Correlation Between Tcm Syndrome Pattern And The Carotid Intimamedia Thickness, Microalbuminuria In Aged Hypertensive Patients

Objective:To discuss the relevance of carotid intima media thickness, and microalbuminuria in the elderly hypertensive TCM Syndromes.To reveal the relationship between urinary albumin and carotid artery thickness,with the view to combining Chinese and Western medicine to provide a new dialectic reference.Methods:Collected 100 cases of elderly hypertensive patients,48 males and 52 females, aged 69±21 years. Select the health of the elderly over the same period patient examination of 20 cases, including 12 males and 8 females as control group. Design registration form of elderly hypertensive patients, collect medical history information and dialectical their TCM syndrome pattern. When in hospotial Measure their blood pressure, take seat right arm brachial artery blood pressure measurement with mercury column sphygmomanometer. By Korotkoff auscultation, take the first sound as systolic blood pressure (SBP), the fifth tone for the diastolic blood pressure (DBP). Retain an early morning urine the next day the first time, the immune turbidimetric method, urinary albumin. Use GE Vivid 7-Pro ultrasound frequency 7.5～10MHz frequency probe with color doppler ultrasonic diagnostic apparatus measure IMT, ues semi-quantitative method using plaque score calculation.Results:1. Syndromes in Elderly Hypertensive between men and women were no significant differences (p>0.05), the distribution is phlegm dampness abundant syndrome> syndrome of Yin deficiency and Yang hyperactiviey> deficiency syndrome of Yin and Yang>liver fire exuberant syndrome2. Male and female of elderly hypertensive patients with IMT, plate integral and UMA was no significant difference between the values (p>0.05).3. Syndromes in Elderly Hypertensive the IMT group compared with the control group were significantly different (p<0.05). The syndrome of hypertension IMT compared between groups, deficiency syndrome of Yin and Yang>syndrome of Yin deficiency and Yang hyperactiviey>liver fire exu-berant syndrome. The plaque score differences are more obvious, phlegm dampness abundant syndrome>deficiency syndrome of Yin and Yan> syndrome of Yin deficiency and Yang hyperactiviey\liver fire exuberant synd rome.4. Syndromes in Elderly Hypertensive groups MAU and the control group were significantly different (p<0.05), the distribution is deficiency syndrome of Yin and Yang\phlegm dampness abundant syndr ome>syndrome of Yin deficiency and Yang hyperactiviey\liver fire exuberant syndrome.5. IMT in elderly hypertensive patients has a good correlation with MAU.The correlation coefficient r=0.768 (p≤0.05).Conclusion:1.The main syndromes of Elderly hypertensive patients is tanshiyongsheng and yinxuyangkang.2. Carotid artery medial thickness, plaque score and microalbuminuria in elderly hypertensive patients with TCM there is good correlation.they could be used as a TCM for elderly patients with EH to provide a new type of reference.3. Microalbuminuria is closely related to carotid intima media thickness.microalbuminuria in hypertensive is not only related to renal disease, but also is subclinical atherosclerosis of the early signs of early prevention. it has a positive significance to elderly hypertensive patients treatment.