| ObjectiveThis study focuses on patients with H-type hypertension,collects clinical data of the patients,initially explores and summarizes the distribution characteristics of TCM syndromes of H-type hypertension,and explores the correlation between various indicators of different syndrome types,which is the treatment of TCM for H-type hypertension.Provide theoretical basis.MethodsA total of 292 patients with H-type hypertension who were hospitalized in the People’s Hospital of Junan County,Linyi City from January to December2019 were selected for statistical analysis,summarized their clinical syndrome distribution characteristics,and analyzed the gender and age of each syndrome type And the difference of related physical and chemical indicators.Results1.292 cases of H-type hypertension patients have syndrome distribution of phlegm dampness syndrome>Yin deficiency and Yang hyperactivity>Yin and Yang deficiency syndrome>Liver fire hyperactivity syndrome.2.There is a difference in age distribution and drinking composition among the various syndromes of H-type hypertension(P<0.05),the deficiency syndrome is higher than the empirical age,and most alcohol drinkers have the syndrome of phlegm-damp congestion;the gender distribution among the syndromes is not,smoking The composition ratio was significantly different(P>0.05).3.There are statistical differences in physical and chemical indicators between different syndromes of H-type hypertension.There is a statistical difference in total cholesterol between the syndromes of hyperactivity of liver and fire and deficiency of both Yin and Yang(P<0.05);free fatty acids exist between syndromes of hyperactivity of liver and fire and hyperactivity of Yin and Yang There was a statistical difference(P<0.05);the diastolic blood pressure level was statistically different between the hyperactive liver-fire syndrome and the Yin-deficiency Yang hyperactivity,Yin-Yang deficiency syndrome,and phlegm-dampness syndrome(P<0.05),and the diastolic blood pressure level was higher in the hyperactive liver-fire syndrome.4.There is a statistical difference in Hcy level between H-type hypertension classification 1 and 3(P<0.05),suggesting that the higher the classification,the higher the Hcy level.5.There are differences in the combined diseases among different syndromes of H-type hypertension.In patients with coronary heart disease,the syndrome of phlegm dampness and deficiency of yin and yang accounted for more than the syndrome of hyperactivity of liver fire.Sheng syndrome and hyperactivity of liver fire accounted for more and the difference was statistically significant(P<0.05);there were no significant differences among the syndrome types with cerebral infarction,dyslipidemia,and hyperuricemia(P>0.05).6.Multiple linear regression analysis showed that Hcy level was positively correlated with serum creatinine concentration in the normal range(P<0.05),but not significantly correlated with gender,age,blood lipids,etc(P>0.05).Conclusion292 cases of H-type hypertension were mainly composed of phlegm-dampness syndrome,followed by yin deficiency and yang syndrome,yin and yang deficiency syndrome,liver-fire hyperactivity syndrome,pathological factors were mainly "phlegm" and "deficiency",and the disease location was mainly related to Liver,spleen and kidney are related.There are differences in age,blood lipids,blood pressure levels and related chronic diseases among different syndrome types;Hcy level is related to blood pressure level,suggesting that the higher the grade,the higher the Hcy level.There was a positive correlation between Hcy level and serum creatinine concentration in patients with H-type hypertension,but no significant correlation was found with age,gender,smoking and blood lipid,which still needs further study. |
