高血压合并糖耐量异常高危人群中医证候及其多重危险因素分析

目的：探讨高血压合并糖耐量异常高危人群中医证候学特点及其多重危险因素分布特点。方法：采集近年来到医院就医的71例高血压合并血糖异常患者的一般状况、病史、多重危险因素以及肝肾功、血糖、高敏C反应蛋白（Hs-CRP）等相关实验室检查,应用SPSS18.0软件采用Logistic回归分析筛选相关因素,并应用中国中西医结合学会有关血瘀证、心虚证、肝虚证、脾虚证等标准进行中医证候学分析。结果：中医证候学分析得出,除普遍高发生率的风证、血瘀证、热证外,肝虚证与发生心血管事件高度相关。肥胖患者风证、气虚证的发生率较非肥胖患者高。结论：高血压合并血糖异常高危人群中,风证、血瘀证、热证、肝虚证等以实证为主的患者更易发生心脑血管事件。肥胖患者表现为风证和气虚证的风险较高,提示早期治疗以益气熄风为主可能会减少急性心血管事件的发生。

Analysis of High-risk Groups of TCM Syndrome and Multiple Risk Factors of Hypertension and Abnormal Glucose Tolerance

Objective：To explore hypertension combined abnormal glucose tolerance high-risk groups＇ traditional Chinese medicine syndrome characteristics and multiple risk factors distribution characteristics.Methods：71 cases of high blood pressure in patients with abnormal blood glucose in recent years in the hospital were selected to collect general situation,history,multiple risk factors as well as liver and renal function,blood sugar,Hs-CRP and other related laboratory examination.SPSS18.0 software was used by Logistic regression analysis to screen related factors.Combination of TCM and Western medicine about blood stasis syndrome,guilty certificate,liver and spleen deficiency syndrome and syndrome of traditional Chinese medical syndrome were used for standard analysis.Results：In addition to general high incidence of wind syndrome,blood stasis syndrome,heat syndrome,liver qi deficiency syndrome and cardiovascular events had high correlation.Obesity patients wind syndrome or qi deficiency syndrome had higher incidence than non-obesity patients.Conclusion：For the high-risk groups of hypertension combined blood glucose,the wind syndrome,blood stasis syndrome,heat syndrome,liver qi deficiency syndrome patients are more susceptible to develop cardiovascular and cerebrovascular events.Obese patients are more susceptible for the performance of wind syndrome and Qi deficiency syndrome,indicating that the early treatment with supplementing Qi and subduing wind may reduce the occurrence of acute cardiovascular events.