高血压病常见中医体质饮食习惯与情志变化调查研究
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摘要
目的:探讨高血压病常见中医体质患者的饮食习惯与情志变化。方法:采用自制的问卷调查表,对4组(气虚质、阴虚质、痰湿质、气郁质)常见中医体质高血压病患者的饮食习惯及情志情况进行分析。结果:不同中医体质的高血压病患者目前饮食习惯都以清淡饮食为主,占总频次77.3%;高血压病患者的情志问题主要集中表现焦虑不安、精神抑郁、健忘、善恐易惊、精神不振、急躁易怒,其中以焦虑不安(24.3%)为最高,精神抑郁(20.1%)、健忘(19.6%)、善恐易惊(19.1%)次之;气虚质、阴虚质、痰湿质情志表现相对单一,气郁质情志表现则较为复杂,以多种情志交叉表现为主,其中3种及以上达到69.0%。结论:高血压病患者常见中医体质饮食习惯均有明显改善,而情志的影响日渐突出,从情志调节中医体质入手调整患者血压作为社区高血压防治的重点可能对社区高血压病健康管理有重要意义。
Objective:To explore the dietary habits and emotional changes of hypertension on common constitution of traditional Chinese medicine. Methods:A self-made questionnaire was used to analyze the dietary habits and emotions of four groups patients with hypertension on common constitution of traditional Chinese medicine(Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution,Qi-depression constitution). Results:The main dietary habits of hypertension patients with different constitutions were light diet,accounting for 77.3% of the total frequency;the main emotional problems of hypertension patients were anxiety,depression,forgetfulness,fear,alarm,lassitude,impatient and irritability,Among them,anxiety(24.3%)was the highest,followed by depression(20.1%),forgetfulness(19.6%)and fear(19.1%);Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution relatively single,but Qi-depression constitution was more complex,and with a variety of emotional cross-performance,of which three or over than three reached 69.0%. Conclusion:The common dietary habits of TCM constitution in patients with hypertension have been significantly improved, and the influence of emotions has become increasingly prominent. It may be of great significance to the health management of hypertension in community to adjust blood pressure as the focus of prevention and treatment of hypertension in community by regulating TCM constitution with emotions.
Objective:To explore the dietary habits and emotional changes of hypertension on common constitution of traditional Chinese medicine. Methods:A self-made questionnaire was used to analyze the dietary habits and emotions of four groups patients with hypertension on common constitution of traditional Chinese medicine(Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution,Qi-depression constitution). Results:The main dietary habits of hypertension patients with different constitutions were light diet,accounting for 77.3% of the total frequency;the main emotional problems of hypertension patients were anxiety,depression,forgetfulness,fear,alarm,lassitude,impatient and irritability,Among them,anxiety(24.3%)was the highest,followed by depression(20.1%),forgetfulness(19.6%)and fear(19.1%);Qi-deficiency constitution,Yin-deficiency constitution,phlegm-dampness constitution relatively single,but Qi-depression constitution was more complex,and with a variety of emotional cross-performance,of which three or over than three reached 69.0%. Conclusion:The common dietary habits of TCM constitution in patients with hypertension have been significantly improved, and the influence of emotions has become increasingly prominent. It may be of great significance to the health management of hypertension in community to adjust blood pressure as the focus of prevention and treatment of hypertension in community by regulating TCM constitution with emotions.
引文
[1]邱华丽,潘晓彦.高血压病防治研究现状[J].世界中西医结合杂志,2014,9(2):210-212.
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[7]徐杰,宫鑫,邹勇.高血压合并抑郁情志因素的相关研究[J].中国中医药现代远程教育,2016,14(15):137-140
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[10]胡建平.浅谈社区高血压病健康教育的影响因素与干预措施[J].当代医学,2012,18(5):159-160.
[11]刘静.高血压患者的健康教育与管理研究[J].智慧健康,2018,4(3):142-143,146.
[12]Bosworth H B,Bartash R M,Olsen M K,et al. The association of psychological factors and depression with hypertension among older adults[J].Int J Geriatr Psychiatry,2003,18(12):1142-1148.
[13]Barger S D,Sydeman S J. Does generali zed anxiety disorder predict coronary heart disease risk factors independently of major depressive disorder[J].J Affect Disord,2005,88(1):87-91.
[14]郭敏.抑郁对高血压患者动态血压特点的影响[J].世界最新医学信息文摘,2015,15(46):76-77.
[15]Oganov R G,Pogosova GV,Kolmnov IE,et al. Depressive symptoms worsen cardiovascular prognosis and shorten length of life in patients with arterial hypert ension and ischemic heart disease[J].Kardiologiia,2011,51(2):59-66.
[16]万花,王荣华.中医情志调理对高血压患者血压峰值的影响[J].湖北中医杂志,2016,38(5):48-49.
[17]钱冬,郭征楠,张颖,等.中医情志护理应用于原发性高血压病的疗效观察[J].辽宁中医药大学学报,2016,18(6):207-208.
[18]陈慧君,董桂英.论中医体质与高血压病[J].中医临床研究,2014,6(11):54-56.
[19]张璐,刘兴山.高血压患者中医体质辨识研究[J].长春中医药大学学报,2017,33(2):253-254.
[20]黄沁,孔燕莹,孙世宁,等.中医体质干预对痰湿体质高血压病患者的影响[J].中医药导报,2016(10):30-32.
[21]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
[2]王琦.中医体质学[M].北京:中国医药学出版社,1995:132.
[3]陈素红,吕圭源,陈宁,等.羚角降压方、天麻钩藤方与高血压肝阳上亢证的方证相应性研究[J].中国实验方剂学杂志,2010,16(11):128-131.
[4]陈立典,韩平,杜建,等.福建省高血压影响因素与中医体质分型的研究[J].中国老年学杂志,2007,27(13):1297-1299.
[5]吴建军,宋全全,宋统球,等.兰州市城关区65岁以上老年人高血压病患病及影响因素[J].中国初级卫生保健,2017,31(2):44-48.
[6]邵明玉.情志(怒志)与原发性高血压病的相关性研究[J].临床医药文献杂志,2017,4(77):15236-15237.
[7]徐杰,宫鑫,邹勇.高血压合并抑郁情志因素的相关研究[J].中国中医药现代远程教育,2016,14(15):137-140
[8]裴道灵,姜明霞.中医体质类型与临界高血压转归的相关性研究[J].上海中医药杂志,2010,44(6):78-80.
[9]左文英,丁宏娟,浦斌红.上海某社区高血压人群中医体质辨识[J].吉林中医药,2017,37(1):36-41.
[10]胡建平.浅谈社区高血压病健康教育的影响因素与干预措施[J].当代医学,2012,18(5):159-160.
[11]刘静.高血压患者的健康教育与管理研究[J].智慧健康,2018,4(3):142-143,146.
[12]Bosworth H B,Bartash R M,Olsen M K,et al. The association of psychological factors and depression with hypertension among older adults[J].Int J Geriatr Psychiatry,2003,18(12):1142-1148.
[13]Barger S D,Sydeman S J. Does generali zed anxiety disorder predict coronary heart disease risk factors independently of major depressive disorder[J].J Affect Disord,2005,88(1):87-91.
[14]郭敏.抑郁对高血压患者动态血压特点的影响[J].世界最新医学信息文摘,2015,15(46):76-77.
[15]Oganov R G,Pogosova GV,Kolmnov IE,et al. Depressive symptoms worsen cardiovascular prognosis and shorten length of life in patients with arterial hypert ension and ischemic heart disease[J].Kardiologiia,2011,51(2):59-66.
[16]万花,王荣华.中医情志调理对高血压患者血压峰值的影响[J].湖北中医杂志,2016,38(5):48-49.
[17]钱冬,郭征楠,张颖,等.中医情志护理应用于原发性高血压病的疗效观察[J].辽宁中医药大学学报,2016,18(6):207-208.
[18]陈慧君,董桂英.论中医体质与高血压病[J].中医临床研究,2014,6(11):54-56.
[19]张璐,刘兴山.高血压患者中医体质辨识研究[J].长春中医药大学学报,2017,33(2):253-254.
[20]黄沁,孔燕莹,孙世宁,等.中医体质干预对痰湿体质高血压病患者的影响[J].中医药导报,2016(10):30-32.
[21]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.