[Relation between traditional Chinese medicine differential types and plasma levels of renin, angiotension II, aldosterone, atrial natriuretic factor in patients with essential hypertension].

H Li
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Abstract

130 cases of patients with essential hypertension (EH) and 70 cases of normal subjects were researched for correlation between TCM differential types and plasma levels of renin, angiotension II, aldosterone, atrial natriuretic factor (ANF) in patients with EH. Results indicated that: (1) basic level of renin was lower in patients with EH than that in normal subject. There were significant differences of plasma levels of renin between different TCM types. Plasma renin level of excessive Yang patients was higher than that in normal subject group and groups of deficiency of Yin essence combined with excessive Yang as well as deficiency of both Yin and Yang (P less than 0.01-0.001). Plasma level of angiotension II was significantly higher in group of excessive Yang than that in normal subject and other two groups (P less than 0.01-0.001). It was indicated that there were correlation between plasma basic level of renin, angiotension II and TCM types. (2) Plasma ANF level in patients with EH was significantly lower than that in group of normal subject (P less than 0.01). There were significant differences between groups of three different TCM types (P greater than 0.05). The result suggested that lower plasma ANF level was general character in three groups with EH. The prognosis of these patients was discussed.

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[原发性高血压患者中医分型与血浆肾素、血管紧张素II、醛固酮、房利钠因子水平的关系]。
本文研究了130例原发性高血压(EH)患者和70例正常人中医分型与EH患者血浆肾素、血管紧张素II、醛固酮、房利钠因子(ANF)水平的相关性。结果表明:(1)EH患者肾素基础水平低于正常人。血浆肾素水平在不同中医类型间存在显著差异。阳虚患者血浆肾素水平高于正常组、阴精虚伴阳虚、阴阳两虚组(P < 0.01 ~ 0.001)。过量阳组血浆血管紧张素II水平显著高于正常组及其他两组(P < 0.01 ~ 0.001)。提示肾素、血管紧张素II血浆基础水平与中医分型有相关性。(2) EH患者血浆ANF水平显著低于正常组(P < 0.01)。3种中医类型组间差异均有统计学意义(P > 0.05)。结果提示,三组EH患者血浆ANF水平降低具有共性。对这些患者的预后进行了讨论。
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