摘要 目的：调查上海地区老年高血压合并心力衰竭的中医证素分布特征。方法：采用流行病学横断面调查研究，采集上海地区364例老年高血压合并心力衰竭病人，采用中医证素调查表，对病人一般信息、心功能分级、中医症候特征等信息进行采集。结果：老年高血压合并心力衰竭的单一证素以血瘀、气虚为主；虚证中气虚阳虚为最常见的组合，实证中血瘀、痰浊为最常见的组合；血瘀证素在不同心功能分级的比例均超过半数；射血分数高者，以实证血瘀、痰浊、气滞为主；射血分数越低，证素以气虚、阳虚、阴虚虚症为主。结论：老年高血压合并心力衰竭病机特点为本虚标实，气虚为本，血瘀为标，气虚血瘀是老年高血压合并心力衰竭的发病基础。

    关键词" 老年高血压；心力衰竭；中医；证素

    doi：10.12102/j.issn.1672-1349.2023.05.004

    Abstract Objective：To investigate the distribution characteristics of traditional Chinese medicine(TCM) syndrome factors of elderly hypertension complicated with heart failure in Shanghai.Methods：A cross-sectional epidemiological survey was used to collect 364 elderly patients with hypertension and heart failure in Shanghai area，and a TCM syndrome questionnaire was used to collect information on the patients ......