滋补肝肾法治疗高血压病的临床疗效视察.pdfVIP

提 要 目的：观察自拟滋肾养肝方治疗高血压病患者的临床疗效及安全性。方法：60 例患者随机分成两组，对照组(30 例)口服缬沙坦（平欣），每次 80mg，每天一次； 治疗组(30 例)在服用西药缬沙坦（平欣）的基础上加服自拟方滋肾养肝方治疗，每 日一剂，水煎400ml，分早晚两次服用，疗程为6周。分别观察治疗前后中医临床症 状和血压的变化情况。结果：(1)临床证候：两组中医证候积分均有显著改善,但治疗 组临床症状改善程度优于对照组(P0.05)。 （2)血压：两组治疗后收缩压及舒张压均 较治疗前有明显的下降；两组 ABPM 测定的 24 h、日间和夜间平均血压、SBP 和 DBP 均显著降低，两组患者治疗后降压疗效比较, 差异有统计学意义 (P0.05)。结论: 通过临床观察,自拟滋肾养肝方对高血压病患者的中医临床症状及血压均有一定的调 节作用，初步证明本法治疗高血压病的可行性和安全性。 关键词 滋肾养肝方；高血压病；临床疗效 A Random Control Research on zi shen yang gan Fang Treating Hypertension in Aged People Speciality：Iternal Medicine of Traditional Chinese Medicine Author ：Wang Yong Tutor：Zhang Xuezi Abstract Objective： To observe the effect of zi shen yang gan fang on treating hypertension and its safety. Method ：Sixty patients were divided into therapeutic group (30 cases) and control group (30 cases) randomly. The patients of control group were given Valsartan ( Ping Xin ) ，each time 80mg ，Once a day ；The patients of therapeutic group were received Valsartan ( Ping Xin ) and Chinese medicine ，each medicinal preparation water was fried two times would take juice 400ml respectively, after the mix, altogether 400ml sooner or later to divide. Treatment for 6 weeks. Clinical symptoms of TCM and blood pressure were observed between pre and post treatment. Result ：(1)Clinical Symptom:Although scores of clinical symptoms of Chinese medicine in both groups were improved markedly , Chinese medicine group’s scores were higher than the control group (P0.05). (2)Blood Pressure: Systolic blood pressure and diastolic blood pressure of both groups after the treatments descended effectively than the blood pressures before treatments . The 24h, day time and noct average BP of ABPM, SBP and DBP in both groups were evidently