Clinical Research Of Elderly Hypertensive Disease

Hypertension is a common and frequently encountered disease, and is one of the largest threat to people's health. As a special style of hypertension, elderly hypertensive disease has some specificity in pathogenesis, clinical manifestation, treatment and prognosis. Discuss the specialty of elderly hypertensive disease, prevent and cure elderly hypertensive disease in season has become the focal point of elder disease prevention and cure.The purpose of this task is to sum up the specialty elderly hypertensive disease takes on in pathogenesis, clinical manifestation, treatment according to syndrome differentiation ,treatment and prognosis, by collecting a large number of clinical cases of elderly hypertensive disease and analyze, conclude them, and strive to seek new rules of treatment according to syndrome differentiation, so that it can serve for scientific research and clinical treatment, provide theoretical foundation for further experimental investigation, enhance the level of clinical prevention and cure.This task selects 507 elderly hypertensive disease patients who're consonant with the standard, and another 135 primary hypertension patients who're between 30 and 59 as matched group. Register particularly patients'basic datum, clinic cardinal symptoms and physical signs, complication diseases, relative accessory examinations, find the differentiation of symptoms and signs for classification of syndrome according to clinical cardinal symptoms and physical signs, conclude therapeutic methods, register therapeutic conditions. Classify and compile the same contents in each item and analyze their specialty. Take the types of syndrome spread out in the list of differentiation of symptoms and signs for classification of syndrome of hypertensive disease as foundation. Classify the differentiation of symptoms and signs for classification of syndrome of selected cases on the basis of clinical cardinal symptoms and physical signs, conclude the rules indifferentiation of symptoms and signs for classification of syndrome of elderly hypertensive disease.By concluding clinical datum, it's been summed up that elderly hypertensive disease has its own specialty in pathogenesis, clinical symptoms and physical signs, classification according to syndrome differentiation, treatment and prognosis and so on. Four patterns of syndrome and corresponding prescription has been concluded:1.deficiency of yin and hyperactivity of yang, blood stasis and evil heat——XinJia Tian Ma GouTeng Yin; 2.deficiency of spleen and kidney, excessive accumulation of phlegm-dampness-——Xin Jia Ban Xia Bai Zhu Ttian Ma Tang; 3. deficiency of the kidney-essence, imbalance of yin and yang——Xin Jia Er Xian Tang; 4. deficiency of spleen and kidney, deficiency of qi and blood-——Gui Pi Tang Jia Jian, in which deficiency of yin and hyperactivity of yang, blood stasis and evil heat accounts for 42.21% of the population and deficiency of spleen and kidney, deficiency of qi and blood accounts for 41.81% of the population, whose activity ratio all above 80% by statistics. This task has searchedfor new rules in differentiation of symptoms and signs for classification of syndrome of elderly hypertensive disease, provided clinical foundation for further experimental investigation, and enhanced the level of clinical prevention and cure.