摘要
目的:探讨原发性高血压患者体质类型分布规律及影响因素。方法:选取2020年3-10月在南昌市洪都中医院治未病中心就诊的120例原发性高血压患者作为研究对象,根据其临床资料进行体质辨别,以探讨原发性高血压患者易感体质类型。结果:120例原发性高血压患者中,气虚质患者最多,为32例,占比26.67%。阳虚质和气虚质患者中,年龄≥60岁的患者占比高于年龄<60岁患者,差异有统计学意义(P<0.05);气郁质及痰湿质患者中,年龄<60岁的患者占比高于年龄≥60岁患者,差异有统计学意义(P<0.05)。女性高血压患者的体质类型多为气虚质28.21%(22/78)、痰湿质19.22%(15/78)及阳虚质16.67%(13/78);男性高血压患者的体质类型多为气虚质23.81%(10/42)、痰湿质23.81%(10/42)及湿热质14.28%(6/42)。结论:原发性高血压患者体质偏虚,性别及年龄是影响原发性高血压患者体质类型的主要因素。因此,临床需注意体质类型辨识的客观性和规范性,使原发性高血压患者的体质辨识更具有科学性。
Objective:To explore the distribution and influencing factor of constitution types in essential hypertension patients.Methods:A total of 120 patients with essential hypertension who were admitted to the Center for Preventive Treatment of Disease,Nanchang Hongdu Hospital of Traditional Chinese Medicine from March 2020 to October 2020 were selected as the study subjects.According to their clinical data,the constitution was identified to explore the susceptible constitution types of essential hypertension patients.Results:Among 120 patients with essential hypertension,the number of patients with qi-deficiency was the highest,accounting for 32 cases and 26.67%.Among the patients with yang-deficiency and qi-deficiency,the proportion of patients aged≥60 years was higher than that of patients aged<60 years,and the difference was statistically significant(P<0.05).Among the patients with qi-depression and phlegm-dampness,the proportion of patients aged<60 years was higher than that of patients aged≥60 years,and the difference was statistically significant(P<0.05).The constitution types of female hypertensive patients were mostly qi-deficiency constitution 28.21%(22/78),phlegm-dampness constitution 19.22%(15/78)and yang deficiency constitution 16.67%(13/78);the constitution types of male hypertensive patients were mostly qi-deficiency constitution 23.81%(10/42),phlegm-dampness constitution 23.81%(10/42)and damp-heat constitution 14.28%(6/42).Conclusion:Essential hypertension patients have a weak constitution,the gender and age are the main factors affecting the constitution types of essential hypertension patients.Therefore,clinical attention should be paid to the objectivity and standardization of constitution type identification,so that the constitution identification of essential hypertension patients is more scientific.
作者
王腾宇
朱瑞芳
熊鸣峰
Wang Teng-yu;Zhu Rui-fang;Xiong Ming-feng(Center for Preventive Treatment of Disease,Nanchang Hongdu Hospital of Traditional Chinese Medicine,Nanchang 330006,Jiangxi Province,China)
出处
《中国社区医师》
2022年第24期159-161,共3页
Chinese Community Doctors
关键词
原发性高血压
中医体质类型
体质辨识
Essential hypertension
Constitution type of traditional Chinese medicine
Constitution identification
