Clinical Characteristics And TCM Syndrome Types Of Essential Hypertension With Left Ventricular Hypertrophy

Objective:to explore the essential hypertension patients with left ventricular hypertrophy in 24 h ambulatory blood pressure,ultrasonic echocardiography,physical and chemical inspection,etc on the TCM syndrome type distribution,from the Angle of combining traditional Chinese and western medicine for understanding certain clinical basis for left ventricular hypertrophy and reference.Methods:a retrospective survey research methods,from July 2009 to December 2017,dongzhimen hospital wards were primary hypertension with left ventricular hypertrophy in patients with a total of 101 people,are included in the cases in 2010 hypertension diagnosis standard and zheng xiaoyu,editor of "Chinese medicine new medicine clinical research guiding principles for the treatment of hypertension(try out)" and "internal medicine of traditional Chinese medicine common disease diagnosis and treatment guidelines" of dialectical classification standards.The collected data was first used in Excel to establish the database,followed by statistical analysis with SPSS20.0 statistical software.Results:1.Basic data:gender,age,course of disease,family heredity and hypertension classification were not significantly different among the syndromes.2.The distribution law of syndrome type is:phlegm and blood stasis and>Yin deficiency Yang and Yin deficiency.3.Dynamic blood pressure syndrome,according to the 24 h average systolic blood pressure,average systolic blood pressure and systolic blood pressure at night during the day sorting rule are:phlegmy wet indicates sheng>something KangCheng>Yin hand alternating knot>phlegm stasis,Yin and Yang are two empty.There was no apparent regularity in diastolic blood pressure and heart rate.4.Blood fat:phlegm dampness is the lowest in TC and LDL,and the highest in TG and HDL,which can be used as the basis for syndrome differentiation in blood lipids.TC and LDL level are the highest,which can be used as the reference basis for syndrome differentiation of Yin deficiency and Yang.5.Ultrasonic cardiac syndrome types,according to the inner diameter and left ventricular mass index(bmi)at the end of the left ventricular shu sorting rule is:the phlegm wet indicates sheng>something KangCheng alternating knot>phlegm stasis Yin hand>both Yin and Yang deficiency.In the left ventricle,the order of the posterior wall is:phlegm-dampness,upland,phlegm and blood stasis,and Yin and Yang.The first three syndromes in the left ventricle,left ventricular mass index and left ventricular posterior wall sequence were all phlegm-dampness accumulation syndrome,liver fire syndrome,and phlegm stasis.6.There was no significant difference between carotid artery ultrasonography,blood routine and urine routine.Conclusion:To see whether 24h ambulatory blood pressure,blood fat,the rule of echocardiography as hypertensive LVH in micro dialectical classification method,provides the auxiliary reference basis for Chinese medicine dialectical,according to the syndrome type of traditional Chinese medicine on left ventricular hypertrophy index distribution,in order to further the Chinese and western medicine combined with prevention and treatment of hypertensive LVH provide ideas and methods.