世界中医药
世界中醫藥
세계중의약
World Chinese Medicine
2015年
9期
1424-1426
,共3页
高血压前期%中医体质%动脉硬化
高血壓前期%中醫體質%動脈硬化
고혈압전기%중의체질%동맥경화
Prehypertension%Constitution of traditional Chinese medicine%Arteriosclerosis
目的：探讨高血压前期人群中医体质与动脉硬化程度的改变的相关性。方法：收集高血压前期、高血压、正常血压者各300例为研究对象，对研究对象进行中医体质测评和动脉硬化检测，观察不同体质类型高血压前期人群的动脉硬化程度的改变。结果：双侧肱踝脉搏波传导速度（Brachial Ankle Pulse Wave Velocity，BaPWV）与踝臂指数（Ankle Brachial In-dex，ABI）呈上升趋势，高血压前期组比正常血压组高（P ＜0．05），与高血压组的差异无统计学意义（P ＞0．05）。3组的动脉硬度相比较，差异有统计学意义（P ＝0．000）。动脉轻度硬化及动脉硬化的比例呈上升趋势。阴虚质、痰湿质及瘀血质为高血压前期人群动脉硬化的危险因素。结论：高血压前期患者 BaPWV 明显升高，提示有早期动脉硬度改变；高血压前期患者的动脉硬化程度与阴虚质、痰湿质及瘀血质相关。
目的：探討高血壓前期人群中醫體質與動脈硬化程度的改變的相關性。方法：收集高血壓前期、高血壓、正常血壓者各300例為研究對象，對研究對象進行中醫體質測評和動脈硬化檢測，觀察不同體質類型高血壓前期人群的動脈硬化程度的改變。結果：雙側肱踝脈搏波傳導速度（Brachial Ankle Pulse Wave Velocity，BaPWV）與踝臂指數（Ankle Brachial In-dex，ABI）呈上升趨勢，高血壓前期組比正常血壓組高（P ＜0．05），與高血壓組的差異無統計學意義（P ＞0．05）。3組的動脈硬度相比較，差異有統計學意義（P ＝0．000）。動脈輕度硬化及動脈硬化的比例呈上升趨勢。陰虛質、痰濕質及瘀血質為高血壓前期人群動脈硬化的危險因素。結論：高血壓前期患者 BaPWV 明顯升高，提示有早期動脈硬度改變；高血壓前期患者的動脈硬化程度與陰虛質、痰濕質及瘀血質相關。
목적：탐토고혈압전기인군중의체질여동맥경화정도적개변적상관성。방법：수집고혈압전기、고혈압、정상혈압자각300례위연구대상，대연구대상진행중의체질측평화동맥경화검측，관찰불동체질류형고혈압전기인군적동맥경화정도적개변。결과：쌍측굉과맥박파전도속도（Brachial Ankle Pulse Wave Velocity，BaPWV）여과비지수（Ankle Brachial In-dex，ABI）정상승추세，고혈압전기조비정상혈압조고（P ＜0．05），여고혈압조적차이무통계학의의（P ＞0．05）。3조적동맥경도상비교，차이유통계학의의（P ＝0．000）。동맥경도경화급동맥경화적비례정상승추세。음허질、담습질급어혈질위고혈압전기인군동맥경화적위험인소。결론：고혈압전기환자 BaPWV 명현승고，제시유조기동맥경도개변；고혈압전기환자적동맥경화정도여음허질、담습질급어혈질상관。
Objective:To explore the correlation between the constitutional types in Traditional Chinese Medicine (TCM)and the degree of arteriosclerosis of the people with prehypertension.Methods:We tested 300 patients with prehypertention,hypertention and normotension respectively to figure out their TCMconstitutional types and the degree of arteriosclerosis in order to observe how arteriosclerosis degree changes along with different TCMconstitutional types.Results:It is found that there was an upward trend in the brachial ankle pulse wave velocity (BaPWV)and the ankle brachial index (ABI).Prehypertention group was higher than the normotension group (P <0.05);there was no difference between prehypertention group and hypertention group (P >0.05).The difference of arterial stiffness among three groups was statistically significant(P =0.000)And there is an upward trend in the de-gree of arteriosclerosis.Yin deficiency constitution,phlegm dampness constitution and static blood constitution are the risk factors which cause the arteriosclerosis in prehypertensive patients.Conclusion:It indicates an early change of arterial stiffness of prehy-pertensive patients when BaPWV increases obviously.The degree of arteriosclerosis is related to yin deficiency constitution, phlegm-dampness constitution and static blood constitution.
