The Research On Female Climacteric Hypertension Syndrome Type Of Traditional Chinese Medicine Between Change Of Cardiac Structure Function

Objective: Through the observation of 308 cases of female climacteric hypertension of carotid arterial structure, body mass index, glucose and lipid level differences between the TCM syndromes, All patients were observed with the extension of course, the index of cardiac structure and function between different TCM syndrome types of change, to combine traditional Chinese and western medicine to observe female hypertension(menopause) provides the reference for the pathologic process of myocardial remodeling. Methods: Collection 308 cases female climacteric hypertension are hospitalized in Xinjiang Uygur Autonomous Region Hospital of traditional Chinese medicine from 2015 July to 2016 March, All patients divided into 2 groups according to the course of the disease,the The course ≥5 years groups,and The course < 5 years group,All the patients were classified into Yin deficiency endogenous dryness type, liver depression and phlegm obstruction type, heart lienal two empty type, yin and yang deficiency type, check the cardiac uhrasonography : Left atrial diameter LAD 、Interventricular septal thickness IVST、Left ventricular internal dimension,diastolic LVDs、Left ventricular internal dimension,systolic LVDd、Left ventricular posterior wall thickness LVPWT、Left ventricular mass LVM、Left ventricular mass index LVMI、Left Ventricular Ejection fraction LVEF、Early diastolic mitral inflow velocity E、Late diastolic mitral inflow velocityA 、E/A, and do statistical analysis comparison. Result:(1)To compare the group(course<5 years)with another group(course ≥5 years):LAD、IVST、LVPWT、E/A is more enlarge in the group(course≥5 years) than the group(course<5years),Peak E and E/A value is More the decrease of the degree in the group(course≥5 years) than the group(course<5years).(2)in the group(course<5years),There was no statistically significant difference in the four types of syndrome group about the IVST、LVPWT、LVDs、LVDd、LVEF、E/A、LVM、LVMI. To compare with the LAD,Yin deficiency endogenous dryness type <heart lienal two empty type<liver depression and phlegm obstruction type < yin and yang deficiency type, The difference was statistically significant(p<0.05).(3)In the group(course≥5years),To compare with the LAD:Yin deficiency endogenous dryness type<heart lienal two empty type<liver depression and phlegm obstruction type<yin and yang deficiency type. The difference was statistically significant(p<0.05). As for LVDs、LVDd:Yin deficiency endogenous dryness type、heart lienal two empty type<yin and yang deficiency type. The difference was statistically significant(p<0.05). compared with LVM、LVMI: Yin deficiency endogenous dryness type,heart lienal two empty type,liver depression and phlegm obstruction type < yin and yang deficiency type. The difference was statistically significant(p<0.05). There is no difference in LVEF 、E/A.Conclusion: Female hypertension(menopause) in course of elderly heart damage is more prominent. Female hypertension(menopause) in course of more than 5 years of Yin and Yang deficiency syndrome in patients with cardiac damage is the most serious.