基于老年高血压病临床特点的中西医机制探析
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摘要
高血压病在我国老年人群中患病率较高,是老年人致死和致残的主要原因之一。老年高血压患者有其特有的生理病理特点,同时,其临床表现也有一定特殊性。中医注重整体观念,注重气血阴阳的调和,"阴平阳秘"以及"天、地、人"合一的学术思想,认为人体血压的动态变化与人体内气血运行、阴阳消长关系密切,而老年高血压患者气血阴阳失调,脏腑精气亏虚,这就决定老年高血压患者的中医病因病机与青年人不同。以老年高血压病的独有特点为主线,探讨老年高血压病的西医生理病理以及中医病因病机。
The incidence of senile high blood pressure in our country is very high,which is the main cause of their death and disability. They all have similar physical pathological characters as well as certain particularity. Traditional Chinese medicine focuses on harmony of qi,blood,Yin and Yang and the human integrity. Yin-yang balance and nature-earth-human integrity notions are the essence of Chinese medicine academic idea. Imbalance of qi,blood,Yin-Yang of the aged patients with high blood pressure decides the clinical difference between the aged and young patients. This article mainly discussed the Western and Chinese medicine causes and pathogenesis for the aged high blood pressure patients based on the special character.
The incidence of senile high blood pressure in our country is very high,which is the main cause of their death and disability. They all have similar physical pathological characters as well as certain particularity. Traditional Chinese medicine focuses on harmony of qi,blood,Yin and Yang and the human integrity. Yin-yang balance and nature-earth-human integrity notions are the essence of Chinese medicine academic idea. Imbalance of qi,blood,Yin-Yang of the aged patients with high blood pressure decides the clinical difference between the aged and young patients. This article mainly discussed the Western and Chinese medicine causes and pathogenesis for the aged high blood pressure patients based on the special character.
引文
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[4]曹悦鞍,彭朝胜,何继东,等.血压晨峰与老年高血压患者室性心律失常的关系[J].中国老年学杂,2010,30(21):3163-3164.
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[6]鲍国瑞.中医药治疗老年单纯收缩期高血压的临床体会[J].云南中医中药杂志2014,35(5):48-49.
[7]曲芳,董桂英.中西医结合治疗老年单纯收缩期高血压疗效观察[J].山西中医,2013,29(2):30-31.
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[9]Liao W Z,Ning Z X,Ma L,et al.Recrystallization of Dihydromyricetin from Ampelopsis grossedentata and Its Anti-Oxidant Activity Evaluation[J].Rejuvenation Research,2014,17:422-429.
[10]李慧慧,李晓,于志远.中医药从“肾虚”论治老年高血压病的概况[J].广西中医药,2014,37(1):14-16.
[11]朱成朔,李淑玲,刘国安.老年高血压中医证型与血压变异性临床探讨[J].世界中西医结合杂志,2013,8(3):261-263.
[12]叶晖,张学智.中西医结合“以平为期”治疗老年高血压[J].环球中医药,2014,7(1):39-41.
[13]颜青鲁,张爱芳.老年高血压病中医征候规律探讨[J].亚太传统医药,2012,8(11):163-164.
[14]袁静.基于中医治未病思想谈老年高血压的防治[C].第十次全国中医体质学术年会,2012:358-361.
[15]张泽,陈民.穴位贴敷联合降压药物改善老年高血压病患者生活质量的临床观察[J].中西医结合心脑血管病杂志,2011,9(5):531-533.
[2]中国居民营养与健康状况调查技术执行组.中国居民2002年营养与健康状况调查[J].中华流行病学杂志,2005,26(7):478-484.
[3]郭程然,王淑君.中医治疗老年高血压显优势[J].保健医苑,2014(10):5-8.
[4]曹悦鞍,彭朝胜,何继东,等.血压晨峰与老年高血压患者室性心律失常的关系[J].中国老年学杂,2010,30(21):3163-3164.
[5]何皓颋,高雅琦,叶穗林.老年收缩期高血压中医证型与颈动脉硬化的临床研究[J].广州中医药大学学报,2008,25(5):461-464.
[6]鲍国瑞.中医药治疗老年单纯收缩期高血压的临床体会[J].云南中医中药杂志2014,35(5):48-49.
[7]曲芳,董桂英.中西医结合治疗老年单纯收缩期高血压疗效观察[J].山西中医,2013,29(2):30-31.
[8]熊伟,李浩.老年高血压不同中医证型患者血压负荷特点分析[J].中西医结合心脑血管病杂志,2011,9(9):1025-1026.
[9]Liao W Z,Ning Z X,Ma L,et al.Recrystallization of Dihydromyricetin from Ampelopsis grossedentata and Its Anti-Oxidant Activity Evaluation[J].Rejuvenation Research,2014,17:422-429.
[10]李慧慧,李晓,于志远.中医药从“肾虚”论治老年高血压病的概况[J].广西中医药,2014,37(1):14-16.
[11]朱成朔,李淑玲,刘国安.老年高血压中医证型与血压变异性临床探讨[J].世界中西医结合杂志,2013,8(3):261-263.
[12]叶晖,张学智.中西医结合“以平为期”治疗老年高血压[J].环球中医药,2014,7(1):39-41.
[13]颜青鲁,张爱芳.老年高血压病中医征候规律探讨[J].亚太传统医药,2012,8(11):163-164.
[14]袁静.基于中医治未病思想谈老年高血压的防治[C].第十次全国中医体质学术年会,2012:358-361.
[15]张泽,陈民.穴位贴敷联合降压药物改善老年高血压病患者生活质量的临床观察[J].中西医结合心脑血管病杂志,2011,9(5):531-533.