[1]张帆,杨志杰,张保丽,等.老年高血压中医证型与血压变异性关系初探[J].西部中医药,2015,28(09):85-87.
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老年高血压中医证型与血压变异性关系初探
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
28
期数:
2015年09期
页码:
85-87
栏目:
出版日期:
2015-09-15

文章信息/Info

文章编号:
1004-6852(2015)09-0085-3
作者:
张帆杨志杰张保丽秦昕高小平
甘肃省第二人民医院,甘肃 兰州 730000
关键词:
高血压老年人中医辨证血压变异性动态血压
分类号:
R544.1
文献标志码:
A
摘要:
目的:探讨老年高血压中医辨证分型与血压变异性的关系。方法:将老年高血压患者200例依据临床证候分为肝火亢盛、阴虚阳亢、阴阳两虚和痰湿壅盛4组,并进行24 h动态血压监测,将血压昼夜节律分为杓形、非杓形、深杓形和反杓形4级,观察动态血压水平,计算出夜间血压下降率,以此判断血压变异性。结果:肝火亢盛组呈明显昼高夜低,阴虚阳亢组呈夜高昼低,阴阳两虚组和痰湿壅盛组的昼夜节律不明显,同时阴阳两虚组收缩压升高明显,痰湿壅盛组舒张压升高明显,非杓型患者易出现阴虚阳亢证和阴阳两虚证。结论:老年高血压患者血压昼夜节律在中医辨证分型各组分布中存在差异。中医辨证分型能够协助判断靶器官损害及预后,对改善血压昼夜节律有潜在价值;动态血压作为高血压的重要检测手段,可为高血压中医辨证提供客观化参考。

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备注/Memo

备注/Memo:
作者简介:张帆(1967—),女,副主任医师。研究方向:心血管疾病的诊治。
更新日期/Last Update: 2015-09-15