基于文献的27 352例老年高血压病中医证候特征研究

作者	单位
王碧晴;张萍;杨红霞;鞠春晓;徐凤芹	1.北京中医药大学研究生院（北京 100029）,2.中国中医科学院西苑医院综合内科（北京 100091）,3.中国中医科学院老年医学研究所（北京 100091）,4.中国中医科学院西苑医院病证结合防治血管衰老研究室（北京 100091）

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中文摘要:

目的基于文献分析老年高血压病证候特征，总结中医证候分型及证候要素，为老年高血压病中医证候规范化研究以及辨证治疗提供基础。方法对2010—2020年期间老年高血压病中医证候相关文献进行检索，整理常见证候分型，总结相关证候要素，根据2020年《中医临床诊疗术语第2部分：证候》部分，统一证候名称，对老年高血压病常见中医证型、证型频数及证候要素分布进行统计分析。结果纳入文献67篇，总病例数27 352例。老年高血压病证候构成比例前十名的证候包括阴虚阳亢证（23.00%）、痰湿内蕴证（13.84%）、肝火炽盛证（13.65%）、痰瘀互结证（9.87%）、阴阳两虚证（8.97%）等，相关证候要素以痰浊、内湿、肝火、阳亢、阴虚、气虚、阳虚为多见。结论老年高血压病主要证候表现为虚实夹杂，阴虚阳亢是老年高血压病最常见的证候类型。

英文摘要:

Objective To summarize the types and elements of Chinese medicine（CM）syndromes based on the literature analysis of the characteristics of elderly hypertension syndromes， and provide the basis for the standardization of CM syndromes of elderly hypertension. Methods The related literature on CM syndromes of elderly hypertension were collected from 2010 to 2020. This study sorted out the types of common witness syndromes， summarized the elements of related syndromes， and unified the names of syndromes according to the CM Clinical Diagnosis and Treatment Terminology Part 2： Syndromes in 2020. Apart from that， the common CM syndromes， frequency of syndromes，and distribution of syndromes of elderly hypertension were statistically analyzed. Results Totally 67 literatures involving 27 352 cases were included. The top ten syndromes of hypertension in the elderly included Yin deficiency Yang hyperactivity syndrome（23.00%）， phlegm-dampness intrinsic syndrome （13.84%）， Gan fire excess syndrome （13.65%）， accumulation of phlegm and blood stasis syndrome（9.87%）， Yin and Yang deficiency （8.97%）， etc. The main factors of related syndromes were phlegm turbidity， internal dampness， Gan fire， Yang hyperactivity， Yin deficiency， Qi deficiency，and Yang deficiency. Conclusions Intermingled deficiency and excess was dominated in elderly hypertension. Yin deficiency and Yang hyperactivity was the most common types of clinical syndromes in elderly hypertension.

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