高血压病人不同中医证型的舒张压及红细胞比容水平研究

摘要

Objective To study the clinical characteristics,diastolic pressure and hematocrit levels of traditional Chinese medicine (TCM) syndromes in patients with hypertension.Methods Three hundreds and thirty-three hypertensive patients were selected,including 73 cases of alopecia fever syndrome,97 cases of phlegm and dampness syndrome,70 cases of yin deficiency and yang excess syndrome,91 patients with deficiency syndrome of yin and yang.The clinical characteristics,diastolic pressure and hematocrit levels of TCM syndromes in patients with hypertension were compared.Results Compared with the other syndromes,the height,weight,erythrocyte count,white blood cell count and platelet count of alopecia fever syndrome were the highest,and the level of diastolic pressure of alopecia fever syndrome was significantly higher than that of other syndromes (P ＜0.05).The hematocrit level of yin deficiency and yang excess syndrome group and alopecia fever syndrome group was significantly higher than that of phlegm and dampness syndrome group (P ＜0.05).Conclusion The levels of hematocrit and diastolic pressure in hypertensive patients with alopecia fever syndrome are higher than that of other syndromes.There is a significant correlation between the levels of hematocrit and diastolic pressure.Clinical testing has a certain significance for understanding the pathogenesis of hypertension syndrome,observation of disease,syndrome differentiation.%目的 分析高血压病人不同中医证候的临床特征及舒张压、红细胞比容水平.方法 选取高血压病人331例,其中肝火亢盛证73例,痰湿壅盛证97例,阴虚阳亢证70例,阴阳两虚证91例.比较各证型病人的舒张压及红细胞比容水平差异.结果 与其他证型比较,肝火亢盛身高、体重、红细胞计数、白细胞计数及血小板计数水平最高,肝火亢盛舒张压水平明显高于其他证型(P＜0.05),阴虚阳亢和肝火亢盛红细胞比容水平较痰湿内盛显著升高,差异有统计学意义(P＜0.05).结论 高血压肝火亢盛证病人红细胞比容及舒张压水平较高,且二者存在显著相关性,临床检测二者水平对于了解高血压证候的发病机制、病情、辨证论治等方面具有一定意义.