Discussion On Community Management Effect Of Elderly Hypertension Patients With Phlegm Dampness Constitution Based On TCM Constitution Identification

Background : To explore the individual management of elderly patients with hypertension based on physique is of great significance to enrich the management mode of hypertension in the community and do well the community management of hypertension in the elderly.Objective: The purpose of this paper is to study the effect of community management based on TCM physique identification in elderly patients with phlegm-dampness physique of hypertension.Methods: Taking the inclusion criteria and exclusion criteria as the screening premise,the elderly patients with phlegm-dampness physique of hypertension were selected and randomly divided into control group and observation group.The changes of blood pressure in the two groups before intervention and 3 months after intervention were analyzed.Study the changes of phlegm-dampness physique score,BMI and waist circumference before and 6 months after intervention.Study the changes of blood lipid,homocysteine,fasting blood glucose and serum uric acid in the physical identification of the elderly before and after intervention.Results: There was a significant difference in systolic blood pressure and diastolic blood pressure between the observation group and the control group after 3 months of intervention(t =-3.72,t =-2.17;P <0.001,P =0.032).It shows that the entire results from the observation group is better than that from the control group.The difference of phlegm-dampness constitution score was statistically significant after 6 months of intervention(t=-14.2,P <0.001).It shows that the overall effect of improving the number of phlegm-dampness from the observation group is better than that from the control group.At the end of the course of treatment,the observation group was superior to the control group in reducing BMI,blood lipid,homocysteine,fasting blood glucose and serum uric acid(P<0.05).There was no significant difference in the improvement of waist circumference between the observation group and the control group(P>0.05).Conclusion: Community management based on TCM physique identification can significantly improve the phlegm-dampness of phlegm-damp physique in the elderly with hypertension,improve the effect of reducing blood pressure and BMI,and improve blood lipids,homocysteine,fasting blood glucose,glycosylated hemoglobin and serum uric acid.