高血压病患者中医证候与体重指数的关系研究

目的探讨高血压病（EH）患者中医证候与体重指数（BMI）的关系。方法对333例住院EH患者行中医辨证和身高、体重测定，并计算BMI。333例EH患者按中医辨证分为9组，另外根据虚实辨证及夹痰、夹瘀辨证原则进行辨证分组。结果333例EH患者证候分布如下：阴虚阳亢证26例（7.8％），气虚痰浊证13例（3．9％），气虚血瘀证52例（15．6％），气阴两虚证20例（6．0％），痰瘀互阻证30例（9．0％）、气阴两虚，痰浊蕴阻证19例（5．7％）、气阴两虚，瘀血阻络证74例（22．2％），气阴两虚、痰瘀互阻证61例（18．3％），气虚痰浊、瘀血阻络证38例（11．4％）；根据虚实辨证将333例EH患者分为单纯虚证、单纯实证、虚实夹杂证3组，其中单纯虚证（气阴两虚证）与单纯实证（痰瘀互阻证）高血压患者的BMI水平具有统计学意义（P〈0．05）；根据夹痰、夹瘀不同将333例EH患者分为夹痰证、夹瘀证、夹痰夹瘀证、非夹痰夹瘀证4组，夹痰夹瘀证高血压患者BMI水平较夹瘀证和非夹痰夹瘀证增大P〈0．05或P〈0．01），夹痰证患者BMI水平较夹瘀证增高P〈0．05）。结论EH患者痰证的存在可能是影响BMI水平增加的主要因素之一，EH合并肥胖的患者需要结合中医辨证采用燥湿化痰、清热化痰、温化寒痰、润燥化痰、治风化痰等方法协助减轻体重、降低血压。

Study on Relationship between TCM Syndromes and Body Mass Index in Patients with Essential Hypertensive

Objective To investigate the relationship between traditional Chinese medicine （TCM） syndromes and body mass index （BMI） in patients with essential hypertension（EH）. Methods To diagnose 333 hospitalized EH patients with TCM syndrome differentiation and measure their height, weight, compute the level of BMI. According to their different syndromes, 333 EH patients were divided into 9 groups. And at the same time,they were divided into different groups according to sthenia- asthenia syndrome and mixation with phlegm syndrome and stagnation syndrome. Results The distribution of TCM syndrome types in 333 EH patients were as follows ： 26 cases （7.8% ） of Yang hyperactivity ckue to Yin deficiency, 13 cases（3.9 % ） of Qi deficiency with turbid phlegm, 52 cases （ 15.6 % ） of Qi - deficiency and blood - stagnation syndrome, 20 cases （ 6.0 % ） of Qi and Yin deficiency syndrome, 30 cases （ 9.0% ） of syndrome of phlegm and stagnated blood, 19 cases （5.7%）of Qi and Yin deficiency syndrome and syndrome of retention of turbid phlegm, 74 cases（22.2%）of Qi and Yin deficiency syndrome and syndrome of stagnated blood blocking collateral, 61 cases（ 18.3 % ）of Qi and Yin deficiency syndrome and syndrome of phlegm and stagnated blood, 38 cases（ 11.4%）of Qi deficiency with turbid phlegm and syndrome of stagnated blood blocking collateral. The patients were divided into sthenia syndrome group, asthenia syndrome group,and mingled sthenia and asthenia syndrome group. There was statistical significance in BMI level between asthenia syndrome group（Qi and Yin deficiency syndrome）and sthenia syndrome group（syndrome of phlegm and stagnated blood）（P〈0.05）. The patients were also divided into phlegm mixation group, stagnation mixation group,intereoagulation between phlegm and stagnation group and non phlegm or stagnation group. The BMI level of intereoagulation between phlegm and stagnation group were higher than than of stagnation mixation group and non phlegm or stagnation group（