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1、社区中老年高血压病患者中医体质类型的调查分析庄希瑶1于振萍2许月梅1刘辿11.天津市河西区中医医院，天津300201；2.天津市河西区中医医院珠海里社区卫生服务站,犬津300201［摘要］目的了解我社区高血压患者的体质特点，探讨其影响因索与中医体质类型的关系，为高血压防治提供依据。方法调查我部分社区高血压患者共619例，根据《中医体质分类与判定》的体质辨识表进行中医体质辨识，对高血压患者体质进行比较，并对不同性别、体重指数及血压控制达标与否等因素与体质类型的关系进行分析。结果①高血压患者异常体质461例(74.72%)显著高于平和体质156例(
2、25.28%),异常体质中以痰湿质、气虚质、阴虚质、阳虚质为主。②高血压患者男性痰湿质高于女性，女性阳虚质高于男性，其弟异有统计学意义(P<0.01)o③高血压患者血压达标者与未达标者在不同屮医体质屮的分布基本一致，差异无统计学意义(P>0.05)o结论我社区高血压病患者的病理体质特点是以痰湿质为主，男性与女性患者比较，阳虚质与痰湿质的构成比有显著性差异。这些，提示了社区高血压患者中医体质类型的一些特征，为防治高血压提供依据。［关键词］社区；高血压；中医体质类型InvestigationandanalysisonTCMconstitutiont
3、ypeofhypertensivepatientsincommunityZhuangXi-yao,YuZhen-ping,XuYue-mei,LiudiTCMHospitalofHexiDistrictinTianjinCity,Tianjin,300201,China[Abstract]ObjectiveToinvestigatetheconstitutionfeatureofhypertensiveanddiscusstherelationbetweeninfluencingfactorsandTCMconstitutiontype,ino
4、rdertoprovidetheoreticalbasesforpreventandcontrolhypertension.MethodsTotally619hypertensivepatientsinourcommunitywereinvestigated,accordingtoClassificationandDeterminationofConstitutioninTCMidentifytheTCMconstitutionalonghypertensivepatients.Additionally,therelationsbetweenc
5、onstitutiontypeandfactorsasdifferentsex,weightindexandthebloodpressurereachthestandardornotwereanalyzed.Results©Inthehypertensivepatients,abnormalconstitution461cases(74.72%)issignificantlyhigherthanmildconstitution156cases(25.28%).Amongabnormalconstitution,themaintypesisphl
6、egm-dampness,Qi-deficiency,Yin-deficiency,Yang-deficiency.②Inthehypertensivepatients,themalephlegm-dampnessconstitutionhasmarkedlyhigherthanthatoffemale,andthefemaleyang-deficiencyconstitutionhasmarkedlyhigherthanthatofmale(P<0.01)•③Thecompositionratioofconstitutiontypehasno
7、significantdifferencesbetweenthestandard一reachingrategroupandthatofnon-reachinggroup(P>0.05).ConclusionThephlegm-dampnessconstitutionisthemajorPatho-logicalconstitutionforhypertensive,Yang-deficiencyconstitutionandphlegm-dampnessconstitutionhaveasignificantdifferencesbetween
8、maleandfemale.ThoseresultsshowtheTCMconstitutionfeatureofhypertensiveandpro
