江丹娜　　張南龍　　蘇瓊

[關(guān)鍵詞] 原發(fā)性高血壓;血壓級(jí)別;中期腎損害;中醫(yī)臟腑辨證

[中圖分類號(hào)] R594.4? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）20-0139-04

Characteristics and clinical significance of TCM visceral syndrome differentiation in patients with different grades of primary hypertensive mid-renal damage

JIANG Danna? ?ZHANG Nanlong? ?SU Qiong

Department of Cardiology， Ningbo Hospital of Traditional Chinese Medicine， Ningbo? ?315010， China

[Abstract] Objective To explore the characteristics and clinical significance of TCM visceral syndrome differentiation in patients with different grades of primary hypertensive mid-renal damage. Methods Seventy-one patients with different grades of primary hypertensive mid-renal damage treated in our hospital from March 2018 to June 2019 were enrolled in the retrospective analysis. Those patients were divided into the group of age ≤ 50 years old（n=14）， the group of age between 51 and 70 years old （n=41）， and the group of age>70 years old （n=16） according to the age; they were divided into grade Ⅰ （n=17）， grade Ⅱ （n=38）， and grade Ⅲ （n=16） according to the different grades of hypertension. The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patient of different age groups and different grades of primary hypertensive mid-renal damage were analyzed and compared. Results The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patients with primary hypertensive mid-renal damage in the group of age >70 years old were higher than those in other age groups.There were statistically significant differences in the visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang of patients in the group of age ≤50 years old， the group of age between 51 and 70 years old， and the group of age >70 years old（P<0.05）. The visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang in patients with grade III primary hypertensive mid-renal damage were significantly higher than those in patients with grade I and grade Ⅱ primary hypertensive mid-renal damage.There were statistically significant differences in the visceral positioning integral and syndrome differentiation classification integral of qi and blood and yin-yang of patients with grade I， grade II and grade II primary hypertensive mid-renal damage（P<0.05）. Conclusion With the increase of hypertension grade and age， the level of renal damage in patients with primary hypertensive mid-renal damage increases significantly， and the degree of blood stasis syndrome and Yin deficiency syndrome also increases.