Hypertension With Carotid Atherosclerosis Syndrome Diagnosis Preliminary Development Scale And Clinical Research Of Common Syndromes

Objective： Based on literature and expert questionnaire survey, preliminaryestablished hypertension with carotid atherosclerosis common syndrome diagnostic scale,and tested in clinical research, hypertension with carotid atherosclerosis populationcharacteristics, analysis of syndrome factor combination rule and the common clinicalsyndromes, a preliminary estimate of the scale reliability, lay the preliminary foundationfor hypertension with carotid atherosclerosis TCM standardization andunification.Methods： Literature and expert surveys were established eight commonsyndromes and related certificates prime entry pool, including5disease resistancesyndrome elements: phlegm, blood stasis, deficiency, fiery, Yang Kang;3syndromeelements of disease location: liver, kidney, spleen; Hypertension with carotidatherosclerosis is more common in older people, overweight/obesity rate is higher, meanfasting blood glucose, triglyceride levels exceeded, smoking, alcohol consumptionproportion of male than female; overall isolated systolic blood pressure levels were highblood pressure, elderly patients and younger patients had cerebral infarction than thosewithout vascular ultrasound index increased slowly and neck patients with cerebralinfarction.Results：Literature research and expert questionnaire survey to establish8syndrome elements;Hypertension with carotid atherosclerosis patients is more common inthe elderly group,Overweight/obesity rate is higher,and the female is more serious.Theaverage fasting blood glucose, triglyceride levels exceed the standard, the higher theproportion of family history of hypertension, dietetic habits of eosinophils in salty most,smoking, drinking and proportion of the male was higher than female; blood pressurelevels were isolated systolic hypertension, elderly patients than in younger patients and cerebral infarction patients without cerebral infarction carotid vascular ultrasonographyindex increased slowly.Conclusion: Expert consultation questionnaire is an importantmethod permits syndrome elements established diagnostic criteria, this study willcontribute to hypertension with carotid atherosclerosis TCM standardization andunification. Preliminary clinical epidemiology research found mainly in the liverhypertension bit, CAS lesions in the heart vessel, and phlegm, blood stasis syndrome ishypertension with carotid atherosclerosis’s basic elements, phlegm and blood stasis is themost common syndrome of hypertension with carotid atherosclerosis.Phlegm, blood stasissyndrome elements combination of other syndrome element is The basic form ofexpression to the disease syndrome,and the disease syndrome of hyperactivity of Yang inthe most common (sputum+Yang Kang, stasis+Yang Kang),disease syndrome in liver isthe most common (sputum+liver, stasis+liver), this study syndromes consistent with theclinical literature reports, preliminary verification scale has good credibility, can furtherexpand the sample to verify its reliability and validity, to more accurately investigatehypertension with carotid atherosclerosis syndrome distribution.