老年高血压病中医证型调查分析

目的:探讨老年高血压病辨证分型特点及其与年龄、病程的关系。方法:对502例老年高血压病患者进行问卷调查,按症状分级量化表进行证型归类,并统计分析中医辨证分型与年龄及病程的关系。结果:老年高血压证型构成为肝肾阴虚证16.93%,气血两虚证10.56%,阴阳两虚证12.95%,肝火上炎证25.10%,痰浊上蒙证23.31%,瘀血阻窍证11.16%。随着年龄及病程增长肝火上炎证、痰浊上蒙证发病率呈下降趋势,而肝肾阴虚证、阴阳两虚证发病率呈上升趋势(P<0.01)。结论:老年高血压病证型可分为肝肾阴虚、气血两虚、阴阳两虚、肝火上炎、痰浊上蒙、瘀血阻窍证5型,辨证分型与高血压病患者年龄、病程密切相关。

An analysis of TCM syndrome types of hypertension in old age

Objective： To discuss the relationship between old age hypertension types and age, course of disease. Methods： 502 patients were given questionnaire, and classified by symptoms. Results： In the constitute of hypertension types, 16.93% was Ganshen Yinxu syndrome, 10.56% was Qixue Liangxu syndrome, 12.95% was Yinyang Liangxu syndrome, 25.10% was Ganhuo Shangyan syndrome, 23.31% was Tanzhuo Shangmeng sydrome, 11.16% was Yuxue Zuqiao syndrome. With the development of age and course of disease, the disease incidence in Ganhuo Shangyan syndrome and Tanzhuo Shangmeng syndrome were low down, but disease incidence in Ganshen Yinxu syndrome and Yinyang Liangxu syndrome were high up. Conclusion： The differentiation types were closely related with age, course of disease.