A Study On The Characteristics Of The Distribution Of Constitutions And Symptoms Of Elderly Hypertensives In Changsha And The Construction Of A Simple Identification Table For Yin Deficiency And Yang Deficiency

Objectives(1)To understand the distribution characteristics of TCM constitution and the Symptoms of hypertension in the elderly hypertensive people in Changsha,so as to provide scientific basis for prevention and care of hypertension in the elderly.(2)To understand the distribution of relevant syndromes of yin deficiency and yang deficiency in the elderly Hypertensive Patients.(3)Constructing a simple self-determination table for yin deficiency and yang deficiency in elderly hypertensive populations,to provide a basis for “defense administration”.Methods(1)Based on the theory of TCM constitution,extensive literature were consulted,the relevant theories and research of TCM experts and constitution experts were referred to,a large number of clinical case data was retrospectively analyzed,so that to form the initial questionnaire.The questionnaire was revised several times through experts’ consultations and interviews,and experts’ discussions.(2)Through the method of cluster random sampling,5large-scale top-level hospitals in Changsha and 2 large-scale nursing homes were selected,which were located in Yuelu District,Furong District,Kaifu District,Yuhua District,and Wangcheng District,respectively.The patients admitted were from various urban areas in Hunan,which made the sample have a certain degree of representation.The investigators who had been trained helped patients fill out questionnaires,so as to prevent the elderly’s misunderstanding.(3)The input of data was completed by two researchers who had been uniformly trained.The wrong data would be checked again,and a database of case information was established through the Epi Data 3.2statistical software.Using SPSS18.0,the data were analyzed by chi-square test,Plato analysis,correlation coefficient analysis and so on.Results(1)Among the elderly hypertensive people,qi deficiency constitution was the most common,followed by yin deficiency and yang deficiency,and there was a statistically significant difference from other types of conditions(P<0.05).(2)Compared with females,the males had a higher proportion of healthy constitution and Tanshi constitution,and the difference was statistically significant(P<0.05).The proportion of 9 kinds constitutions in different ages did not have a significant difference(P>0.05).(3)The most common clinical manifestations of elderly hypertensive patients and elderly hypertensive patients with healthy constitution were forgetfulness,followed by dizziness and fatigue.The most common manifestations of hypertensive patients with yin deficiency,Tanshi constitution and qi deficiency were fatigue.The most commonmanifestations was dizziness in elderly,hypertensive patients with Xueyu constitution,Yang deficiency,or Qiyu constitution.There were differences in dizziness,headache,and head weight between men and women,and the difference was statistically significant(P<0.05).There was a statistically significant difference in loss of appetite,pain in the body,and unfavorable physical activity in the elderly hypertensve patients with different ages(P<0.05).There was no difference in the hypertension symptoms among patients with different ages.(4)The most common symptoms of hypertension in elderly hypertensive patients with yin deficiency was fatigue and the most common symptoms of hypertension in elderly hypertensive patients with yang deficiency was dizziness.The most common yin deficiency syndrome is lip dryness,followed by red tongue,oropharyngeal dryness,etc.,the most common manifestations of yang deficiency constitution were being afraid of cold,followed by liking warm diet,calm and quiet.(5)There were 19 yin deficiency syndromes associated with yin deficiency constitution,of which 9 yin deficiency syndromes had closed relation with yin deficiency constitution,and the OR values were greater than 2;there were 17 yang deficiency syndromes had closed relation with yang deficiency constitution,and the OR values were greater than 2.Conclusions(1)qi deficiency constitution,yin deficiency constitution and yang deficiency constitution were the most commonconstitutions in elderly hypertensive patients.(2)biased constitution types were affected by gender and years of illness;constitution types,gender and age could affect the clinical manifestations of elderly hypertensive people.(3)There was a strong correlation between 9 yin deficiency syndromes and yin deficiency constitution,and 9 yang deficiency syndromes are strongly associated with yang deficiency constitution;based on these,self-determination table of Yin deficiency and Yang deficiency constitution were developed.