高血压病的中医证型及相关指标关系的流行病学调查的分析.pdf

目 录 中文摘要 ···················································1 英文摘要 ···················································3 引 言 ····················································6 正 文 ····················································9 第一部分 理论研究 ········································9 1.高血压病简述 ············································9 2. 中医对高血压病的认识 ·································10 3.高血压病的中医证型及其与相关因素关系的研究 ······12 第二部分 调查研究 ·······································15 1.研究对象和方法 ········································15 2.结 果 ···················································17 3.讨 论 ···················································40 4.结 论 ···················································44 参考文献 ··················································46 附 录 ··················································47 综 述 ··················································48 致 谢 ··················································55 攻读学位期间发表的学术论文目录 ·······················56 作者声明 ··················································57 个人简历 ··················································58 中 文 摘 要 目的：为进一步了解高血压病的中医证候类型分布及其与相关指 标的关系，为高血压病的中医药防治提供依据。 方法：采用临床流行病学调查方法，收集广西中医学院第 一附属医院近5 年(2004年7 月～2009 年6 月) 900 例出院第一诊断为高 血压病的住院病例的病历资料。详细记录病例一般情况、中医诊断、西 医诊断、血糖、血脂水平等项目。采用回顾性分析病例资料的方法进行 分析和比较。 结果：①中医证型32 型;主要证型依次为：痰浊内阻、阴虚阳亢、 肝阳上亢、气虚血瘀、气血两虚。②中医病种 8 种；依次为：眩晕、胸 痹、心悸、头痛、心衰、喘证、中风、水肿；眩晕病的主要中医证型依 次为：痰浊内阻、 阴虚阳亢、肝阳上亢；胸痹病的主要中医证型依次为： 痰阻心脉、气虚血瘀、气阴两虚；心悸病的主要中医证型依次为：气虚 血瘀、痰热扰心、气血两虚；头痛病的主要中医证型依次为：肝阳上亢、 瘀血阻络、阴虚阳亢。③男性患者412 例 （45.78℅），女性患者 488 例 （54.22℅）；男女性别比1：1.18。他们的主要中医证型分别为：痰浊内 阻、阴虚阳亢、肝阳上亢；痰浊内阻、阴虚阳亢、气虚血瘀。男、女患 者主要证型分布情况有明显差异。④40 岁以下27 例（3.00℅）、41 岁-50 岁 100 例 （11.11℅）、51 岁-60 岁 183 例 （20.33℅）、61 岁-70 岁262 例 （29.11℅）、71 岁-80 岁 249 例 （27.67℅）、81 岁以上 79 例 （8.78 ℅）；51 岁-60 岁的主要中医证型依次为：痰浊内阻、气虚血瘀、阴虚阳 亢；61 岁-70 岁的主要中医证型依次为：痰浊内阻、阴虚阳亢、肝阳上 亢；71 岁-80 岁的主要