Research on the Correlativity betwwen Essential Hypertension TCM Pttern of Syndrom and BMI Total Lipids LDVF
|School||Heilongjiang University of Traditional Chinese Medicine|
|Keywords||Essential hypertension TCM syndromes BMI Lipids Left ventricular diastolic function|
Objective: TCM Syndrome through the study of essential hypertension (EH) and body mass index, blood lipids and left ventricular diastolic function explore EH TCM types of patients with cardiovascular risk factors and early heart function damage to provide a scientific basis for the the TCM objective and treatment standardization. Methods: meet the EH diagnostic criteria for 120 patients, male 64 cases, female 56 cases; normal control group of 30 patients, 18 males and 12 females. Into EH patients the TCM into anger hyperactivity type 35 cases, 28 cases, hyperactivity, 23 cases of yin and yang, phlegm-dampness type 34 cases, analysis of its permit distribution law. Measured abdominal circumference, height, weight, and calculated body mass index (BMI), routine blood test blood lipids, record triglyceride (TG), cholesterol (TC), high density lipoprotein (HDL-C), low-density lipoprotein ( LDL-C) values, echocardiography mitral peak early diastolic velocity (E peak), peak late diastolic velocity (A peak), and calculate the E / A ratio. Tissue Doppler imaging (TDI) measured mitral annular early diastolic velocity Ea, calculate the E / Ea. Results: 1.EH BMI values ??in patients with normal control group difference had statistical significance (P lt; 0.01), phlegm dampness type with type comparison the difference was statistically significant (P lt; 0.01). The remaining three types of higher order Guan gt; anger Kang Sheng type gt; yin and yang deficiency, but there was no statistical significance (P gt; 0.05). 2.120 cases of EH patients with dyslipidemia those 78 cases, accounting for 65% of the eligible cases, which phlegm dampness type. TC, TG increased HDL-C to minimize the difference was statistically significant (P lt; 0.05) between the various syndromes compared of phlegm dampness increased TG degree difference compared with the normal control group statistically significant (P lt; 0.01), no significant difference between the other three type group (P gt; 0.05). TC elevated degree of phlegm-dampness type is the most obvious, but with the difference without statistical significance (P gt; 0.05). 3.EH patients with E / A ratio reduce E / Ea increases the degree of the normal control group difference was statistically significant (P lt; 0.01), E / A ratio between TCM syndrome to reduce the degree of yin and yang and the other three type compared difference was statistically significant (P lt; 0.01), anger hyperactivity type to reduce the degree of phlegm dampness type and hyperactivity compared differences were statistically significant (P lt; 0.05). Phlegm dampness type Yinxuyangkang type of compared the difference was not statistically significant (P gt; 0.05). E / Ea increases the yin and yang type difference was statistically significant (P lt; 0.05) compared with the various types of anger Kang Sheng with phlegm-dampness type, hyperactivity type compared to the differences were statistically significant ( P lt; 0.01), phlegm dampness type and Yinxuyangkang type of difference compared no statistical significance (P gt; 0.05), the difference between E peak of each card type group had no statistical significance (P gt; 0.05) Conclusion: 1.EH patients with BMI values ??significantly higher than the normal control group, suggesting that overweight and obesity are important risk factors for hypertension, EH TCM syndrome type BMI values ??increased in the order of phlegm-dampness type gt; Yin yang hyperactivity type virtual gt; anger Kang Sheng type gt; yin and yang deficiency, phlegm dampness BMI increased the most obvious. Description BMI value as an objective indicator of TCM syndrome type one. 2.EH patients with TCM syndrome of phlegm dampness type with anger hyperactivity and hyperactivity, yin and yang three groups, TG elevation difference was statistically significant (P lt; 0.05). Prompted lipids, especially TG levels as an objective indicator of TCM syndrome type one. TCM EH patients there are varying degrees of left ventricular diastolic dysfunction, yin and yang deficiency is the most obvious. The prompted LVDF can be used as one of the bases for EH patients with TCM syndrome type of physical diagnosis.