原发性低血压中医分型与动态血压、心功能指标的关系的研究.docVIP

PAGE PAGE 1 PAGE 5 Research on the Relationship between the Essential Hypotension Patients’ Ambulatory Blood Pressure Cardiac Function and Their TCM-Syndrome Major: Clinic of the Traditional Chinese Medicine Postgraduate: Li Cuiyun Tutor: Prof. Lin Songbo Vice Prof. Zhou Guoying ABSTRACT Objectives: To observe the essential hypotension patients’ average blood pressure and their regulation by the technology of Ambulatory Blood Pressure Monitoring(ABPM),To research the pathogenesis of essential hypotension ,especially the cardiac function by the echocardiogram, To research the difference between Qi-deficiency TCM-syndrome and Yin-deficiency TCM-syndrome in cardiac function. Results: 1. 50 patients were observed, 39 female cases ﹑11 male cases, 8 patients have family history of Essential Hypotension, 48 percent patients’ body weight 10 percent lower than the standard weight. 67 percent have emotional stress in work. There is no obviously habit in diet. 60 percent have introversion temperament. In complaint: 48 cases dizzy ﹑13 cases headache ﹑48 cases fatigued and weak ﹑41 cases forgetful ﹑21 cases palpitation ﹑6 cases have oppressive sensation in the chest ﹑5 cases have poor appetite. The average blood pressure were 88.5±6.5/56.4±6.7mmHg. 2. The ABPM indicated that: the average blood pressure in 24 hours﹑daytime and night were，100.9 /62.1 mmHg 、102.8/63.7mmHg and 95 /56.9 mmHg. Most of the blood pressure decreased during early dawn or at 3 0’clock in the afternoon. The diastolic pressure decreased more obviously than the systolic blood pressure. 3. The result of cardiac function by echocardiogram showed that: ①The patients’ Interventricular Septal Thickness(IVST) ﹑Left Ventricular Mass(LVM) ﹑Left Ventricular Mass Index(LVMI) and Mean Wall Thickness at Diastole(MWTD) decreased significantly, while the left ventricular internal diameter at end-systole(LVDs) and the left ventricular internal diameter at end-diastole(LVDd) decreased, p0.01. ② The patients