CAJ | 학술논문

目的：以中山市石岐区退休干部为样本，探讨高血压患者动态血压变异与中医体质分类的相关性，并观察中医干预对血压变异的影响。方法：选取部分中山市石岐区退休干部进行血压测量，筛查出原发性高血压患者465例进行24 h动态血压监测，根据24 h动态血压昼夜节律变化，分为杓型组和非杓型组，比较2组患者中医体质分类。观察非杓型患者经中医干预前后的血压昼夜节律变化情况。结果：比较杓型组与非杓型组的中医体质分类，差异有统计学意义（P＜0．05），杓型组多见湿热质、痰湿质，非杓型组多见阴虚质、气虚质和阳虚质。通过适当的中医干预有助于改善血压昼夜节律变化，有助于使非杓型血压向杓型血压转归（P＜0．05）。结论：中医体质分类与高血压患者动态血压变异有相关性，可为临床观察高血压患者动态血压变异做客观依据，为高血压患者实施个体化中医干预提供客观依据。
목적：이중산시석기구퇴휴간부위양본，탐토고혈압환자동태혈압변이여중의체질분류적상관성，병관찰중의간예대혈압변이적영향。방법：선취부분중산시석기구퇴휴간부진행혈압측량，사사출원발성고혈압환자465례진행24 h동태혈압감측，근거24 h동태혈압주야절률변화，분위표형조화비표형조，비교2조환자중의체질분류。관찰비표형환자경중의간예전후적혈압주야절률변화정황。결과：비교표형조여비표형조적중의체질분류，차이유통계학의의（P＜0．05），표형조다견습열질、담습질，비표형조다견음허질、기허질화양허질。통과괄당적중의간예유조우개선혈압주야절률변화，유조우사비표형혈압향표형혈압전귀（P＜0．05）。결론：중의체질분류여고혈압환자동태혈압변이유상관성，가위림상관찰고혈압환자동태혈압변이주객관의거，위고혈압환자실시개체화중의간예제공객관의거。
Objective:Taking retired cadres from Shiqi District,Zhongshan City as samples,to explore the correlation between ambulatory blood pressure variability and physical classification of traditional Chinese medicine in essential hypertensive patients, and to observe the effects of traditional Chinese medicine intervention on blood pressure variation.Methods:Some retired cadres from Shiqi District,Zhongshan City were selected for blood pressure measurement,among which 465 patients with essential hyper-tension were undergone 24 hours ambulatory blood pressure monitoring.Then the 465 patients were divided into dipper type group and non-dipper type group to compare the physical classification of traditional Chinese medicine.The changes of the patients with non-dipper circadian rhythm of blood pressure before and after the intervention of traditional Chinese medicine were observed.Re-sults:There was significant difference between the dipper group and none-dripper group in terms of physical classification of tradi-tional Chinese medicine (P<0. 05 ).There were mainly the classification of damp heat and phlegm dampness in dipper type group.The non-dipper type group mainly showed Yin-deficiency,Qi-deficiency and Yang-deficiency types.Traditional Chinese medicine intervention can help improve the circadian rhythm of blood pressure,make the non-dipper blood pressure outcome to the dipper type blood pressure (P<0. 05 ).Conclusion:There were some correlations between ambulatory blood pressure variability and physical classification of traditional Chinese medicine in essential hypertensive patients.And physical classification of tradi-tional Chinese medicine can be an objective basis for dynamic patients with hypertension blood pressure variability,and provide an objective basis for intervention of individual Chinese medicine for the patients with hypertension.