高血压中医分型和早期肾损害的相关性的研究

高血压中医分型和早期肾损害的相关性的研究

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时间:2019-02-02

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1、目录主要缩略词表·················································1中文摘要·····················································1英文摘要·····················································3引言·····················································6正文·····················································7第一部分理论研究

2、············································71现代医学对高血压的认识······································72高血压早期肾损害指标研究···································93中医学对高血压的认识······································154中医药治疗高血压早期肾损害的研究··························18第二部分高血压中医分型与早期肾损害的相关性研究·············201主要研究内容········

3、······································202主要研究方法··············································203结果·····················································234结果分析与讨论············································305存在问题与展望············································356结论······························

4、·······················38参考文献··················································39附表··················································43综述··················································44致谢··················································51攻读学位期间发表的学术论文目··························52作者声明·····

5、·············································53个人简介··················································54主要缩略词表英文缩写英文全名中文名称TCtotalCholesterol总胆固醇TGtriglyceride甘油三酯LDL-Clowdensitylipoproteincholesteral低密度脂蛋白胆固醇HDL-Chighdensitylipoproteincholesteral高密度脂蛋白胆固醇mALBmicroablbuminuria微量白蛋白β2-MGβ2-Microg

6、lobulinβ2-微球蛋白SBPsystolicbloodpressure收缩压DBPdialatedbloodpressure舒张压ASatherosclerosis动脉粥样硬化TCMtraditionalChineseMedicine中医中文摘要目的:探讨高血压中医辨证分型与早期肾损害的相关性。方法:选择符合纳入标准的120例原发性高血压患者和30例正常者,记录姓名、年龄、性别、病史等,经血压测定,对确诊为原发性高血压的患者,进行中医辨证分型,分为肝阳上亢型、气血亏虚型、肾精不足型、痰湿中阻型四个证型及正常对照组,检测不同证型的高血压患者和正常对照组的尿mALB和尿β2-MG

7、的含量。所有数据均采用SPSS13.0软件进行统计分析。结果:1.原发性高血压的四个中医证型构成比从大到小依次排列为痰湿中阻型>气血亏虚型>肾精不足型>肝阳上亢型;2.高血压四个证型脉压差的差别有显著统计学意义(P<0.01),组间比较,痰湿中阻型脉压差明显高于气血亏虚型、肾精不足型和肝阳上亢型(P<0.01或P<0.05);3.高血压四个证型的TC含量差别有统计学意义(P<0.01),组间比较,痰湿中阻型的TC含量显著高于肝阳上亢型、气血亏虚型、肾精不足型(P<0.

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