老年高血压不同中医证型患者血压负荷特点分析.doc

更多专业、稀缺文档请访问——有哪些信誉好的足球投注网站此文档，访问上传用户主页！ 老年高血压不同中医证型患者血压负荷特点分析 老年高血压不同中医证型患者血压负荷特点分析 　　 摘要:目的 探讨老年高血压不同中医辨证分型患者血压负荷的差异。方法 入选符合老年高血压1级、2级诊断标准的阴虚阳亢证、痰瘀阻络证及肾虚证的患者共133例，应用24 h动态血压监测方法，观察24 h血压变化水平，比较分析三个不同中医证型间的血压均值与血压负荷。结果 肾虚证组白天平均收缩压均值明显高于阴虚阳亢证组（P0.05），肾虚证组白天及夜间收缩压负荷较其他两组均显著增高（P0.05），肾虚证组夜间舒张压负荷较阴虚阳亢证组显著增高（P0.05）。结论 肾虚证组血压负荷明显高于痰瘀阻络、阴虚阳亢组，预示着老年高血压肾虚证血压波动更加明显，临床应重视老年肾虚证高血压的稳定性及其靶器官损害的早期防治。 　　 关键词：老年；高血压；中医辨证分型；24 h动态血压检查；血压负荷 　　 中图分类号：R544.1 R255.3 文献标识码：B 文章编号：1672 　　________________________________________ 　　1349（2011）09 　　________________________________________ 　　1025 　　________________________________________ 　　02 　　Study on Blood Pressure Load and TCM Syndrome Patterns in Elderly with Essential Hypertension 　　Xiong Wei，Li Hao //Xiyuan Hospital，China Academy of Chinese Medical Sciences (Beijing 100091) 　　 　　Abstract:Objective To study the relation between blood pressure load and different traditional Chinese medicine(TCM) syndrome patterns in elderly with essential hypertension.Methods One hundred thirty 　　________________________________________ 　　three elderly with hypertension were chosen and classified into yin deficiency with yang hyperactivity pattern，phlegm 　　________________________________________ 　　stasis obstruction syndrome pattern，kidney deficiency pattern.The 24 　　________________________________________ 　　hour ambulatory blood pressure monitorings were performed.The difference of mean blood pressure and blood pressure load were compared and analysed by TCM syndrome patterns.Results The daytime mean systolic blood pressure in patients with kidney deficiency pattern was significantly higher than that in yin deficiency with yang hyperactivity pattern (P＜0.05).The daytime and nocturnal systolic blood pressure load in patients with kidney deficiency pattern was significantly higher than that in patients with two other patterns (P＜0.05).The nocturnal diastolic blood pressure load in patients with kidney deficiency pattern was significantly higher