| 引用本文:杨小雯.高血压患者动态血压变异与中医体质分类的相关性研究及中医干预[J].世界中医药,2015,10(02):. |
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| 高血压患者动态血压变异与中医体质分类的相关性研究及中医干预 |
| Study on Correlation between Ambulatory Blood Pressure Variability and Physical Classification of Traditional Chinese Medicine in Essential Hypertensive Patients |
| 投稿时间：2014-08-06 |
| DOI：10.3969/j.issn.1673-7202.2015.02.034 |
| 中文关键词: 原发性高血压 中医体质分类 24 h动态血压 中医干预 |
| English Keywords:Essential hypertensive Physical classification of traditional Chinese medicine 24 hours ambulatory blood pressure Traditional Chinese Medicine intervention |
| 基金项目:中山市医学科研基金项目（编号：2013A020392） |
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| 中文摘要: |
| 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。 |
| English Summary: |
| 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 hypertension 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.Results：There was significant difference between the dipper group and none-dripper group in terms of physical classification of traditional 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 traditional 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. |
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