Chronic Kidney Disease Patients With24-hour Ambulatory Blood Pressure And TCM Syndrome Type Correlation

Objective:Explore the dynamic changes in blood pressure of patients with chronickidney disease and TCM syndrome type.Method:Collected in March2012to20133Hospital of Hubei Province in linewith CKD2to4diagnostic criteria for outpatient and inpatient, a total of145cases. Enrolled patients,24-hour ambulatory blood pressuremonitoring, according to the changes in blood pressure, divided into dayand night average normal blood pressure group (blood pressure<130/80mmHg), and average day and night blood pressure group(blood pressure≥131/81mmHg) day average blood pressure group(blood pressure≥135/85mmHg), mean nighttime blood pressuregroup (blood pressure≥125/75mmHg); based on clinicalmanifestations of patients with TCM, divided into the deficiency and evilempirical, where the virtual card spleen deficiency, spleen and kidneyQi, Qi and Yin deficiency, liver and kidney, yin and yang; evil empiricalinclude the wet muddy, blood stasis, damp-heat syndrome, water andgas card, voiced toxic syndrome. Observed TCM syndrome type andblood pressure in the normal blood pressure group increased thedistribution group. Results:1, the distribution of the type of day and night average normal bloodpressure and blood pressure elevated group of the deficiency, thenormal blood pressure group this deficiency, spleen deficiencysyndrome most, accounting for40.7%, followed by spleen and kidney qideficiency, accounting for22.2%, Qi Deficiency, accounting for20.4%,liver kidney yin, accounting for14.8%, yin and yang, the two cards atleast1.9%; blood pressure group the deficiency type the mostQiyinliangxu, accounting for47.7%, followed by liver kidney yin,accounting for17.4%, spleen and kidney qi deficiency, accounting for14.0%, spleen deficiency syndrome (11.6%), the yin and yang is atleast9.3%. Between the two groups corresponding to the syndromedistribution, there were significant differences (P <0.05).2, the group of evil empirical distribution of day and night averagenormal blood pressure and blood pressure rise, the normal bloodpressure group evil empirical type of blood stasis most, accounting for46.7%, followed by damp-heat syndrome, accounting for26.7%, turbiddamp, accounting for15%, water, gas card, accounting for10%, theleast turbid toxic syndrome, accounting for1.7%; blood pressure groupof evil empirical turbid damp up to47%, followed by blood stasis,accounting for21.7%, damp-heat syndrome, accounted for12%, waterand gas certificate,10.8%, and voiced the least toxic syndrome,accounting for8.4%. Between the two groups corresponding to thesyndrome distribution, there were significant differences (P <0.05).3, the distribution of the deficiency type elevated group mean bloodpressure during the day and night blood pressure group. Elevated bloodpressure during the day group deficiency syndrome type up toQiyinliangxu, accounting for47.7%, followed by liver and kidneycertificate (18.2%), spleen deficiency syndrome (18.2%), spleen and kidney qi deficiency, accounting for13.6%, yin and yang deficiency,accounting for2.3%; night elevated group the deficiency type toQiyinliangxu for the largest, accounting for26.8%, liver kidney yin, yinand yang least19.5%each, spleen and kidney Qi certificate, spleenand kidney qi deficiency is at least17.1%each. Between the twogroups corresponding to the syndrome distribution showed nosignificant difference (P>0.05). Elevated blood pressure during the daygroup group risen non yin and yang deficiency of both elevated bloodpressure at night, elevated blood pressure at night group both yin andyang deficiency type than the elevated blood pressure during the daygroup risen significant difference between the two groups (P <0.05).4, daytime average blood pressure and elevated group and evilempirical distribution of elevated group at night, daytime blood pressureelevated group evil empirical turbid damp largest, accounting for34.8%,followed by blood stasis, accounting for28.3%, damp-heat syndrome,accounting for17.4%, water and gas certificate, accounting for17.4%,least turbid toxic syndrome, accounting for2.2%; night elevated groupof the deficiency type turbid damp largest, accounting for27.3%,followed by blood stasis,(23.4%), water and gas certificate, accountingfor14.9%, and damp-heat syndrome, accounting for14.9%, voiced theleast toxic syndrome, accounting for19.3%. Between the two groupssyndrome type distribution showed no significant difference (P>0.05).Elevated blood pressure during the day a group of non-toxic cloud cardthe group decline than the elevated blood pressure at night, elevatedblood pressure at night group muddy toxic syndrome group to rise thanelevated blood pressure during the day. Between the two groupscorresponding to syndromes of comparison were significant differences(P <0.05). Day and night average blood pressure variation with the distribution ofthe deficiency type, with the blood pressure from the normal rise to140/90mmHg,150/100mmHg160/110mmHg and180/120mmHg,normal blood pressure group this deficiency, spleen and kidney Yangdeficiency in most (40.7%), followed by spleen and kidney qi deficiency,accounting for22.2%, Qi and Yin deficiency, accounting for20.4%, liverand kidney yin deficiency syndrome, accounting for14.8%, yin andyang, the two cards at least1.9%;140Qi Deficiency/90mmHg groupthe most, accounting for38.2%, followed by spleen and kidney qideficiency, accounting for26.5%, liver and kidney yin deficiencysyndrome (17.6%), spleen deficiency syndrome, accounting for14.7%,yin and yang, the two cards least, accounting for2.9%; the QiDeficiency up to150/100mmHg group, accounting for57.7%, followedby liver and kidney, accounting for19.2%, spleen and kidney qideficiency, spleen deficiency syndrome and yin and yang, each7.7%;Qi Deficiency up to160/110mmHg group, accounting for52.9%,followed by liver kidney yin deficiency syndrome, accounting for17.6%,spleen and kidney qi deficiency, accounting for26.5%, spleendeficiency syndrome, yin and yang at least two cards, each with11.8%,at least spleen and kidney qi deficiency, accounting for5.9%;170/120mmHg group Qi Deficiency largest, accounting for44.4%, followed byboth yin and yang deficiency, accounting for33.3%, liver and kidney yinvirtual, spleen deficiency syndrome each accounted for11.1%, spleenand kidney qi deficiency. Both yin and yang deficiency type graduallyincreased with the rise in blood pressure. Among the groups eachcorresponding syndrome distribution, there were significant differences(P <0.05).Day and night mean blood pressure variation and evil empirical distribution, with the blood pressure from the normal rise to140/90mmHg,150/100mmHg160/110mmHg,180/120mmHg normalblood pressure group evil empirical type of blood stasis up to (46.7%),followed by damp-heat syndrome, accounting for26.7%, turbid damp,accounting for15%, water and gas certificate, accounting for10%,voiced the least toxic syndrome, accounting for1.7%;140/90mmHggroup turbid damp most (52.6%), followed by blood stasis, accountingfor21.1%, damp-heat syndrome, water, gas card each accounted for10.5%, the least turbid toxic syndrome, accounting for5.3%; turbiddamp up to150/100mmHg group, accounting for45.8%, followed byblood stasis, accounting for20.81%, damp-heat syndrome, water andgas card each accounted for12.5%, least turbid toxic syndrome,accounting for8.3%; the wet muddy card up to160/110mmHg group,accounting for40%, damp-heat syndrome, water and gas card bloodstasis, voiced thyrotoxicosis each accounted for15%; turbid dampmaximum of170/120mmHg group, accounting for45%, followed byblood stasis, accounting for25%,20%voiced thyrotoxicosis, damp-heatsyndrome, water and gas permit at least5%. The toxic cloud syndrometype gradually increased with the rise in blood pressure. Between thetwo groups each corresponding syndrome distribution, there weresignificant differences (P <0.05).Conclusion:1, day and night average blood pressure of the normal group deficiencytype distributed to the spleen and kidney yang, evil empirical type ofblood stasis; diurnal mean blood pressure of the normal groupdeficiency type Qiyinliangxu evilempirical type damp-heat syndrome.2, in the course of elevated ambulatory blood pressure increased fromthe day to night, the type of the deficiency of yin and yang deficiency of both type gradually increased, evil empirical evidence in toxic cloudgradually increased.With the24-hour ambulatory blood pressure, the type of the deficiency,yin and yang deficiency type gradually rise; evil empirical type, cloudtoxic syndrome gradually increased.4, the study shows that24-hour ambulatory blood pressure to a certainextent reflect the TCM the imaginary evil is evidence of climate changelaws.