难治性高血压患者的中医体质特点研究
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摘要
目的:研究难治性高血压患者的中医体质特点,为中医药早期干预提供依据。方法:运用R-Q型因子分析于聊城市中医医院就诊的120例难治性高血压患者中医体质特点,探索不同年龄段、不同性别难治性高血压患者的中医体质相关性。结果:难治性高血压患者中医体质构成中,男性以痰湿质(31.3%)、湿热质(23.9%)居多,其次为气郁质、阴虚质(各8.9%);女性以气郁质(22.7%)、痰湿质(18.8%)、血瘀质(15.1%)、阴虚质(15.1%)居多,其次为气虚质、湿热质(各9.4%);不同性别患者在湿热质、气郁质构成中存在差异性(P<0.05)。18～29岁以平和质为主,30～34岁以痰湿质、湿热质、气郁质为主,45～59岁以阴虚质为主,60岁以上多呈现出气虚质、阳虚质、血瘀质。男性患者18～29岁以平和质、特意禀体质分布为主,30～44岁以痰湿质、湿热质、气郁质为主,45～59岁以阴虚质为主,60岁以上以气虚质、阳虚质、血瘀质为主;女性患者18～29岁以气郁质为主,30～44岁以湿热质、痰湿质、阳虚质、气郁质为主,45以上气虚质、阳虚质、阴虚质、痰湿质、血瘀质渐多。结论:不同年龄段难治性高血压患者存在中医体质偏颇性,不同性别、年龄段难治性高血压患者中医体质存在差异,可以为中医药早期干预提供依据和参考。
Objective:To study the constitution characteristics in patients with refractory hypertension,and to provide a reference for the early intervention of TCM. Method:One hundred and twenty patients with refractory hypertension treated in Liaocheng Hospital of Traditional Chinese Medicine were analyzed with R-Q type factor to determine the TCM body constitution characteristics,to explore the correlation between constitution and age and the correlation between that and gender in patients with refractory hypertension. Result:As for TCM body constitution,in male patients with refractory hypertension,phlegm dampness(31.3%) and damp-heat(23.9%) were predominant,followed by qi stagnation(8.9%) and yin deficiency(8.9%),while in the female patients,qi stagnation(22.7%),phlegm dampness(18.8%),blood stasis(15.1%),yin deficiency(15.1%)were predominant,followed by qi deficiency(9.4%)and damp heat(9.4%). There were differences between the two groups in the constitution of dampheat and qi depression(P<0.05). As for the male,in the 18～29 years old,harmonization was predominant,in the 30～34 years old,phlegm dampness,damp-heat and qi stagnation were predominant,in the 45～59 years old yin deficiency was predominant,in the 60 years old qi deficiency,yang deficiency and blood stasis were predominant. As for the male patients,in the 18～29 years old,harmonization and specific endowment were predominant,in the 30 ～44 years old,phlegm dampness and damp-heat and qi stagnation were predominant,in the 45～59 years old yin deficiency was predominant,in the 60 years old and more older,qi deficiency,yang deficiency and blood stasis were predominant;as for female patients,in the 18～29 years old,qi stagnation was predominant,in the 30 ～44 years old,damp-heat,phlegm dampness,yang deficiency and qi stagnation were predominant,in the 45 years old and more older,qi deficiency,yang deficiency,yin deficiency,phlegm dampness and blood stasis became predominant gradually. Conclusion:In different age stage,patients with refractory hypertension showed differences in constitution,and in patients with refractory hypertension with different gender and age showed difference in constitution,which can provide a basis and reference for TCM intervention in early stage.
Objective:To study the constitution characteristics in patients with refractory hypertension,and to provide a reference for the early intervention of TCM. Method:One hundred and twenty patients with refractory hypertension treated in Liaocheng Hospital of Traditional Chinese Medicine were analyzed with R-Q type factor to determine the TCM body constitution characteristics,to explore the correlation between constitution and age and the correlation between that and gender in patients with refractory hypertension. Result:As for TCM body constitution,in male patients with refractory hypertension,phlegm dampness(31.3%) and damp-heat(23.9%) were predominant,followed by qi stagnation(8.9%) and yin deficiency(8.9%),while in the female patients,qi stagnation(22.7%),phlegm dampness(18.8%),blood stasis(15.1%),yin deficiency(15.1%)were predominant,followed by qi deficiency(9.4%)and damp heat(9.4%). There were differences between the two groups in the constitution of dampheat and qi depression(P<0.05). As for the male,in the 18～29 years old,harmonization was predominant,in the 30～34 years old,phlegm dampness,damp-heat and qi stagnation were predominant,in the 45～59 years old yin deficiency was predominant,in the 60 years old qi deficiency,yang deficiency and blood stasis were predominant. As for the male patients,in the 18～29 years old,harmonization and specific endowment were predominant,in the 30 ～44 years old,phlegm dampness and damp-heat and qi stagnation were predominant,in the 45～59 years old yin deficiency was predominant,in the 60 years old and more older,qi deficiency,yang deficiency and blood stasis were predominant;as for female patients,in the 18～29 years old,qi stagnation was predominant,in the 30 ～44 years old,damp-heat,phlegm dampness,yang deficiency and qi stagnation were predominant,in the 45 years old and more older,qi deficiency,yang deficiency,yin deficiency,phlegm dampness and blood stasis became predominant gradually. Conclusion:In different age stage,patients with refractory hypertension showed differences in constitution,and in patients with refractory hypertension with different gender and age showed difference in constitution,which can provide a basis and reference for TCM intervention in early stage.
引文
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[13]林宥廷,李玉梅,杨毅玲,等.失眠与中医体质关系的研究[J].北京中医药大学学报,2013,36(7):450-452.
[14]郑燕飞,焦招柱,王济,等.从中医体质角度防治慢性疾病探讨[J].云南中医学院报,2013,36(4):82-84.
[15]金秀,张翼审.基于“治未病”思想从中医体质论月经不调的防治[J].广西中医药大学学报,2016,19(3):53-54.
[16]邸杰,朱燕波.不同年龄人群中医体质特点对应分析[J]中国中西医结合杂志,2014,34(5):627-630.
[17]杨小雯.高血压患者动态血压变异与中医体质分类的相关性研究及中医干预[J].世界中医药,2015,10(2):287-289.
[18]王丽萍,蔡静芳,季晓颖,等.300例社区中老年高血压患者的中医体质辨识与分析[J].中国现代医生,2013,51(14):124-126.
[2]孙宁玲,霍勇.难治性高血压诊断与治疗中国专家共识[J]中华高血压病杂志,2013,21(4):321-326.
[3]唐秋林,邹建中.热消融肾交感神经治疗难治性高血压病的进展[J].临床超声医学杂志,2015,17(5):330-332.
[4]中华中医药学会.中医体质与分类[M].北京：中国中医药出版社,2009:1-5.
[5]吴敦序.中医基础理论[M].上海：上海科学技术出版社,2002:145.
[6]高洪春.临床中医家周次清[M].北京：中国中医药出版社,2004:67-84.
[7]王亚红,王刚,肖文君.郭维琴教授从心论治活血化瘀治疗高血压[J].中华中医药学刊,2011,29(7):1487-1488.
[8]梁芳,柴华,曲华.史大卓教授治疗更年期高血压的经验[J].中华民族民间医药,2016,25(20):82-84.
[9]王琦.中医体质三论[J].北京中医药大学学报,2008,31(10):653-655.
[10]王琦.9种基本中医体质类型的分类及其诊断表述依据[J].北京中医药大学学报,2005,28(4):1-8.
[11]孙理军.中医体质理论研究述评[J].陕西中医药大学学报,2016,39(6):1-5.
[12]吴承玉,李向荣.中医体质与辨证论治的相关性研究[J]南京中医药大学学报,2008,24(1):1-3.
[13]林宥廷,李玉梅,杨毅玲,等.失眠与中医体质关系的研究[J].北京中医药大学学报,2013,36(7):450-452.
[14]郑燕飞,焦招柱,王济,等.从中医体质角度防治慢性疾病探讨[J].云南中医学院报,2013,36(4):82-84.
[15]金秀,张翼审.基于“治未病”思想从中医体质论月经不调的防治[J].广西中医药大学学报,2016,19(3):53-54.
[16]邸杰,朱燕波.不同年龄人群中医体质特点对应分析[J]中国中西医结合杂志,2014,34(5):627-630.
[17]杨小雯.高血压患者动态血压变异与中医体质分类的相关性研究及中医干预[J].世界中医药,2015,10(2):287-289.
[18]王丽萍,蔡静芳,季晓颖,等.300例社区中老年高血压患者的中医体质辨识与分析[J].中国现代医生,2013,51(14):124-126.