高血压患者中医体质分布及与相关体检指标的关系

目的探讨高血压患者中医体质分布及与相关体检指标的关系。方法采用中医体质调查表对442例体检中发现高血压的患者进行中医体质判断,及其与心电图和肾功能关系的分析。结果湿热质(25.8%),痰湿质(22.6%),气虚质(16.7%),平和质(15.6%),阳虚质(5.2%),阴虚质(5.0%),阳盛质(2.5%),气郁质(2.5%),瘀血质(2.3%),血虚质(1.6%),肾虚质(0.0%)。其中偏质占84.4%。高血压组患者心电轴异常、心电传导阻滞、电压异常的人数比例高于低血压组和正常组患者(P0.05),而低血压组和正常组患者的心律失常所占比例高于高血压组患者(P0.05)。高血压平和质患者中心肌缺血和心电传导异常比例非常高。而痰湿质和湿热质肾功能异常所占人数比例偏高。结论高血压患者中医体质以偏质为主。高血压可能对心电图产生一定的影响。

Relationship between TCM Constitution Distribution and Relevant Physical Examination Indices in the Patients of Hypertension

Objective To explore the relationship between TCM constitution distribution and rele-vant physical examination indices in the patients of hypertension.Methods TCM constitution investigation form was used to judge TCM constitution of 442 patients of hypertension discovered in physical examination and analyze the relationship between ECG and renal function.Results It was found that damp heat constitu-tion accounted for 25.8%,phlegm damp constitution for 22.6%,qi deficiency constitution for 1 6.7%,neu-tral constitution for 1 5 .6%,yang deficiency constitution for 5 .2%,yin deficiency constitution for 5 .0%,yang excess constitution for 2.5%,qi stagnation constitution for 2.5%,blood stagnation constitution for 2.3%, blood deficiency constitution for 1 .6%and kidney deficiency constitution for 0.0%.Of them,the percentage of abnormal constitution was 84.4%.The percentage of abnormal cardiac electric axis,ECG conduction block and voltage abnormality in hypertension group was higher than that in hypotension group and normal group（P〈0.05）.The percentage of arrhythmia in hypotension group and normal group was higher than that in hyper-tension group（P〈0.05）.The percentage of myocardial ischemia and ECG conduction abnormality in hyper-tension patients of neutral constitution was very high.The percentage of renal dysfunction among the patients of phlegm damp constitution and damp heat constitution was quite high.Conclusion The abnormal constitu-tion is predominant in the patients of hypertension.Hypertension possibly impacts ECG to certain extent.