不同級別原發性高血壓中期腎損害患者的中醫臟腑辨證特點及臨床意義

江丹娜　　張南龍　　蘇瓊

[關鍵詞] 原發性高血壓;血壓級別;中期腎損害;中醫臟腑辨證

[中圖分類號] R594.4? ? ? ? ? [文獻標識碼] B? ? ? ? ? [文章編號] 1673-9701（2021）20-0139-04

Characteristics and clinical significance of TCM visceral syndrome differentiation in patients with different grades of primary hypertensive mid-renal damage

JIANG Danna? ?ZHANG Nanlong? ?SU Qiong

Department of Cardiology， Ningbo Hospital of Traditional Chinese Medicine， Ningbo? ?315010， China

[Abstract] Objective To explore the characteristics and clinical significance of TCM visceral syndrome differentiation in patients with different grades of primary hypertensive mid-renal damage. Methods Seventy-one patients with different grades of primary hypertensive mid-renal damage treated in our hospital from March 2018 to June 2019 were enrolled in the retrospective analysis. Those patients were divided into the group of age ≤ 50 years old（n=14）， the group of age between 51 and 70 years old （n=41）， and the group of age>70 years old （n=16） according to the age; they were divided into grade Ⅰ （n=17）， grade Ⅱ （n=38）， and grade Ⅲ （n=16） according to the different grades of hypertension. The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patient of different age groups and different grades of primary hypertensive mid-renal damage were analyzed and compared. Results The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patients with primary hypertensive mid-renal damage in the group of age >70 years old were higher than those in other age groups.There were statistically significant differences in the visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang of patients in the group of age ≤50 years old， the group of age between 51 and 70 years old， and the group of age >70 years old（P<0.05）. The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patients with grade III primary hypertensive mid-renal damage were significantly higher than those in patients with grade I and grade Ⅱ primary hypertensive mid-renal damage.There were statistically significant differences in the visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang of patients with grade I， grade II and grade II primary hypertensive mid-renal damage（P<0.05）. Conclusion With the increase of hypertension grade and age， the level of renal damage in patients with primary hypertensive mid-renal damage increases significantly， and the degree of blood stasis syndrome and Yin deficiency syndrome also increases.