摘要
目的:分析难治性高血压与中医体质的相关性。方法:选取2018年1月-2019年12月笔者所在医院收治的难治性高血压患者60例(观察组),以及同期健康体检者60例(对照组)为研究对象。设计调查问卷,采用问卷调查法统计研究对象的一般资料、中医体质类型等,分析难治性高血压患者主要体质类型,并比较不同体质类型间血压水平。结果:观察组气虚质、阴虚质、痰湿质比例均高于对照组,平和质比例低于对照组,差异均有统计学意义(P<0.05)。不同体质类型间收缩压、舒张压比较差异有统计学意义(P<0.05),其中阴虚质收缩压、舒张压均高于气虚质、痰湿质、血瘀质及其他体质,差异均有统计学意义(P<0.05)。Logistic分析表明,气虚质、阴虚质、痰湿质、血瘀质及其他偏颇体质与难治性高血压的发生有相关性(P<0.05),其中以阴虚质最高(OR=10.294,P<0.05)。结论:难治性高血压患者以阴虚质、气虚质、痰湿质、血瘀质为主要体质类型,基本病机为肝肾阴虚,根据体质分型给予干预措施,可以更准确地指导临床治疗。
Objective:To analyze the correlation between refractory hypertension and constitution of traditional Chinese medicine.Method:From January 2018 to December 2019,60 patients with refractory hypertension(observation group)and 60 healthy people(control group)were selected as the study objects.A questionnaire was designed to collect the general information of the subjects and the constitution types of traditional Chinese medicine,the main types of constitutions in patients with refractory hypertension were analyzed and the blood pressure levels among different constitutions were compared.Result:The proportions of Qi deficiency,Yin deficiency and phlegm dampness in the observation group were all higher than those in the control group,and the proportion of calm was lower than that in the control group,the differences were statistically significant(P<0.05).There were significant differences in systolic and diastolic blood pressure among different types of constitution(P<0.05),the systolic and diastolic blood pressure of Yin deficiency were higher than those of Qi deficiency,phlegm dampness,blood stasis and other constitution(P<0.05).Logistic analysis showed that Qi deficiency,phlegm dampness,blood stasis and other biased constitution were correlated with the occurrence of refractory hypertension(P<0.05),of which Yin deficiency was the highest(OR=10.294,P<0.05).Conclusion:The main constitution types of refractory hypertension patients are Yin deficiency,Qi deficiency,phlegm dampness and blood stasis.The basic pathogenesis is liver kidney Yin deficiency.According to the constitution type,the intervention measures can guide the clinical treatment more accurately.
作者
谭茂卿
林基伟
刘海鹏
吴虑
汪栋材
TAN Maoqing;LIN Jiwei;LIU Haipeng;WU Lü;WANG Dongcai(Shenzhen Hospital of Traditional Chinese Medicine,Shenzhen 518033,China;不详)
出处
《中外医学研究》
2020年第32期45-47,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
难治性高血压
中医体质
相关性
Refractory hypertension
Constitution of traditional Chinese medicine
Correlation
