首页|159例高血压合并失眠患者临床资料分析及证候分布研究

159例高血压合并失眠患者临床资料分析及证候分布研究

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目的:探讨高血压合并失眠的证候分布与病机特点。方法:总结159例高血压合并失眠患者的临床资料,对性别、年龄、危险因素、主要临床症状、证候分布进行统计学描述。结果:159例患者中,BMI值≥24 kg/m2患者63例(占39。62%),打鼾患者73例(占45。91%),既往有烟酒史者51例(占32。08%);入睡困难患者141例(占88。68%),伴随症状中记忆力减退所占比例最高,后依次是心烦急躁、头晕头昏、头痛;阴虚热扰证、痰热瘀结证、瘀热内扰证、痰热内扰证、气阴亏虚证是其常见证候。结论:高血压合并失眠患者其病位在心、肝,肝肾阴虚,热扰心神是其基本病机,营卫失常是其重要病机,肝肾阴虚为病理基础,瘀、热、痰为常见病理因素。
Approach to syndrome distribution and pathogenesis of 159 patients with hypertension complicated with insomnia
Objective:To approach the syndrome distribution and pathogenesis characteristics of hypertension complicated with insomnia.Methods:The clinical data of 159 cases of patients with hypertension complicated with insomnia were summarized,and the gender,age,risk factors,main clinical symptoms and syndrome distribution were statistically described.Results:Among 159 cases of patients,63 cases(39.62%)had BMI ≥ 24,73 cases(45.91%)snored,51 cases(32.08%)had a history of smoking and drinking alcohol.The patients with difficulty in falling asleep were the most(88.68%),and the hypomnesis was the highest in the accompanying symptoms,followed by anxiety,impatience,dizziness and headache.The common syndromes were syndrome of heat disturbance due to yin deficiency,syndrome of phlegm-heat and blood stasis stagnating,syndrome of internal disturbance due to blood stasis and heat,syndrome of internal disturbance due to phlegm-heat and syndrome of deficiency of both qi and yin.Conclusion:The disease location of patients with hypertension complicated with insomnia is in heart and liver.The disorder of nutrient qi and defensiv qi is important pathogenesis.Yin deficiency of liver and kidney is pathological basis.Blood stasis,heat and phlegm are the common pathological factors.

hypertensioninsomniasyndrome distributionpathogenesis

李栋、王荣华、丁元庆

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山东省泰安市中医医院(泰安271000)

山东中医药大学附属医院

高血压 失眠 证候分布 病机

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(6)