摘要
目的:探索原发性失眠患者中医证候与双臂同测血压规律。方法:选取中国中医科学院广安门医院收治的原发性失眠患者为试验组,以年龄和性别为主要匹配因素选取中国中医科学院院内体检健康的职工为正常对照组,运用双臂同测血压仪连续2次采集受试者双臂同测收缩压(Systolic Blood Pressure,SBP)、舒张压(Diastolic Blood Pressure,DBP)、脉压差(Pulse pressure,PP),运用秩和检验比较失眠患者与正常人群组间血压差异及组内两臂间血压差异,同时采集失眠患者中医证候信息。结果:共采集原发性失眠患者47例,匹配正常人群58例,结果显示:失眠组患者SBP、DBP、PP低于正常组,失眠组患者右臂DBP高于左臂,失眠患者右臂PP低于左臂,失眠组患者主要中医证候为肝郁证(40.43%)、血虚证(31.91%)、脾虚证(17.02%)。结论:原发性失眠患者两臂同测血压表现出不平衡现象,失眠组患者中医证候多见肝郁证、血虚证、脾虚证。
Objective： To explore the distribution of TCM syndrome and Inter-arms blood pressure in Primary insomnia patients. Methods： Primary insomnia patients in Guang An Men Hospital were selected as the Case group and healthy employees in China academy of Chinese Medicial Sciences were selected as the control group. Inter-Arm blood pressure were measured simultaneously by digital blood pressure Monitor in the two groups. Systolic Blood Pressure（ SBP）,Diastolic Blood Pressure（ DBP） and Pulse pressure（ PP） were compared by Wilcoxon test. Results： 47 Primary insomnia patients and 58 healthy volunteers were observed in the study. The insomnia patients had lower SBP,DBP and PP than the healthy. In the insomnia group,DBP in right arm was higher than the left,while PP in the right arm was lower than the left. The top3 TCM syndrome were syndrome of liver depression（ 40. 43%）,syndrome of blood deficiency（ 31. 91%）and syndrome of spleen deficiency（ 17. 02%）. Conclusion： Unbalance of the Inter-Arm blood pressure was observed in in Primary insomnia patients compared with the healthy people. Syndrome of liver depression,syndrome of blood deficiency and syndrome of spleen deficiency were the major syndromes of Primary insomnia Patients.
出处
《世界睡眠医学杂志》
2017年第1期19-26,共8页
World Journal of Sleep Medicine
基金
国家中医药管理局2013年中医药行业科研专项(编号:201307001)
国家自然科学基金青年项目(编号:81503679)
关键词
原发性失眠
中医证候
双臂同测血压
分布规律
血压平衡
Primary insomnia
TCM pattern
Inter-Arm blood pressure measured simultaneously
balance of blood pressure
