Clinical Study On Relationship Among Syndrome Differentiation Clssified In Tcm,ambulatory Blood Pressure Monitoring And Transcranial Doppler In Essential Hypertension

Objective: The purpose of this subject is to investigate the relationship among Ambulatory Blood Pressure Monitoring (ABPM), TCD and (syndrome differentiation classified in TCM) of EH. Methods: 125 patients of EH were selected and classified into 4 types according to syndrome differentiation classified in TCM: the Liver-Fire exuberant syndrome,the phlegm-dampness abundant syndrome,Yin-deficiency and Yang-hyperactivity syndrome and the Yin-Yang dual deficiency syndrome. Statistics has been done in the level of the parameters of ABPM and TCD. All the data above were compared among the four syndromes. Results: (1) Comparison of the four syndromes' parameters of ABPM:①the Liver-Fire exuberant syndrome's 24h SBP and DBP were higher than other three syndromes,the difference among them was significant (P<0.05);②The four syndrome's burden of 24hSBP and DBP were higher than the control group. The Liver-Fire exuberant syndrome's burden of 24h SBP and DBP were the highest (P<0.05): The Yin-Yang dual deficiency syndrome's burden of 24h SBP and DBP were the lowest (P<0.05).③Regarding the descendent of the blood pressure during night time,The Yin-Yang dual deficiency syndrome's was the highest and the phlegm-dampness abundant syndrome's was the lowest. The difference among them was significant (P<0.05). (2) Comparison of the four syndromes' data of TCD.①the Liver-Fire exuberant syndrome's and Yin-deficiency and Yang-hyperactivity syndrome MCA,ACA and PCA were higher than the Yin-Yang dual deficiency syndrome (P<0.05).②the Liver-Fire exuberant syndrome's and Yin-deficiency and Yang-hyperactivity syndrome PI were lower than the phlegm-dampness abundant syndrome (P<0.05). Conclusion: (1) ABPM are important examinations for EH,are useful to syndrome differentiation classified in TCM of EH. (2) TCD are also helpful to syndrome differentiation classified in TCM of EH.