高血压病中医辨证分型与高血压肾损害关系的研究

目的：探讨高血压病中医辨证分型与高血压肾损害之间的关系。方法：按照排除标准抽取高血压患者600例,将其分为不同中医证型,收集患者相关的客观指标,分析并观察高血压病患者临床中医证型与肾损害之间的关系。并与40例正常血压者作对照。结果：在600例高血压患者中,其中肝火亢盛型180例,痰湿淤阻型316例,阴虚阳亢型40例,阴阳两虚型64例,而肾损害以痰湿淤阻型最为严重,阴阳两虚型次之,肝火亢盛型最轻。结论：检测肾损害的一些指标可反映高血压病中医辨证的衍化过程。

The Study of Relationship between Traditional Chinese Medicine Syndrome Differentiation of Hypertension and Hyperten-sive Renal Damage

Objective：To observe the relationship between TCM syndromes differentiation and renal damage in patients with essential hypertension.Methods：600 hypertensive patients chosed according to exclusion standards were divided into different TCM syndromes,and related objective indexes of them were collected to observe and analyze the relationship between the indexes and the syndromes.Results：All the 600 hypertensive patients included 180 cases of liver-fire excess type,316 cases of phlegm and blood stasis type,40 cases of yin-deficiency yang-excess type,and 64 cases of yin and yang deficiency.Renal damage was the worst in phlegm and blood stasis type,while yin and yang deficiency took the second place.Conclusion：Some of the renal damage indexes can reflect the changing process of TCM syndromes.