158例原发性高血压患者中医证型特点分析

Analysis of TCM Syndrome in 158 Patients with Essential Hypertension

摘要: 目的：探讨原发性高血压患者常见中医辩证分型特点。方法选取2020年7月~2020年12月在新疆维吾尔自治区中医医院高血压科住院的高血压患者158例，按照常见中医证型分为四组，比较四组间一般资料。结果：① 158例患者中痰瘀互结证80例，气虚血瘀证51例，气阴两虚证14例，气滞血瘀证13例。② 158例高血压患者气阴两虚组年龄大于其他三组(F = 3.444, P = 0.018)，其他三组之间的年龄没有差异。③ 痰瘀互结型的BMI值高于其他三型(F = 9.283, P = 0.000 < 0.05)，而其他三型之间没有显著差异。结论：高血压患者证型中痰瘀互结证最常见，气虚血瘀证次之，再次之为气阴两虚证，气滞血瘀证最少，痰瘀互结证多见于本病早期，而气阴两虚证多见于本病后期。

Abstract: Objective: To explore the characteristics of common TCM dialectical differentiation in patients with essential hypertension. Methods: The 158 hypertensive patients hospitalized in the Hypertension Department of the Traditional Chinese Medicine Hospital of Xinjiang Uygur Autonomous Region from July 2020 to December 2020 were divided into four groups according to the common TCM syndrome type, and the general data were compared between the four groups. Results: Among 158 patients of ①, 80 had phlegm and stasis syndrome, 51 had qi deficiency, 14 had qi and Yin defi-ciency, and 13 had blood stasis; ② The age of Qi-yin deficiency syndrome group of 158 hypertensive patients was longer than the other three groups (F = 3.444, P = 0.018), and there was no difference in age between the other three groups. The BMI value of the ③ sputum stasis knot type was higher than that of the other three types (F = 9.283, P = 0.000 < 0.05), while there was no significant dif-ference between the other three types. Conclusion: In hypertension patients, the syndrome of phlegm-stasis interjunction is the most common, followed by the syndrome of qi deficiency and blood stasis, the second is the syndrome of Qi stagnation and blood stasis, the syndrome of phlegm-stasis interjunction is more common in the early stage of the disease, and the syndrome of Qi Yin and blood stasis is more common in the later stage of the disease.