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1、成都中医药大学2014届硕士学位论文结论1、血脂、BMI、Hcy水平在各个证型间具有一定的差异,可作为EH中医辨证及治疗的参考指标。2、24h动态血压作为EH最重要的检测和检查手段,其检测的参数在四个中医证型之间具有差异,可作为EH中医辨证论治的辅助手段。关键词原发性高血压;中医证型;血脂;同型半胱氨酸;24h动态血压2万方数据成都中医药大学2014届硕士学位论文AbstractObjectiveRelationshipbetweenessentialhypertension(EssentialHypertension,EH)TC
2、Mcholesterol,triglycerides,HDL,LDL,homocysteineandotherlaboratoryparametersandrelationships24hambulatorybloodpressure,andexploretheirintrinsiclinkbetweenessentialhypertensionprovidethebasisforTCMDifferentialTreatmentofobjectiveresearchandimproveclinicaloutcomes.Method
3、s200patientsmettheessentialhypertension(EH)diagnosticcriteriareferto"TCMSyndromeDiagnosticefficacyofthestandard"TCMsyndrometypeare:thewindYangdisturbance,phlegmMongolia,liverandkidney,bloodlossimaginary,hypertensiondiagnosticcriteriainaccordancewiththe2010"ChineseHype
4、rtensionPreventionGuide"revisededition,dyslipidemiadiagnosticcriterion-referenced2007"ChineseadultdyslipidemiapreventionGuide."Patientsineachgroupwererecordedgeneralinformation,laboratorybloodlipids,plasmahomocysteineandline24hambulatorybloodpressurechecks,respectivel
5、ylipids,plasmahomocysteine,andstatisticsandanalysis24hambulatorybloodpressure.Results1.EHdifferentsyndromescomparedwiththeBMIindex:①EHin34.5%ofpatientswereoverweightorobese.②BMIindexbetweenEHvarioussyndromesdifferencewasnotstatisticallysignificant.2.EHdifferentsyndrom
6、escomparedwithHcylevels:EHpatients,Hcylevelsriseaccountedfor38.5%,HcyindexnodifferencebetweenEHvarioussyndromes.3.EHandlipidscomparedifferentsyndromes:①TClevelsbetweenEHnosignificantdifferencebetweenthevarioussyndromes,Mongoliantypewhichexceedsthenormalrangeonthemeanw
7、inddisturbancetypemaleandphlegm.②TGlevelsbetweenEHnosignificantdifferencebetweenthevarioussyndromes,amongtheMongoliantypephlegmmeanexceedsitsnormalrange.③HDL-ClevelsbetweenEHnosignificantdifferencebetweenthevarioussyndromes,whichmeansblooddeficiencytypethanitsnormalra
8、nge.④LDL-ClevelsbetweenEHnosignificantdifferencebetweenthevarioussyndromes.Mongoliantypewhichphlegmmeanexceedsitsnormalrange