补益肝肾方治疗老年肝肾阴虚型高血压病(2级)的临床疗效视察.pdfVIP

提 要 目的：通过观察补益肝肾方治疗老年高血压病（2 级）肝肾阴虚型的临床疗效并 探讨其作用机理。 方法：筛选未合并重大疾病的 60-79 岁高血压（2 级）患者，中医辨证属于肝肾 阴虚患者 100 例，随即分为两 2 组：治疗组 50 例，给予补益肝肾方合并西药洛丁新 口服治疗；对照组 50 例，给予西药洛丁新口服治疗。 结果：1、治疗组及对照组均能显著降低血压（P＜0.05），两组降压的疗效分别 为 96%、92%，无显著差异（P＞0.05），但治疗组在降低收缩压方面疗效明显优于对 照组（P＜0.05）。 2、治疗组可明显改善中医症状，两组有显著差异（P＜0.05）。 3、治疗组及对照组的不良反应发生率分别为 0%、10%，治疗组明显低于对照组 （P＜0.05）。 结论：补益肝肾方治疗老年高血压病（2 级）肝肾阴虚型，对于改善临床症状、 降低收缩压作用显著，并可以有效抑制洛丁新的副作用。 关键词 补益肝肾方；眩晕；高血压（2 级）；肝肾阴虚证 Clinical Study of the treatment of Kidney Yin deficiency pattern type Stage 2 Senile Hypertension with Bu Yi Gan Shen prescription Speciality： Department of Chinese internal medicine Author ： Sunqian Tutor： Meng Zhaoyang Abstract Objective：To observe the clinical efficacy through liver and kidney tonic treatment of elderly patients with hypertension （2 ） of kidney Yin deficiency pattern and to explore its mechanism. Methods ：Screening 100 patients 60 to 79-year-old unconsolidated major diseases suffering from hypertension （2 ）of kidney Yin deficiency pattern.Then, divide them into two groups ,the treatment group with 50 cases,given Chinese medicine liver and kidney tonic prescription combined with Western medicine Lotensin to treat,control group with 50 cases,only given western medicine Lotensin. Results ：1. According to the research ， we find that both two groups can significantly lower blood pressure （P 0.05 ）,the antihypertensive efficacy of the two groups are respectively 96% and 92%, no significant differences （P 0.05 ）， but the treatment group in the lower contraction pressure aspects more effective than the control group （p 0.05 ）. 2.Treatment group can be significantly improved clinical symptoms,There