| The development of economic and society provide convenience for people living in, but also change the way people live and lead to different healthy problems. Hypertension has become a worldwide disease, prevention and control of hypertension has becoming a global grim situation, in order to emphasize the hypertension, the primary preention of cardioascular disease from the upcoming defence reach, preventing disease arrives the risk factors. The so-called prehypertens ion is refers to systolic blood pressure fluctuation in 120-139mmHg and(or) diastolic pressure fluctuations in 80～89mmHg, namely from normal blood pressure to diagnose the transitional stage for high blood pressure. Also "Prehypertens ion" hasn't been reach to hypertension, but it already appeared symptoms related elevated blood pressure, such as headache, dizziness, angry, upset, reduced sleeping time, these symptoms are often not concerned by patients with elevated with blood pressure. There are also some patients with elevated blood pressure has no discomfort, which not only delayed treatment, still make systemic arterial caused potential and lasting harm, severely reduces the patient's life quality level.This topic is divided into clinical investigation and clinical observation, explore the factor relations prehypertensive with age, overweight, abdominal obesity, smoking, drinking, prehypertension have different card type the quality of life of patients; Through the syndrome differentiation and treatment for prehypertensive patients suffered inflammation card on lifestyle intervention in the basis of traditional Chinese medicine and method of substituting tea drinking, observation prehypertensive patients suffered inflammation in the TCM syndrome sickness, blood pressure level, risk factors and the influence of quality of life. In order to raise their awareness of prehypertensive recognition of the importance of early intervention, improve, and improve the quality of life of the patients prehypertensive provide basis for clinical research.1.Clinical investigation part1.1 object iveStudy the survey prehypertens ion patients syndromes and quality of life for the status, observation prehypertens ion patients syndromes characteristics and the quality of life change for clinical research, the relationship between provides the basis.1.2 methodsSelected age 18 to 60, accord with prehypertens ion diagnosis, typification belongs to the ganhuoshangyan, ganshenyinxu, tanshiyongsheng, yuxuezhuzhi four syndrome types of patients, Using clinical screening to combine together, homemade questionnaire, and using the SF-36 quality of life question mode. Establish Excel database, by using SPSS13.0 statistical software management and analysis.1.3 results1.3.1 General informationTotal of 300 patients participated in the investigation and study, male131patients (43.6%), women 169 cases (56.3) all from China medical of guanganmen hospital. Professional to manual workers of 63 (21%), mainly in mental work of 237 patients (79%); Hypertension family history of positive 136 cases (45.3%), negative 164 patients (54.6%); Male overweight patients for 78 cases, women are overweight patients for 61 cases, the male abdomen obese patients for 114 cases, women abdomen obese patients for 83 cases; High salt, high-fat diet of 197 patients; Among them the 226 cases are ganguoshangyan (75.3%); gansheny inxu for 48 cases and total number 16 percent; tanshiyongsheng and yuxuezhuzhi 13 cases, issuing the total number 4.3%.1.3.2 Different factors and blood pressure distributionExercise and hypertension patients with systolic blood pressure,diastolic family history positive pressure are not shown statistically significant. Patients with systolic blood pressure and fractal abdominal obesity diastolic blood pressure were not show statistically significant, patients are overweight and diastolic blood showed no statistically significant.But overweight patients with BMI≥24 is high; the BMI< 24 and Drink less alcohol patients with diastolic blood pressure patients with high; Smoking and diastolic pressure patients with systolic blood pressure patients are less high.1.3.3 symptomsclinical symptoms with repeated dizziness, headache, grumpy, depression, sleep quality to reduce and emotionally unstable are common.300 patients ganhuoshangyan are 226 cases,ganshenyinxu are 48 patients,tanshiyongshen and yuxuezuluo are both 13 cases.1.3.4 Quality of lifeGender in physiological function dimension male patients with quality of life than women; Smoking, drinking aspect, indicating there was no statistically significant difference between further research smoking and alcohol consumption; the effect of the quality of life Body mass index aspects in social function dimensions of quality of life of the patients than overweight normal weight; The quality of life of the patients of abdominal obesity are high; Exercise significantly higher than less exercise. so lose weight,make lifestyle changes is very important for people.1.3.5 Every syndrome type and the quality of lifeAccording to the figures, Physical pain dimension blood stasis resistance winding with low quality certificate of life of the patients. The physiological function dimension suffered ganhuoshangyan card the quality of life of the patients the highest, Emotional function, mental health, energy three dimensions are hightest in tanshiyongshen, In physiological function, social function, general health three dimensions are hightest in yuxuezuluo.2.Clinical observation part2.1 objectiveThis study suffered through clinical observation prehypertent ion on ganhuoshangyan, Design clinical investigation table, On the basis of lifestyle intervention by Chinese traditional substituting tea "sanjumeigui, Observe the suffered prehypertensive to reduce blood pressure and ganhuoshangyan improving the curative effect of traditional Chinese medical syndrome, Improve and enhance prehypertens ive patients suffered ganhuoshangyan on the curative effect of life quality.2.2 MethodsSelected age 18 to 60, accord with prehypertensive diagnosis, Typification belongs to the issuing of ganhuoshangyan, According to the topics and random requirement, Met inclusion criteria with 1:1 proportion of patients were randomly divided into treatment group (lifestyle changes+traditional Chinese medicine substituting tea drinking intervention)for 45 people. Controls(lifestyle changes) for 45 people. ZhuZheng, times before and after the treatment of disease, pulse and blood pressure coating, such changes, weight, waistline, inspect and records. And use SF-36 life quality ratings scale in before and after the treatment analysis evaluation. Establish Excel database, data using SPSS13.0 statistical software management and analysis.2.3 The results2.3.1 General informationIncluded in the study of 90 cases, two group, men in treatment group in 45 cases,23 cases, women 22 cases; Mental worker 37 cases,8 cases of manual workers; Overweight patients for 23 cases; Abdomen for 34 cases of sexual obese patients. The control group in 45 cases, Male 18 cases, female 27 cases; Mental workers 34 patients, manual workers in 11 cases; Overweight patients for 22 cases patients; Abdomen for 29 cases of sexual obese patients. Patients with high salt, the risk factors of high-fat diets factors, the proportion of the total number largest 71.1 percent. Clew, prehypertensive suffered inflammation of the credit to the gender, vocational distribution, body mass index, no statistically significant differences of abdominal obesity, but middle-aged Mental workers and lack of exercise and high salt high-fat diet structure with prehypertensive who suffered inflammation card on larger proportion.2.3.2 Each factors and blood pressure levels90 patients,24 hour round-the-clock average blood pressure fluctuations in 121～129/81～85mmHg, The treatment group 45 patients, BMI≥24 for 9 cases; abdominal obesity for 9 cases of abdominal obesity, women for 5cases; Exercise time< 30min/day for 15 cases; the family history positive 9 cases. The control group in 45 cases, BMI≥24 the 12 cases, Men of abdominal obesity is 12 cases, female of abdominal obesity 6 cases; Exercise time< 30min/day 16 cases; the For positive 15 cases family history.24 hours in blood pressure fluctuations average day 130～139/85～89mmHg, The treatment group 45 patients, BMI≥24 for 14 cases, Men of abdominal obesity for 10 cases o, abdominal obesity for women 9 cases. Exercise time<30min/day 18 cases; the Family history positive 16 cases. The control group in 45 cases, BMI≥24 for 10 cases, Men of abdominal obesity is 4 cases, female of abdominal obesity for 6 cases; Exercise time those 30min/day for 9 cases. Family history positive 8 cases.2.3.3 The improvement of symptomsThe treatment group symptoms improve recovery in 1 case (42.2%), powerfully 15 cases (33.3%), effective 24 patients (decreasing), invalid in 5 patients (11.1 percent), with the total effective 88.8%; 45 patients were powerfully control 2 cases (4.4 percent), effective 17 cases (37.7%), invalid 26, (57.7%), the total effective rate (42.2%). After that intervention in treatment group than controls symptoms ligtening obviously.2.3.4 The improvement of diastolic blood pressureThe treatment group diastolic pressure drops powerfully 9 cases (20%), effective 23 (protocols were 51.1%), invalid 13 cases (28.8%), with the total effective 71.1 percent. The control group diastolic pressure drops powerfully 3 cases (6.6 percent), effective 18 cases (40 cases), invalid 24, (53.3%), the total effective rate (46.6%). After that intervention in treatment group than controls diastolic pressure is reduced.2.3.5 To improve the quality of lifeUsing sf-36 life quality scale, the treatment group 45 patients Physieal Functioning (PF), mental health (MH), Vitality (VT), general health (GH)>0.05, are found no statistical difference, But according to each dimension life quality standard, the score of statistical rating four dimensions interentions averages are intervention that quality of life before high before than intervention increased; Role-Physieal (RP), Role—Emotional (RE), and Bodyily pain (BP), social function (SF), P <0.01 have significant statistically significant.45 patients before and after the intervention group Role—Emotional (RE) P< 0.05, have statistically significant difference between the patients after that intervention is obviously improve the emotional functions before; Physiological functions (PF), and Bodyily pain (BP)> 0.05, are P found no statistical difference, quality of life after treatment not seen obvious change; The rest of the five aspects of not seen before that change, the integral quality of life without change. Research results show that significantly better than the control group in treatment group, obviously improve the quality of life of the patients.
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