Syndrome Characteristics And Syndrome Type Analysis Of Nocturnal Hypertension In The Elderly

Purposes: In this study,a systematic retrospective analysis of the TCM symptoms and signs of elderly patients with nighttime hypertension was conducted to explore the characteristics of symptoms and the distribution of syndrome types,and to provide reference and ideas for clinical dialectical treatment.Methods:This study collected 184 patients who met the inclusion criteria in Shandong Provincial Hospital of Traditional Chinese Medicine from December2019 to December 2021,established a database,and statistically analyzed the frequency distribution of their basic information and symptom data.SPSS25.0statistical software was used.Factor and cluster analysis were carried out,and the obtained results were summarized.Results:Through the frequency analysis of the symptoms of 184 patients,the frequency of dizziness and headache was the highest,81.5% and 72.8%,chest tightness,shortness of breath,fatigue and lazy speech,insomnia and dreaminess,palpitations,poor appetite,constipation,dark tongue Redness or ecchymosis,pulse string and other symptoms have exceeded 40%.Factor analysis and cluster analysis were performed on more than 15% of the symptoms,and 5 syndrome types were obtained,namely liver-kidney yin deficiency syndrome,liver-yang hyperactivity syndrome,blood stasis blocking collaterals syndrome,qi and blood deficiency syndrome,and phlegm-dampness stagnation syndrome.Excessive syndrome and frequency analysis of syndrome types:qi and blood deficiency syndrome(27%)> Blood stasis obstruction syndrome(23.9%)> phlegm-dampness accumulation syndrome(21.7%)>liver-kidney yin deficiency syndrome(14.7%)> liver-yang hyperactivity syndrome(12.5%).By rank sum test,there was no statistical significance in TCM syndrome type,disease course,and age distribution.By χ2 test,there was no statistical significance in TCM syndrome type and risk stratification.Conclusion: The symptoms of dizziness,headache,chest tightness,shortness of breath,fatigue,insomnia,insomnia,palpitations,poor appetite,and constipation are the most common symptoms in elderly patients with nighttime hypertension.Then there are the syndrome of phlegm-dampness,hyperactivity of liver-yang,deficiency of qi and blood,and phlegm and blood stasis syndrome.The disease is mainly characterized by deficiency syndrome,mainly manifested as visceral yin and yang imbalance and deficiency of qi and blood;the second is the syndrome type mixed with deficiency and excess.There are many syndromes,and there are many cases where there is a mixture of deficiency and excess,such as yin deficiency and yang hyperactivity syndrome,spleen deficiency and dampness,etc.There was no statistical significance in the age and disease course distribution of the disease in each syndrome type.