發(fā)布時(shí)間：2018-02-11 07:15

  本文關(guān)鍵詞： 高血壓 血瘀 文獻(xiàn)研究 病例分析　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:通過對(duì)血瘀高血壓的文獻(xiàn)整理研究及相關(guān)的病例分析,總結(jié)出血瘀致高血壓的病機(jī)及特點(diǎn),分析此類患者證候的要素分布、特點(diǎn)、規(guī)律以及證候組合情況。方法:文獻(xiàn)研究法及頻率分析法結(jié)果:本文搜集200余篇文獻(xiàn)報(bào)道共83例病例總結(jié)血瘀致高血壓的臨床特點(diǎn)為:(1)血瘀高血壓的發(fā)病男性比女性略高,二者并無明顯差距。(2)發(fā)病年齡74.70%集中在40-70歲,血瘀高血壓發(fā)病年齡段主要為中老年人。(3)51.81%高血壓病程在1-10年。血瘀高血壓主要癥狀是頭暈及頭疼。(4)血瘀高血壓伴隨癥狀中主要表現(xiàn)為:乏力、煩躁易怒、眠差、心慌心悸、口干苦、腰酸痛、胸悶胸痛、便干。(5)血瘀高血壓的舌質(zhì)主要為:舌暗紅瘀紫、舌紅、舌淡、舌下脈絡(luò)迂曲。(6)血瘀高血壓幾種常見的舌苔有:薄白苔、薄黃苔、白膩苔、黃膩苔。(7)脈象相對(duì)來說比較分散,弦細(xì)和弦滑脈是最主要的兩種。(8)出現(xiàn)頻率較高的證型為:氣滯血瘀、氣虛血瘀、肝陽上亢、痰瘀互阻、陰虛陽亢血瘀。(9)高血壓疾病證型以兼證為主,其中主要為兩種證型結(jié)合在一起。而明確說明與血瘀相關(guān)的證型病例的頻率達(dá)到71.08%。氣虛血瘀、痰瘀互阻,陰虛陽亢血瘀是與血瘀相關(guān)證型中出現(xiàn)頻率最高的三種。結(jié)論:血瘀高血壓多發(fā)于中老年人,而且病程大多數(shù)都很長。血瘀是引起高血壓的重要病理因素之一,可存在任何階段,既能引起機(jī)體證候的變化,也可以由其他證候轉(zhuǎn)化而來,也可以由于外力,外傷直接引起。高血壓疾病的治療,不管辯證為哪種證型,即使表現(xiàn)出無血瘀癥狀,也可以考慮加入活血化瘀藥,從而對(duì)降低血壓起到一定的輔助作用,也可以降低高血壓引起腦梗死,冠心病,中風(fēng)的風(fēng)險(xiǎn)。
[Abstract]:Objective: to summarize the pathogenesis and characteristics of hypertension caused by blood stasis through literature review and case analysis of blood stasis hypertension, and to analyze the distribution and characteristics of syndromes in these patients. Methods: the results of literature research and frequency analysis: 83 cases of hypertension caused by blood stasis were collected in this paper. The clinical characteristics of hypertension caused by blood stasis were: 1) the incidence of blood stasis hypertension in males was slightly higher than that in females. There was no significant difference between the two groups. (74.70%) the age of onset was 40 to 70 years old. The main symptoms of blood stasis hypertension are dizziness and headache. 4) the main symptoms of blood stasis hypertension are: fatigue, irritability, restlessness, poor sleep, palpitations and palpitation. The tongue quality of blood stasis hypertension is mainly: tongue dark red stasis purple, tongue red, tongue light, sublingual choroid winding. 6) several common tongue coating of blood stasis hypertension are: thin white fur, thin yellow fur, white greasy fur, Yellow and greasy moss. 7) the pulse pattern is relatively scattered. The two main syndromes are string fine and string smooth pulse. The syndrome types with high frequency are: Qi stagnation and blood stasis, qi deficiency and blood stasis, hyperactivity of liver yang, phlegm and blood stasis mutual obstruction. The syndrome type of hyperactivity of yang and blood stasis of yin deficiency is mainly syndromes, in which two syndromes are combined. The frequency of syndrome type related to blood stasis is 71. 08%, qi deficiency and blood stasis, phlegm and blood stasis mutual obstruction, Blood stasis is one of the three most frequent syndromes associated with blood stasis. Conclusion: blood stasis hypertension is more common in middle-aged and elderly people, and the course of disease is very long. Blood stasis is one of the important pathological factors leading to hypertension. Can exist at any stage, can not only cause the change of body syndrome, but also can be transformed by other syndrome, or can be directly caused by external force and trauma. The treatment of hypertension, no matter which syndrome type is dialectical, Even if showing no blood stasis symptoms, we can also consider adding drugs to promote blood circulation and remove blood stasis, which can play an auxiliary role in lowering blood pressure, and can also reduce the risk of cerebral infarction, coronary heart disease and stroke caused by hypertension.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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