Old Age Hypertension Tcm Syndrome Type And Dyslipidemia Correlation

Objective:Research on the distribution regularity of TCM syndrome types and the relationships among TCM syndrome types、gender、age、course of disease、level of blood pressure、risk factors, blood lipid levels in eldly in elderly hypertensive patients of TCM syndrome type correlation, for elderly patients with hypertension in Chinese medicine dialectical pointsto provide an objective basis, in order to improve the efficacy of hypertension TCM。Understanding elderly hypertensive patients with dyslipidemia syndromes and lipid profile, timely and effectively control of blood pressure、blood lipids,could reduce the risk of cardiovascular and cerebrovascular disease caused by hypertension and dyslipidemia.Method:Random collection of340cases of outpatient and inpatient EH in accordance with the editor in chief of Tianjin Zhou TCM textbooks elderly hypertensive TCM syndrome classification criteria divided into six groups:anger on the inflammation group, liver yangKang group, the Deficiency of liver-kidney group, phlegm dampness group, blood stasis group, the Deficiency of yin and yang group. The course is divided into0-5years,6-10years,11-20years, four groups of more than20years. The diagnostic criteria of hypertension in accordance with the2009Chinese Hypertension Prevention Guide (primary) diagnostic criteria, divided into1,2,3, low-risk, medium risk and high risk groups. Dyslipidemia diagnostic criteria in accordance with the2007adult dyslipidemia prevention and treatment guidelines. Statistics of patients’ gender, age, disease duration, blood pressure classification, risk stratification, TCM syndrome, blood lipid levels and other relevant information, all data are used SPSS17.0software for statistical analysis.Results:1.340cases of elderly patients with hypertension TCM syndrome distribution of the overall trend is phlegm dampness group> stasis blocking collaterals group> group of liver yang>liver and kidney group> anger on the inflammation group、yin and yang group.2. Classification of340cases of hypertension hypertension3the proportion of up to62.65%,31.47%, the ratio of two high blood pressure is5.88%.3. Risk stratification of EH in high-risk group accounted for the proportion of91.18%; the total proportion of low-risk and intermediate risk group was only8.82%of total.4. Gender、age、course of disease、level of blood pressure、risk factors are of impact on the hypertension of TCM (P<0.05)。5. EH patients with dyslipidemia as high as76.47%, lipid levels, gender, age (P<0.05), and blood pressure levels and risk stratification in the relationship between small (P>0.05).6.Dyslipidemia in EH patients, TCM syndrome distribution laws is phlegm dampness type> stasis blocking collaterals> liver yang> liver-kidney yin and yang of type> anger. Inflammation type>anger on the inflammation type.7. Differences in elderly hypertensive patients with lipid levels related to the distribution of TCM syndromes, the relationship between hypertension TCM syndrome and triglyceride (TG) levels:six cardtype in TG levels were higher than the normal group, no difference in TG levels between the six syndrome type (P>0.05); hypertension TCM syndrome and the relationship of TC levels:TC levels in thesix card type differences (P<0.05), there are difference between liver yang group, phlegm dampness group, blood stasis obstructing the network group and normal group, the yin and yang group (P<0.05), liver yang group, phlegm dampness group, blood stasis group, the total cholesterol level higher than the yin and yang group and normal group, and liver yang group, phlegm dampness group, TC level of blood stasis group was no significant differencebetween the yin and yang with the control group (P>0.05), no significant differences (P>0.05); TCM syndrome of hypertension and HDL: differences in phlegm dampness group, blood stasis group and normal group was significantly (P<0.05), the lowest group of HDL levels of yin and yang, the other groups no significant difference (P>0.05); TCM syndrome of hypertension and LDL:the group of yin and yang and yang hyperactivity group, phlegm dampness group, blood stasis group and normal groupsignificant difference (P<0.05), the yin and yang group than in the four, no significant difference between the other groups (P>0.05).Conelusions:1. EH patients with high blood pressure classification, risk stratification, more dyslipidemia.2.EH patients with TCM syndromes of a certain regularity, phlegm-dampness type, blood stasis type, anger hyperactivity distribution are more than the Deficiency of liver-kidney, anger hyperactivity and yin and yang are letter than others。3. Gender、age、course of disease、level of blood pressure、risk factors are of impact on the hypertension of TCM.4. The dyslipidemia EH patients with syndromes of law is the type of phlegm dampness> blood stasis>Liver Yang Ascending type>liver-kidney yin and yang deficiency type>liver fire flaring upwards type.5. Dyslipidemia in E H and dyslipidemia affect the TCM syndrome distribution, Liver Yang Ascending group, phlegm dampness group, stasis blood group are on apact with high TC level; group of yin and yang deficiency is on apact with low HDL level。...