500例老年高血压病患者中医证素分布特点

目的 探讨老年高血压病患者中医证素分布特点,指导中医临床辨证.方法 根据流行病学调查要求,结合朱文锋教授的＂证候辨证素量表＂,制定〈老年高血压病患者中医症状量表〉并对相应证素赋值,对高血压病患者进行前瞻性中医四诊调查并建立证素研究数据库,运用SQL server 2005 得出每位患者的中医证素,运用频数分析进行统计描述.结果 500例老年高血压病患者病位单一证素分布顺序为：肾〉肝〉心〉肺〉脾,虚证病性单一证素分布顺序为：阴虚〉气虚〉阳虚〉血虚,实证病性单一证素分布顺序为：痰〉血瘀〉气滞〉阳亢〉热,病位兼杂证素分布顺序为：肝肾同病〉心肾同病〉肺肾同病〉心肺同病〉心肝同病;虚证兼杂证素分布顺序为：气阴两虚〉气血亏虚〉阴阳两虚〉阴虚血亏,实证兼杂证素分布顺序为：痰瘀互阻〉气滞血瘀〉气滞夹痰〉痰热互结,虚实兼杂证素分布顺序为：阴虚夹痰〉阴虚阳亢〉阳虚夹痰〉气虚夹痰.结论 老年高血压病患者病位单一证素以肾为主,血瘀、痰、阴虚是其主要的病性单一证素;兼杂证素主要为肝肾同病、痰瘀互阻、气阴两虚、阴虚夹痰.

The Distribution Characteristics of Syndrome Elements of Traditional Chinese Medicine in Elderly Patients with Hypertension

Objective To explore the distribution characteristics of syndrome elements of traditional Chinese medicine（TCM） in elderly patients with hypertension,and to guide TCM differentiation. Methods Based on the requirements of TCM epidemiological in- vestigation of hypertension clinical research, Based onsyndrome differentiation element scale＂established by Professor Zhu Wenfeng,＂ TCM syndrome factors information scale for elderly patients with hypertension was set up applying in the investigation of hyperten- sive patients, and also the database of TCM essential elements and syndromes. TCM syndromes were valued by methods from Profes- sor Zhu Wenfeng, and TCM syndrome factors of each patient were determined by the values mentioned above concluded by SQL serv- er 2005. Syndrome elements was analyzed by frequency analysis. Results Distribution characteristics of 500 cases of aging hyperten- sion in TCM location factors in descending order：Kidney, liver, heart, lung, spleen. Distribution regularity of deficiency disease nature syndrome elements in descending order： Yin deficiency, qi deficiency, yang deficiency, blood deficiency. Distribution regularity of excess disease nature syndrome elements in descending order： Phlegm, blood stasis, qi stagnation, hyperactivity of yang, heat. Distribution of disease location factors miscellaneous syndrome elements in descending order： Liver and kidney, heart and kidney, lung and kidney, heart and lung, heart and liver. Deficiency miscellaneous syndrome elements in descending order：Qi and yin deficiency, deficiency of qi and blood, yin and yang deficiency, yin and blood deficiency. Excess miscellaneous syndrome elements in descending order：Phlegm sta- sis transresistance,qi stagnation and blood stasis, qi stagnation and sputum, phlegm hot alternating knot. Miscellaneous syndrome types composed by deficiency and excess in descending order： Yin deficiency coupled with sputum, yin deficiency with yang excess, yang deficiency coupled with sputum, qi deficiency coupled with sputum. Conclusion In the elderly patients with hypertension, the disease location syndrome element Of kidney plays the most important role, blood stasis, sputum, and yin deficiency are all the main characteristics. The main miscellaneous syndrome dements are liver and kidney, sputum and blood stasis, qi and yin deficiency, and yin deficiency and sputum in elderly patients with hypertension.