Objective:To observe if the elderly hypertensive patients are mainly kidney deficiency type and the pertinence between kidney deficiency syndrome and systolic blood pressure . Method:.Collect elderly hypertension case, and collect the information of basic notes, blood pressure, medical history , dialectical type though the method of questionnaire.Observe elderly hypertension 's dialectical type and the relation between Kidney Deficiency Syndrome and high systolic blood pressure high pulse pressure. Result:Elderly hypertension Positive and Empty Syndrome distributed situation :Every groups show significant difference, the Empty Syndrome and the Omnibus Syndrome constitute a obviously heavy proportion .Because the number of the case is too small(it have 6 Theory frequency <5 ),it have no means to observe the difference in every group.2. Old age hypertension Viscera Positive and Empty Syndrome distributed situation :Every groups showed significant difference, the Kidney Deficiency Syndrome constitute a obviously heavy proportion .3. Elderly hypertension Viscera Positive and Empty Syndrome basic notes: It do not have obvious difference in gender, body weight (obesity), diastolic blood pressure, mean arterial pressure, isolated systolic hypertension double time hypertension (P>0.05);It have obvious difference in age, systolic blood pressure and pulse pressure(P<0.05或<0.01),compared with Heart Deficiency Syndrome and Liver Deficiency Syndrome, the Kidney Deficiency Syndrome's age, systolic blood pressure and pulse pressure are all high(P<0.05或<0.01).4.Old age Kidney Deficiency Syndrome's Clinical material: It have no significant difference in gender, body weight (obesity), smoking cases, diastolic blood pressure, mean arterial pressure (P>0.05);age, systolic blood pressure and pulse pressure have significant difference (P<0.05或<0.01=,compared with Heart Deficiency Syndrome and Liver Deficiency Syndrome, the Kidney Deficiency Syndrome's age, systolic blood pressure and pulse pressure are all high(P<0.05或<0.01=.5.Multivariate Logistic regression analysis: There are three independent factors forecast elderly hypertensive kidney deficiency syndrome ,age(OR=1.142,95 %CI 1.118~1.189,P<0.001=,systolic blood pressure (OR=3.302,95 %CI 1.951~4.752,P<0.001=,pulse pressure (OR=2.462,95 %CI 1.583~3.893,P<0.001=.In the 3 factors, the kidney deficiency syndrome is the most influential one(β=1.192),next is the pulse pressure, and the age influence have relatively little influences (β=0.131). Conclusion: Compared with other syndrome the Empty Syndrome shows that,with the increasing of the age,systolic blood pressure and pulse pressure promote obviously. Definitude the main characteristic of Kidney Deficiency Syndrome will help to prevent the old age hypertension , especially to provide a epidemiology basis for control systolic blood pressure and pulse pressure . |