Study On The Effect Of Comprehensive Intervention Of The TCM Constitution Identification On Essential Hypertension Patients In Community

Objective:By investigating the community essential hypertension patients’ physique categories and their biochemical indexes in Anhui province to find the patients’ distribution and the changes of biochemical indexes.The purpose of the analysis is to verify TCM health intervention have effects of community EH patients and provide a practical theoretical basis for the promotion of community EH patients’ health management model.Methods: The research objects are 92 essential hypertension patients who visited their physicians in Integrative Medicine Hospital of Anhui province during Mar.2016 to Oct.2017.The research found the patients’ constitution by a questionnaire and designed customized intervention plans on programs on diet,exercise and auricular point.The research instruments included knowledge lecture,health consultation and regular interview.The study found the impacts of renal and liver function,blood glucose,blood lipid and other biochemical indexes on community EH patients after done TCM health intervention in community for about 6 months.Results:1.General Condition: From an age point of view,the largest number of EH patients in this age group is 60-70 years old;From the aspect of male and female composition,the study subjects were mainly female and most of them are married.In terms of education,the proportion of patients with high school/secondary vocational education was the highest and most patients are production stuffs.In the patients’ medical history,the top three most common diseases are EH,Hypertension with stroke,Hypertension with coronary heart disease.2.The distribution of constitution of TCM: the research members were 92 EH patients,65.21% of them are Partial Yin mass,including Qi deficiency constitution,Yangdeficiency constitution,Phlegmy wet constitution;22.83% of them are Partial Yang mass,including Yin deficiency constitution and Damp-hot constitution;Blood stasis constitution accounting for 6.52%;Qi depression constitution were about 4.35%;Allergies constitution were about 1.09%,and no one has mild physical.The patients with qi deficiency constitution,Yang deficiency constitution,Phlegmy wet constitution,Yin deficiency constitution,Damp-hot constitution are16.30%,19.56%,29.35%,15.22%,7.61%.3.The indexes changes after TCM health intervention: After TCM health intervention to the patients,their weight,waist circumference,diastolic pressure,blood pressure had significant changes,and these are all statistically significant(P<0.01).Statistical analysis found that GLU,BUN,CREA,UA,TG,CHOL,LDL-C,HDL-C,ALT,and AST were significantly statistically significant before and after TCM intervention(P<0.01).After TCM intervention,the levels of GLU,BUN,CREA,UA,TG,CHOL,LDL-C,ALT and AST decreased,and HDL-C levels increased.Conclusion:1.Through the research,we have learned that the age,sex,marital status,education level,occupation,and medical history of EH patients in the community.2.By investigating the type of TCM constitution of EH patients in the community,we have a preliminary understanding of the distribution of TCM constitution types in community EH patients.3.The TCM health intervention can lower community EH patients’ blood pressure and weight,reduce their waistline,at the same time,it can regulate kidney function,control blood glucose and blood lipids and increase kidney malfunction.Research and analysis results show that TCM health intervention have dramatically clinical effects of community EH patients.The doctors should pay attention to the active role of life intervention and health education in the treatment of EH patients.