Study On The Distribution Regularity And Related Factors Of TCM Syndrome Types In Elderly Patients With Non-dipper Hypertension

Purpose:To investigate the distribution of TCM syndromes and related factors in elderly patients with non-dipper type hypertension,and to provide evidence for the objectification and standardization of TCM syndrome differentiation in elderly patients with non-dipper hypertension.Methods:TCM syndrome differentiation of 171 patients diagnosed with elderly non-dipper hypertension was collected,and the clinical data were collected and analyzed.Statistical analysis was performed by SPSS software to draw conclusions.Results:1.The distribution frequency of TCM syndromes in elderly non-dipper type hypertension is from yin deficiency to impotence,qi and yin deficiency,phlegm and blood stasis,phlegm and dampness,yin and yang deficiency,and liver stagnation.2.The age distribution of different syndromes was statistically different(P<0.05).The patients with≥80 years old were mainly qi and yin deficiency,yin and yang deficiency syndrome,and liver qi stagnation syndrome was common in patients aged 60-69 years.3.The average duration of the patients with Qi and Yin deficiency group was the longest,followed by the blood stasis and obstruction group,the yin and yang deficiency group,the Yin deficiency and impotence group,the phlegm and blood stasis group,and the liver fire stagnation group.This may reflect the development process of hypertension from real to virtual.4.Different types of syndromes are mainly grade 3 hypertension and extremely high risk.It is indicated that elderly patients with non-dipper hypertension have a combination of risk factors and complications.5.In terms of comorbidities,coronary heart disease(100 cases)was the most common with the disease,followed by cerebral infarction(72 cases)and diabetes(43 cases).It shows that the incidence of coronary heart disease and cerebral infarction is higher in elderly patients with non-dipper hypertension.6.The distribution of blood glucose metabolism in different syndrome types was statistically different(P<0.05).The fasting blood glucose damage in the liver-fired Shengsheng group was higher than that in other groups,and the composition ratio of diabetes was low,which was significantly different from other groups.7.The urinary microprotein(MAU)of different syndromes was statistically different(P<0.05),and the number of MAU abnormalities in the yin and yang deficiency group was the highest.8.The plaque formation was the most in the yin and yang deficiency group,and the proportion of the syndromes of carotid atherosclerosis is yin and yang deficiency>phlegm and dampness>phlegm and blood stasis>liver qi stagnation>yin deficiency yang sputum>There is no statistical difference between the two trends of qi and yin.Conclusion:The syndrome type of elderly patients with non-dipper type hypertension is more common with Yin deficiency and Yang stagnation syndrome and Qi and Yin deficiency syndrome;the distribution of syndrome type is related to age,urine microprotein and blood sugar metabolism;the pathogenesis is always the virtual standard,the virtual The five internal organs are debilitating,and the qi and blood are yin and yang deficiency.It is actually the wind,fire,phlegm,and phlegm.The main pathological factors are wind,fire,phlegm,phlegm and phlegm.The organs closely related to it are mainly liver,spleen and kidney.