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高血压危险因素及中医证候特征研究 被引量:13

Study on Risk Factors of Hypertension and Its Characteristics of TCM Syndrome Elements
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摘要 目的研究冀东社区高血压病患者的高血压相关危险因素及中医证候要素特征。方法筛选冀东社区751例体检人群中的223例高血压病患者,采用横断面研究法,研究高血压中医证候要素及特征。应用Epidata软件录入整理患者背景资料、中医四诊信息,形成数据集,使用SPSS 21统计软件进行统计分析。结果(1)统计发现高血压病患者的收缩压和舒张压与性别、年龄、BMI、腰臀比、吸烟及饮酒习惯有显著正相关性(P<0.01),与最终学历、受教育年限、家庭收入、劳逸情况呈负相关。(2)男性患高血压病的人数明显高于女性,且年龄偏低,但血压值未有明显的差异。(3)高血压病的病性体现在阴虚、气虚、痰、血虚、阳虚、气滞、热、湿、饮。病位体现在肝、肾、脾、心、胆、胃。结论冀东社区高血压病患者的血压值与年龄、BMI、腰臀比、吸烟、饮酒、最终学历、受教育年限、家庭收入、劳逸情况具有相关性,存在性别间差异;证候的病性要素主要体现在阴虚、痰、气虚,病位要素主要体现在肝与肾。 Objective To study the characteristics of hypertension risk factors and TCM syndromes in patients with hypertension in jidong community.Methods A total of 223 hypertensive patients from 751 physical examination patients in Jidong community were screened.The cross-sectional study was used to study the classification and characteristics of TCM syndromes of hypertension.Epidata software was used to sort out the patient background and TCM diagnosis information,and the data set was formed.Statistical analysis was performed using SPSS 21 statistical software.Results 1.Statistics showed that systolic blood pressure and diastolic blood pressure were significantly positively correlated with gender,age,BMI,waist-to-hip ratio,smoking and drinking habits(P<0.01),and final education,years of education,family income,work and rest were negatively correlated.2.The number of hypertension in men was significantly higher than that in womenand the age was low,but there was no significant difference in blood pressure values.3.The pathogenesis of hypertension can be summarized as Yin deficiency,Qi deficiency,phlegm,blood deficiency,Yang deficiency,Qi stagnation,heat,dampness.The location of the disease was mainlythe liver,kidney,spleen,heart,gallbladder and stomach of TCM.Conclusion The blood pressure values of patients with hypertension are related to age,BMI,waisthip rate,smoking,drinking,final education,years of schooling,family income,work and rest,and there are differences between different genders.The disease characteristics of TCM syndrome elements are mainly embodied in Yin deficiency,phlegm and qi deficiency.The disease location an be attributed to the liver and kidney of TCM.
作者 于长颖 陈建新 刘婧玮 贾彩霞 赵慧辉 YU Changying;CHEN Jianxin;LIU Jingwei;JIA Caixia;ZHAO Huihui(Beijing university of Chinese medicine,Beijing 100029,China)
机构地区 北京中医药大学
出处 《辽宁中医杂志》 CAS 2020年第5期13-18,共6页 Liaoning Journal of Traditional Chinese Medicine
基金 国家自然科学基金优秀青年科学基金资助项目(81522051) 国家自然科学基金面上基金(81473521) 国家重点研发计划(2017YFC1700106)
关键词 高血压 证候要素 因子分析 危险因素 hypertension syndrome elements factor analysis risk factors
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