| Objective: By collecting 137 cases of elderly patients with hypertension,this paper studies the correlation between TCM syndrome elements and urinary MAU levels in elderly patients with hypertension,so as to establish a quantitative basis,which is helpful to the objectification of TCM syndrome differentiation of elderly patients with hypertension.Methods: A total of 137 elderly patients with hypertension were collected.Collect and record the general situation of the patients on admission and the information obtained by observation,hearing and questioning.According to the integration method of phlegm,blood stasis,Qi deficiency and yin deficiency in syndrome differentiation,and combined with the data of MAU of the patients,the data were analyzed by spssl9.Objective to study the correlation between MAU and TCM syndrome elements.Results:1.137 elderly patients with hypertension,including 64 cases of sputum;There were 53 cases of blood stasis;There were 51 cases of yin deficiency;There were 67 cases of qi deficiency;31 cases of phlegm and blood stasis;51 cases had no phlegm and blood stasis;Deficiency of both qi and Yin in 20 cases;There were 39 cases without Qi deficiency and yin deficiency.2.There are significant differences in the level of urinary MAU between different genders.The level of urinary MAU in male group is higher than that in female group,with statistical difference.3.The level of urinary MAU was significantly different in different syndrome element groups.The level of urinary MAU in blood stasis group was higher than that in non blood stasis group.The order of urinary MAU from high to low was: phlegm and blood stasis group > blood stasis group > phlegm turbidity group >no phlegm and no blood stasis group.The data difference was statistically significant.The specific pairwise comparison showed that there was statistical significance in the combination of phlegm and blood stasis.Among the deficiency syndrome elements groups,the order of urinary MAU from high to low was: no Qi deficiency and no Yin deficiency group > Qi and yin deficiency group > Qi deficiency and yin deficiency group.The data difference was statistically significant.The specific pairwise comparison showed that there were statistically significant differences between the two groups.There was statistical difference between Qi Yin deficiency group and yin deficiency group.4.Spearman correlation analysis: phlegm turbidity,blood stasis and urinary MAU showed significant(P < 0.001),the correlation coefficient was 0.38,0.44,indicating that there was a positive correlation between phlegm turbidity,blood stasis syndrome element score and urinary MAU.Conclusion: 1For elderly patients with hypertension,gender is related to syndrome elements.58 male cases and 79 female cases were collected in this study.In the solid syndrome elements,the proportion of male in blood stasis,phlegm turbidity,phlegm and blood stasis is higher than that of female,and the discrepancy is statistically significant(P < 0.05).In the deficiency syndrome elements,the proportion of yin deficiency in women was higher than that in men,and the proportion of no Qi and no Yin in men was higher than that in women,and the discrepancy was statistically significant(P< 0.05).2.The relationship between MAU and syndrome elements in elderly patients with hypertension For elderly patients with hypertension,the level of MAU in male group was higher than that in female group.P < 0.05,which means there is a significant statistical difference between the two groups.The level of urinary MAU in the blood stasis group was higher than that in the non blood stasis group(P < 0.05).The results showed that: phlegm and blood stasis group > blood stasis group > phlegm turbidity group > no phlegm and no blood stasis group.There was significant difference in MAU among the four groups(P < 0.05).There is a positive correlation between phlegm turbidity,blood stasis syndrome element score and urinary MAU. |
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