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中西医结合治疗高血压病临床观察

Clinical observation on treating hypertension in the integrative medicine

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【作者】 曹延玲雷泽善邓俊郇锦善

【机构】 张掖市中医院

【摘要】 目的:观察中医辨证治疗高血压病患者的临床疗效。方法:372例高血压病患者,按就诊先后顺序将其随机分为对照组和治疗组。对照组予以适度运动、合理膳食,口服盐酸依那普利10mg,2次/d;治疗组在对照组的治疗基础上,针对肝阳上亢证、肝肾阴虚证、痰湿阻络证、气虚血瘀证给予相应的中药治疗,疗程均为6个月。两组治疗前后均进行症状改善、血压、血脂测定。结果:疗程结束后,两组SBP和DBP均比治疗前显著下降(P<0.01),且治疗组比对照组下降更为显著(P<0.01);两组4种中医证型血压均明显下降(P<0.05),且同型之间比较,治疗组明显优于对照组,差异有显著性(P<0.05);两组4种中医证型症状改善同型之间比较,治疗组明显优于对照组,差异有显著性(P<0.05);两组治疗前后血脂变化:治疗组TC、TG、HDL-C、LDL-C与治疗前比较,差异有显著性意义(P<0.01),对照组TC、TG、HDL-C、LDL-C与治疗前比较,差异无显著性意义(P>0.05),治疗组TC、TG、HDL-C、LDL-C与对照组治疗后比较,差异有显著性意义(P<0.01)。结论:高血压病在适度运动、合理膳食及口服降压西药的基础上,采用辨证论治的方法,针对各证候类型加用中药治疗,可以更有效地改善血压、血脂,消除临床症状。

【Abstract】 Objective: To observe clinical efficacy of the integrative medicine on hypertension. Methods: 372 cases of hypertension were randomly divided into the control group and the treatment group. The control group was given moderate exercise, reasonable diet and hydrochloric acid enalapril 10 mg, 2 times per day. The treatment group was given TCM symptomatic treatment more. A course of treatment was 6 months. Before and after treatment, symptoms, blood pressure and blood lipids in two groups were surveyed. Results: After treatment, SBP and DBP in two groups were decreased obviously; and in the treatment group it was more decreased(P<0.01). Blood pressure and symptoms in both groups were decreased; and the treatment group was better than the control group; the difference was statistically significant(P<0.05). After the treatment, there was an obvious improvement of TC?TG?HDL-C?LDL-C in the treatment group; the difference was statistically significant(P<0.01); and there was not improvement of TC?TG?HDL-C?LDL-C in the control group; the difference was not statistically significant(P>0.05). TC?TG?HDL-C?LDL-C were compared with those in the control group; there was a significant difference(P<0.01). Conclusion: Western conventional treatment plus TCM for hypertension could obviously improve blood pressure, blood lipids and clinical symptoms.

  • 【文献出处】 中医临床研究 ,Clinical Journal of Chinese Medicine , 编辑部邮箱 ,2015年25期
  • 【分类号】R544.1
  • 【下载频次】66
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