两组,分析性别、年龄、文化程度、是否单身、是否饮酒等方面差异性。统计中医证型出现焦虑例数,总结证型分布规律。采用SPSS18.0统计软件,按性别、年龄、文化程度、是否单身、是否饮酒、中医证型等分组,统计各因素对合并焦虑发病率的影响,计量资料采用均值±标准差(x珋±s)表示,计数资料采用χ2检验。[数据综合得出结果与结论]高血压合并焦虑与性别、饮酒无明显相关性(P>0.05),与年龄、文化程度、单身有明显相关性(P<0.05)。不同中医证型焦虑发病率有显著性差异(P<0.05)。焦虑症状发病率(SAS标准分>50)30%,低于以往调查发病率,可能原因:①样本量较少。②高血压发病率越来越高,发病人群越来越年轻,对高血压认识已普及。性别、是否饮酒对高血压合并焦虑的发病率没有显著影响。文化程度:大专以上焦虑发病率明显高于大专以下,可能与文化程度较高、自我意识较强,知识丰富,成就感和价值感较强,患病后考虑问题较多,对工作、家庭、经济等方面思想顾虑较大有关。是否单身:单身焦虑发病率较高,可能因单身不能得到�
[Main Object]To analysize the correlative factors and distribution of syndrome type of primary hypertension combined with anxiety.[Data Source]Inpatients and outpatients were enrolled in cardiovascular medicine of affiliated Ruikang Hospital of Guangxi University of Chinese Medicine from October 2010 to March 2012.[Literature Selection and Criterion]①Research type： Questionnaire survey.②Study object： Age larger than 18;accord with the criterion of primary hypertension;differentiation of symptoms and signs： liver fire flaming upward,yin deficiency with effulgent fire,dual deficiency of yin and yang,excessive accumulation of phlegm-dampness;without complication;without systematic medication or normal blood pressure after treatment;informed consent signed.Exclude patients with secondary hypertension or other serious diseases;positive family or personal history with mental disorder,disturbance of consciousness,difficult to communicate,not conform to survey.[Data Extracting and Method]140 patients with hypertension were checked with self rating anxiety scale（SAS）,and incidence rate of hypertension combined with anxiety was counted.Difference of sex,age,education,married or not,drink or not et al.was compared between patients with hypertension combined with anxiety and without anxiety.Distribution of syndrome type of primary hypertension with anxiety was researched by counting the number cases of the four types.Effects of the factors such as sex,age,education,married or not,drinking or not et al on hypertension combined with anxiety were analysized with SPSS18.0.Mean is showed with x ± s,and enumeration data is checked with chi-square test.[Results and Conclusions]Hypertension combined with anxiety has no obvious correlation with sex,drinking（P0.05）,and has obvious correlation with age,education and marriage（P0.05）.Incidences of hypertension combined with anxiety of different TCM syndrome type have differences（P0.05）.Incidence of hypertension combined with anxiety（SAS50） is 30% which is l
出处
《实用中医内科杂志》
2013年第4期4-7,共4页
Journal of Practical Traditional Chinese Internal Medicine
基金
广西科学研究与技术开发项目(0993003A-15)
关键词
原发性高血压
合并焦虑
相关因素
证型
分布规律
问卷调查
循证医学
系统综述
Primary Hypertension
Combined Anxiety
Correlative Factors
Type of Syndrome
Regularities of Distribution
Questionnaire survey
Evidence-based Medicine
Systematic Review
