Study The Difference Between Primary Aldosteronism And Primary Hypertension On Distribution Of Syndrome Elements Of TCM

Objective:To compare the difference between Primary aldosteronism and primary hypertension on distribution of syndrome elements of TCM;Methods: Research was carried out among 111 hypertension patients who suspected PA.then collect the general information and fill in the questionnaire about syndrome elements of TCM,According the resort of SLT to divided into two groups(PH 80,PA 31),compare the difference between Primary aldosteronism and primary hypertension on distribution of syndrome elements of TCM.Receiver operating characteristic(ROC)curve was used for diagnosis the PA in potassium,analyze the best sensitivity and specificity;the distribution results in tow groups have difference(P < 0.05);Results: PA group patients’ s 24 hours of systolic blood pressure was higher then PH grou[(145.94±15.77)VS(136.45±11.60)mm Hg,P < 0.05];PA group patients’ s potassium blow then PH group[(3.43±0.47)VS(3.67±0.32)mmol/L,P < 0.05];The results of Adrenal CT have different in tow group(P< 0.05);There was no difference between PA and PH on excess-syndrome;but for the virtual-syndrome,Qi deficiency account for the largest proportion from PA group,but Yin deficiency in PH group(P < 0.05).The constituent ratio of PA group for virtual syndrome follows the sequence: Qi> Yin> Blood> Yang,the sequence of PH group is Yin> Qi>Blood> Yang.Results value of potassium cut off point of PA was under 3.26mmol/L,the sensitivity was 38.7%,specificity was 93.7%,and area under the receiver operating characteristic was 0.64[95%CI0.54~0.73];Conclusion: The key screening for the patients who have higher 24 SBP and hypokalemia is necessary to PA.It may acquire batter curative effect from the TCM treatment of PA,beginning from renal,Qi deciency.Not all the PA with hypokalemia,but it’s greatly reduce the misdiagnosis rate of screening PA from hypertention with hypokalemia,also have some diagnostic significance.