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Investigation On The Clinical Status Of Patients With Hypertensive Renal Impairment And The Study Of Traditional Chinese Medicine

Posted on:2016-08-15Degree:MasterType:Thesis
Country:ChinaCandidate:X YaoFull Text:PDF
GTID:2134330470977963Subject:Internal medicine of traditional Chinese medicine
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Purpose:Study hypertensive renal damage in patients with clinical status, physical characteristics and distribution, provide the basis for prevention and treatment of hypertensive renal impairment, and provide reference for indivi dualized therapy of traditional Chinese medicine of hypertensive renal impair ment.Material and method:By collecting the liaoning university of traditional Chinese medicine affiliated hospital urology department data of 91 patients with hypertensive renal damage,high blood pressure and clinical index were inves tigated, and the patients,TCM constitution questionnaire investigation,and to study the clinical features of patients with hypertensive renal impairment, medical condition and physical characteristics of traditional Chinese medicine.Results:1.The study included 91 patients, 55 cases of men, 36 cases of women, male to female ratio is 1.53:1, mean age 64.95 ±12.91 years old, in the majority with 60-79 years old.2.Blood pressure with grade 3 hypertension accounted for the majority, 82.42%; hypertension appear kidney damage time interval to 11-20 years mostly, accounted for 30.77%; cardiovascular damage 52.75%, cerebral vascular lesions 29.67%; the presence of heart, brain, eye more than two kinds of target organ damage(69.45%);with risk factors of hyperlipidemia in majority, accounting for 51.65%.3.The application of antihypertensive drug treatment, 83 cases(91.21%), 8 cases(8.79%), the application of antihypertensive drug treatment has, blood pressure overall success rate of 63.74%; Application of blood pressure blood pressure Da Biao Zhe 56 cases(67.47%), not Da Biao Zhe 27 cases(32.53%); Most for more than 2 kinds of antihypertensive drug combination therapy. Antihypertensive druguse frequency in the majority with CCB class, followed by ARB class.4.High blood pressure in patients with renal damage of traditional Chinese medicine physique virtual sex constitution in the majority(40.66%), single biased with Yang deficiency(15.38%), deficiency of mass in the majority(13.19%); And clip in the constitution in the majority with two kinds of constitution and clip; Preliminary judgement, hypertensive renal damage in patients with dif ferent gender and physical distribution had no significant correlation.Conclusion:Is given priority to with elderly patients with hypertensive renal impairment, and men more than women, should pay attention to the old patients with hypertensive renal damage in mission. Hypertension in renal damage in the majority with 11-20 years time, and is generally believed that the “high blood pressure for 5 to 10 years in renal damage”is not the same. With the hidden, the patient is sick clinical no specific symptoms, lead to delay to the patient. Most patients have merged multiple target organ damage and other sugar, lipid metabolic disorder. Treatment, antihypertensive drugs either single drug or medicine union are in the majority with CCB class. Hypertensive renal damage in patients with physical characteristics of traditional Chinese medicine is given priority to with virtual sex, at the same time, existence and health. Is a kind of hypertensive renal impairment, or a variety of occurrence and deve lopment of physical fitness participation.
Keywords/Search Tags:Hypertensive renal damage, Clinical status, TCM constitution
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