Function Of TCM Syndrome Distribution Of Hypertension Patients In Community Evolution Law Research

Objective: Using retrospective investigation and cross-sectional survey method, the combination of pingyuan county in shandong province authority unit on-the-job and retired patients with high blood pressure symptoms, syndrome and associated risk factors in investigation and study, the research on the rules of hypertension syndromes inner link and its distribution characteristic, function of traditional Chinese medicine for hypertension provide objective basis for the establishment of community prevention and control strategies.Method:The investigators in March to April, 2015 in pingyuan county of shandong province with a standard questionnaire to collect the region office unit on-the-job and clinical variables from retiree related data and syndrome classification of quantitative data; In strict accordance with syndrome differentiation standards and procedures selected older than 18 one full year of life without major merger disease patients with high blood pressure; Will all the information in this part of patient import ACCESS database, using SPSS17. O statistical software for data statistics, To hypertension suffered KangSheng syndrome, Yin deficiency syndrome often witness syndrome factor clustering analysis, illustrate the syndrome elements; Then in 2015 and 2012 the TCM syndrome distribution characteristics of hypertension patients were compared.Results:(l) The crowd detection rate was 61.8%, the hypertension patients surveyed female patients was 23.6%, male patients was 38.3%.(2) In 2015 patients with hypertension in a card discernible in 287 cases, 15 cases without card discernible. Distribution in a single standard syndrome, Yin deficiency hand syndrome in 111 cases, accounting for 37%; Suffered KangSheng syndrome in 79 cases, accounting for 26%; Two of Yin and Yang deficiency syndrome, 38 cases(13%); Phlegmy wet indicates the 24 cases,accounting for 8%. Low proportion of composite card type, phlegm wet indicates sheng + Yin and Yang deficiency syndrome in 2 cases, two(1%); Phlegmy wet indicates + Yin deficiency card hand in 16 cases, accounting for 5%; Getting KangSheng + phlegm dampness indicates sheng in 16 cases, accounting for 5%. 128 cases of patients with high blood pressure kidney deficiency(42.4%), 119 cases of the kidney deficiency accounted for 39.4%.(3) Suffered hypertension KangSheng card syndrome factors, high frequency for forgetfulness(40.51%), dry mouth(36.71%), irritability(32.91%), blurred vision(32.91%), dizziness(30.38%), etc. For high frequency syndromes factor clustering analysis found that: dry mouth, Sou yellow or red, blurred vision, forgetfulness, irritability can get together for a class.(4) Hypertension both Yin and Yang deficiency syndrome factor in the high frequency of blurred vision(65.79%), forgetfulness(60.53%), lumbar debility(52.63%), dry mouth(42.11%), heart palpitations(34.21%), chest tightness(34.21%), irritability(34.21%), etc. For high frequency syndromes factor clustering analysis it is concluded that: after lumbar debility, forgetfulness, blurred vision can get together for a class.Conclusion:(1) The pingyuan county of shandong province authority unit on-the-job and retirees hypertension prevalence rate beyond the average level in our country, prompt treatment of high blood pressure in the region more severe situation. Patients with high blood pressure has a trend of getting younger over the, the onset of hypertension is closely related to lifestyle.(2) Something KangSheng syndrome in young and middle-aged patients with high blood pressure, and give priority to with double period high blood pressure; Middle-aged hypertensive patients with phlegm wet indicates sheng syndrome, Yin deficiency hand, elderly patients with high blood pressure is in the majority with both Yin and Yang deficiency syndrome, and to see more isolated systolic hypertension; Hint as the growth of the age, hypertension syndromes by the liver and kidney, may be present from real to virtual evolution law. Disease in the liver, in the early disease of the liver and spleen, long into the kidney syndromes evolution characteristics.(3) On the basis of getting KangSheng card syndrome factor frequency high, dry mouth, irritability, Sou yellow or red, dizziness may be something KangSheng card syndromes factors for high blood pressure. With hypertension suffered KangSheng diagnostic criteria of syndrome is consistent, suggests something KangSheng hypertension syndrome diagnostic criteria have clinical value. Described in the hou has mixed deficiency syndrome, prompt hypertension pathogenesis is complicated variety, embodies the ideas of TCM syndrome differentiation and treatment.(4) The survey the crowd of Yin and Yang deficiency syndrome two sample less, diagnostic criteria is too broad, and did not fully reflect the characteristics of the syndrome, the specificity is not high, still need to revise.(5) In view of this study is to investigate the results of a preliminary frequency statistics, and small sample sizes, influenced by regional and survey of the population, its conclusion is not better reflect the characteristics of the hypertensive population syndromes, be badly in need of more than 1000 cases of large sample research.