摘要
目的分析H型高血压患者中医体质特征。方法选取2018年1月—2019年12月就诊于北京中医药大学房山医院的280例原发性高血压患者作为研究对象,按照是否合并高同型半胱氨酸血症(HHcy)分为观察组(210例)与对照组(70例)。观察组为H型高血压患者,对照组为非H型高血压患者,对两组患者进行中医体质辨识,统计分析患者的中医体质特征。结果观察组的男性比例高于对照组,差异有统计学意义(P<0.05)。210例H型高血压病患者的偏颇体质以痰湿质(18.21%)、气虚质(15.90%)、阳虚质(15.13%)和湿热质(14.87%)为主。70例非H型高血压患者的偏颇体质以气虚质(21.99%)、阳虚质(19.86%)、气郁质(12.77%)和痰湿质(12.06%)为主。观察组中痰湿质、湿热质的男性比例高于对照组,差异有统计学意义(P<0.05)。结论H型高血压与中医体质相关,其中与痰湿质关系密切,且男性患病率较高,这对指导中医从调整体质入手治疗高血压,针对不同体质辨证用药,提高临床疗效具有重要意义。
Objective To analyze the constitution characteristics of traditional Chinese medicine(TCM)in patients with H-type hypertension.Methods A total of 280 patients with essential hypertension who were admitted to Fangshan Hospital Beijing University of Chinese Medicine from January 2018 to December 2019 were selected as the research subjects,and were divided into observation group(210 cases)and control group(70 cases)according to whether they were complicated with hyperhomocysteinemia(HHCY).The observation group was H-type hypertension patients,and the control group was non H-type hypertension patients.TCM constitution identification was performed on the two groups of patients,and the TCM constitution characteristics of the patients were counted and analyzed.Results The proportion of male in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).The biased constitution of 210 patients with H-type hypertension was mainly composed of phlegm-dampness(18.21%),qi deficiency(15.90%),yang deficiency(15.13%)and damp-heat(14.87%).The biased constitution of 70 patients with non-H-type hypertension were mainly Qi deficiency(21.99%),Yang deficiency(19.86%),Qi stagnation(12.77%)and phlegm dampness(12.06%).The proportion of men with phlegm-dampness and damp-heat quality in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion H-type hypertension is related to all types of constitution in traditional Chinese medicine.Among them,it is closely related to phlegm and dampness,and the prevalence of men is higher.This is of great significance for guiding Chinese medicine to treat hypertension by adjusting the constitution,use drugs for different constitution,and improve clinical efficacy.
作者
赵铁葆
王旭浈
文银萍
蒲琳倩
龙红波
宗静岩
陈宏艳
张红
ZHAO Tie-bao;WANG Xu-zhen;WEN Yin-ping;PU Lin-qian;LONG Hong-bo;ZONG Jing-yan;CHEN Hong-yan;ZHANG Hong(Department of Preventive Treatment of Disease,Fangshan Hospital Beijing University of Chinese Medicine,Beijing102400,China;Fangshan Hospital Beijing University of Chinese Medicine,Beijing102400,China)
出处
《中国当代医药》
CAS
2021年第24期188-191,共4页
China Modern Medicine
关键词
高血压
H型高血压
同型半胱氨酸
中医体质
Hypertension
H-type hypertension
Homocysteine
Constitution of traditional Chinese medicine
