Study On The Correlation Between H-type Hypertension And TCM Constitution

ObjectiveThe purpose of this study is to study the correlation between H-type hypertension and traditional Chinese medicine constitution.By collecting clinical data of outpatients and inpatients in the Department of Hypertension of Jinan Traditional Chinese Medicine Hospital,it is to conduct in-depth collation,statistics,analysis and data Excavate and study the correlation between H-type hypertension and Chinese medicine constitution,and clarify the correlation,so as to guide the early intervention of relevant constitutions in clinical diagnosis and treatment,prevent the occurrence of H-type hypertension and its complications,with a view to achieving "treatment without disease" the goal of.MethodsIncorporate the medical information of 300 patients with H-type hypertension and conduct a questionnaire survey on the TCM Constitution Classification and Judgment Form to collect general patient information and clinical biochemical indicators,plasma homocysteine(Hcy),ambulatory blood pressure,arteriosclerosis index And other information,summarize the data obtained,apply the IBM SPSS Statistics 26 software system for relevant medical statistical analysis and discussion,and draw conclusions.result1.Of the 300 patients collected in this study,141 were male(47.0%);159 were female(53.0%),aged 26-75 years.The highest number of patients with hypertension is 65-75 years old,124,accounting for 41.33%.There were 147patients(49%)with the course of hypertension in 10-20 years,accounting for the largest proportion;there were 201 patients with grade 3 hypertension,accounting for 67%.Five patients with BMI were overweight and obese(BMI≥24kg / m2)than those with normal BMI(18.5kg / m2≤BMI <23.9kg / m2),and there were statistically significant differences.2.The physique distribution of 300 patients in descending order of number of cases is: phlegm and dampness 90(30.0%),blood stasis quality 75(25.0%),yin deficiency quality 56(18.7%),qi deficiency quality 45(15.%),Qi stagnation quality 18(6.0%),Yang deficiency quality 10(3.3%),peace quality4(1.4%),damp heat quality 1(0.3%),special quality 1(0.3%).Among them,the number of patients with phlegm and dampness ranks first.3.In this study,the patients’ plasma homocysteine ? ?(Hcy)indexes were statistically analyzed according to light,medium,and heavy grading and five constitutions.The five constitutions were ranked in descending order of cases of high homocysteine.: Phlegm and dampness> Yin deficiency> Qi deficiency> blood stasis> Qi depression.Patients with phlegm and dampness had significantly higher levels of plasma homocysteine ? ? in mild and moderate cases than the other four.After statistical analysis,P = 0.01 <0.05,the plasma homocysteine ? ?(Hcy)of patients with phlegm and dampness was statistically significant compared with the other four constitutions.4.In this study,patients with phlegm and dampness had the highest total cholesterol,triglyceride,and low-density lipoprotein cholesterol indexes,and were significantly higher than the other four constitutions.Patients with blood stasis,yin deficiency,qi deficiency and qi stagnation have similar blood lipid indexes,but the difference is not obvious.The blood lipid index of patients with phlegm and dampness was statistically analyzed with the other four constitutions,P = 0 <0.05,the total cholesterol,triglyceride,and low-density lipoprotein cholesterol indexes of patients with phlegm and dampness were statistically different from the other four constitutions meaning.in conclusion1.This study shows that patients with H-type hypertension are mainly middle-aged and elderly patients,female patients are more than male patients,have a certain genetic tendency,and have a greater chance of complicating cardiovascular and cerebrovascular diseases.BMI≥24(kg / ㎡)has a high risk of illness,and people with BMI exceeding the standard should do weight management.2.In the study of 300 patients,phlegm and dampness,blood stasis,yin deficiency,qi deficiency,and qi stagnation were the main constitutions,in descending order: phlegm and dampness> blood stasis> yin deficiency> Qi deficiency> Temperament.Among them,the number of patients with phlegm and dampness was the largest in this study,90 cases(30.0%),and phlegm and dampness was the main constitution type of H-type hypertension.3.The five constitutions have certain effects on plasma homocysteine,and the effect of phlegm and dampness on plasma homocysteine ? ? is significantly higher than that of other constitutions.It is suggested that the clinic should pay attention to the management of patients with phlegm and dampness constitution and strengthen their constitutional intervention to prevent the occurrence and development of H-type hypertension.4.The five constitutions have a certain degree of influence on the patient’s total cholesterol,triglyceride,low density lipoprotein cholesterol and other indicators,of which the effect of phlegm and dampness is more obvious.It shows the correlation between the five physiques common to hyperlipidemia and H-type hypertension,suggesting that we should pay attention to the blood lipid management of H-type hypertension at the same time.