天麻钩藤颗粒治疗高血压的临床疗效及对患者血脂异常的影响.docVIP

天麻钩藤颗粒治疗高血压的临床疗效及对患者血脂异常的影响 　　doi：10.3969/j.issn.1007-614x.2014.20.63 　　摘 要 目的：观察天麻钩藤治疗轻-中型高血压的疗效及患者血脂变化。方法：99例高血压患者随机分成治疗组51例和对照组48例；对照组采用常用降压药物苯磺酸左旋氨氯地平片2.5 mg，1次/日；治疗组采用苯磺酸左旋氨氯地平片2.5 mg，1次/日，加口服天麻钩藤颗粒5 g，3次/日。观察两组治疗后血压变化及血脂指标的变化。结果：治疗4周后，治疗组总有效率（82.35%）高于对照组（64.58%），且血脂指标改善明显优于对照组（P0.05）。结论：天麻钩藤颗粒在协助降压同时，兼具调节血脂代谢异常，疗效显著。 　　关键词 高血压 天麻钩藤颗粒 血脂 　　Clinical effect of Tian Ma Gou Teng granule in the treatment of hypertension and its effect on the dyslipidemia of patients 　　Huang Ping，Fu Xin 　　The First Department of Internal Medicine，the Second Peoples Hospital of Changji City，Xinjiang 831100 　　Abstract Objective：To observe the curative effect of Tian Ma Gou Teng in the treatment of light and medium hypertension and the blood lipid change of patients.Methods：99 cases with hypertension were randomly divided into the treatment group in 51 cases and the control group in 48 cases.The control group were treated with levamlodipine besylate tablet of commonly used antihypertensive drugs，2.5 mg，1 time one day.The treatment group were treated with levamlodipine besylate tablet 2.5 mg，1 time one day，and plus oral Tian Ma Gou Teng granule 5 g，3 times one day.After treatment，the blood pressure change and the blood lipid indexes change of the two groups were observed.Results：After 4 weeks treatment，the total effective rate of the treatment group（82.35%） was higher than that（64.58%） of the control group，and the blood lipid index improved significantly better than that of the control group（P0.05）.Conclusion：Tian Ma Gou Teng granule can assist reducing blood pressure，at the same time it can regulate blood lipid metabolic abnormalities.Its curative effect is significant. 　　Key words Tian Ma Gou Teng granule；Hypertension；Blood lipid 　　2012年10月-2013年10月收治高血压患者51例，我科门诊采用天麻钩藤颗粒治疗，治疗后患者血压控制平稳，症状减轻明显，并且血脂指标明显改善，现报告如下。 　　资料与方法 　　2012年10月-2013年10月收治轻中型高血压患者99例，将所有入组患者随机分为两组，治疗组51例和对照组48例。治疗组男31例，女20例，年龄30～60岁，平均45岁；对照组男26例，女22例，年龄30～60岁，平均45岁。所有入组患者均除外高血压3级，均无心脑肾并发症。 　　方法：两组均给予常