高血压病并发腹型肥胖的中医临床分析

目的:探讨高血压病并发腹型肥胖的发生情况及其中医证型分布。方法:选择符合条件的高血压病患者128例,统计其年龄、性别、血压分级、危险分层、体重指数、腰围、腰身指数及中医分型等数据,用Excel软件及SPSS17.0统计软件进行分析。结果:高血压病患者中腹型肥胖者占84.38%。高血压并发腹型肥胖者的中医证型依次是瘀血型>痰湿壅盛型>阴阳两虚型>阴虚阳亢型>肝火亢盛型。在体重指数、腰围、腰身指数与中医分型的相关性上,痰湿壅盛型与其他四型比较差异有统计学意义(P<0.05)。结论:高血压病并发腹型肥胖时痰湿壅盛型及瘀血型偏多。痰湿壅盛型与高血压并发腹型肥胖关系密切,可为临床提出预警。

Clinical Analysis on Syndromic Hypertension and Abdominal Obesity

Objective： To explore incidence of abdominal obesity in patients with hypertension and the distribution of TCM syndrome type of hypertension and abdominal obesity. Method： 128 Eligible patients with hypertension were selected, and the data concerning their age, sex, blood pressure level, BMI, WC, WHtR and TCM syndrome type were analyzed, using SPSS17.0 and Excel. Results： 84.38% Hypertension patients were diagnosed with abdominal obesity. By comparison, TCM syndrome types of hypertension and abdominal obesity showed the following sequence： blood stasis type 〉 excessive accumulation of phlegm dampness type 〉 yin yang deficiency type 〉 yin deficiency yang excess type 〉 hyperactivity of liver fire type. Statistically, the correlation of BMI, WC, WHtR and the sequence of TCM syndrome types showed a significant difference in excessive accumulation of phlegm dampness type （P〈0.05）. Conclusion： There are more blood stasis type and excessive accumulation of phlegm dampness type in hypertension and abdominal obesity. Excessive accumulation of phlegm dampness type is closely linked to hypertension and abdominal obesity, which can be proposed as a pre-waming in clinical treatment.