【摘要】 目的初步探讨社区正常高值血压人群中医证候分布规律。方法对山东省德州市平原县教育局机关和全县108所中小学校全体在职和离退休人员进行现场调查,采用标准证候调查问卷,收集受试者性别、年龄、体重指数、腰臀围比值、血压、心率、合并危险因素等基线资料,归纳受试者中医证候分布情况。结果 3 860例受试者中共检出正常高值血压1 050例,检出率为27.4%,男性高于女性(P<0.05)。正常高值血压者的危险因素为性别、教育程度、饮酒、血脂异常病史和体重指数。正常高值血压单一证候的比例较高,且伴随年龄增长出现差异(P<0.01),即50岁前以肝火亢盛证为主,60岁后以阴虚阳亢证和阴阳两虚证为主;阴虚阳亢证及肝火亢盛证的影响因素均为性别。正常高值血压者在各年龄段的肾虚证和非肾虚证差异明显(P<0.01),即50岁以前以非肾虚证为主,60岁以后以肾虚证为主;肾虚证的影响因素主要为年龄。结论社区正常高值血压人群以肝火亢盛、阴虚阳亢等肝系证候为基本证候,伴随年龄增长,特别是男性,可能逐渐呈现由实证(肝火亢盛)到虚实夹杂证(阴虚阳亢),最后发展为虚证(肾虚或阴阳两虚)的动态演变规律。更多还原

【Abstract】 Objective To research the TCM pattern distribution of high-normal blood pressure population in communities.Methods All employees and retirees from education authorities and 108primary and secondary schools in Pingyuan County,Dezhou City,Shandong Province were investigated.The standard pattern questionnaire was used to collect the gender,age,body mass index(BMI),waist hip ratio(WHR),blood pressure,heart rate and combined risk factors.The TCM pattern distribution of the subjects was analyzed.Results There were 1 050cases(27.4%)of high-normal blood pressure were found in totally 3 860subjects and the detection rate of the male was higher than that of the female(P<0.05).The risk factors of high-normal blood pressure were gender,education level,alcohol consumption,history of dyslipidemia and BMI.The proportion of single pattern in high-normal blood pressure population was high and difference occurred with age growth(P<0.01).Liver fire exuberance pattern was common in people under 50years old.Yin deficiency yang hyperactivity pattern and yin-yang deficiency pattern was common in people over 60years old.The influencing factors of yin deficiency yang hyperactivity pattern and liver fire exuberance pattern were gender.There were significant differences between the kidney deficiency pattern and non kidney deficiency pattern in people with high-normal blood pressure of all ages(P<0.01).Non kidney deficiency pattern was common in people under 50years old.Kidney deficiency pattern was common in people over 60years old.The influencing factor of kidney deficiency pattern was age.Conclusion The basic patterns of high-normal blood pressure population in communities are liver fire exuberance pattern and yin deficiency yang hyperactivity pattern.The TCM patterns may change from repletion pattern(liver fire exuberance)to deficiency-repletion complex pattern(yin deficiency yang hyperactivity)and finally develop into deficiency pattern(kidney deficiency pattern or yin-yang deficiency)with age,especially in the male.更多还原