中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
23期
102-105
,共4页
原发性高血压%中医体质%危险因素%痰湿体质
原髮性高血壓%中醫體質%危險因素%痰濕體質
원발성고혈압%중의체질%위험인소%담습체질
Primary hypertension%TCM constitution%Risk factors%Phlegm dampness constitution
目的：探讨北京市原发性高血压患者危险因素及原发性高血压患者中医体质的分布特点，为原发性高血压早期预防、干预提供理论基础。方法对随机抽取的北京市3700例健康体检者中筛选出原发性高血压患者1029例进行危险因素分析，并对其中174例进行中医体质评估。结果中心性肥胖是原发性高血压病的主要危险因素，其次为体重指数(BMI)升高、尿酸升高，差异有高度统计学意义(P<0.01)。北京市原发性高血压患者中以痰湿体质比例最高(21.84%)，其次为阴虚体质(19.54%)和阳虚体质(18.39%)，以男性最为多见。结论痰湿体质是原发性高血压患者主要体质，随着年龄增大，偏颇体质逐渐增多。应重点对中心性肥胖及高尿酸血症、高血糖、血脂异常等危险因素全面干预，对原发性高血压痰湿体质应早期综合干预，以有效防治心脑血管疾病。
目的：探討北京市原髮性高血壓患者危險因素及原髮性高血壓患者中醫體質的分佈特點，為原髮性高血壓早期預防、榦預提供理論基礎。方法對隨機抽取的北京市3700例健康體檢者中篩選齣原髮性高血壓患者1029例進行危險因素分析，併對其中174例進行中醫體質評估。結果中心性肥胖是原髮性高血壓病的主要危險因素，其次為體重指數(BMI)升高、尿痠升高，差異有高度統計學意義(P<0.01)。北京市原髮性高血壓患者中以痰濕體質比例最高(21.84%)，其次為陰虛體質(19.54%)和暘虛體質(18.39%)，以男性最為多見。結論痰濕體質是原髮性高血壓患者主要體質，隨著年齡增大，偏頗體質逐漸增多。應重點對中心性肥胖及高尿痠血癥、高血糖、血脂異常等危險因素全麵榦預，對原髮性高血壓痰濕體質應早期綜閤榦預，以有效防治心腦血管疾病。
목적：탐토북경시원발성고혈압환자위험인소급원발성고혈압환자중의체질적분포특점，위원발성고혈압조기예방、간예제공이론기출。방법대수궤추취적북경시3700례건강체검자중사선출원발성고혈압환자1029례진행위험인소분석，병대기중174례진행중의체질평고。결과중심성비반시원발성고혈압병적주요위험인소，기차위체중지수(BMI)승고、뇨산승고，차이유고도통계학의의(P<0.01)。북경시원발성고혈압환자중이담습체질비례최고(21.84%)，기차위음허체질(19.54%)화양허체질(18.39%)，이남성최위다견。결론담습체질시원발성고혈압환자주요체질，수착년령증대，편파체질축점증다。응중점대중심성비반급고뇨산혈증、고혈당、혈지이상등위험인소전면간예，대원발성고혈압담습체질응조기종합간예，이유효방치심뇌혈관질병。
Objective To study the risk factors in patients with essential hypertension and the distribution characteris-tics of TCM constitution of patients with essential hypertension, and to provide theoretical basis for early prevention and intervention with essential hypertension. Methods For the healthy check-up of the Beijing, 3700 cases were randomly selected, and among which 1029 cases of patients with essential hypertension for risk factors were analyzed, and among which 174 patients were given traditional Chinese medicine physique evaluation. Results Central obesity was a major risk factor of primary hypertension, followed by BMI increasing and uric acid increasing, the difference was statistically significant (P<0.01). Patients in Beijing with essential hypertension with phlegm wet constitution had the highest pro-portion (21.84%), followed by Yin deficiency constitution (19.54%) and Yang deficiency constitution (18.39%), and the men were the more for seeing. Conclusion The phlegm wet constitution is the main essential hypertension patients physical, as they get older biased constitution. It should focus on the risk factors of central obesity and high uric acid hematic disease, high blood sugar, dyslipidemia with comprehensive intervention, it should be given early comprehen-sive intervention for primary hypertension phlegmy wet constitution, in order to give effective prevention and treatment of disease of heart head blood-vessel.
