疏肝清火养阴方治疗高血压病更年期女性的临床观察Clinical Observation on Treatment of Hypertension (Menopausal Women) by Shugan Qinghuo Yangyin Prescription.pdfVIP

提 要 目的：通过对疏肝清火养阴法治疗高血压病（更年期女性）心肝火旺，阴血亏虚 证的临床观察，探讨高血压病（更年期女性）新的治疗方法和临床思路。方法：将 60例符合标准的高血压病（更年期女性）患者随机分为治疗组30例，对照组30例。 治疗组在口服依那普利的基础上加用疏肝清火养阴方治疗，对照组口服依那普利治 疗，两组患者以2周为1疗程，服药4个疗程，观测治疗前后临床症状、体征、血压、 血脂、心率及性激素等指标的变化。结果:治疗组治疗后中医症状积分，中医症状总 疗效，与对照组相比，有显著性差异。治疗组与对照组相比能明显降低血压。治疗组 治疗后心率、TC、LDL水平均明显下降，E 水平升高，与对照组相比，有显著性差异。 2 结论: 中药疏肝清火养阴方不仅能明显降低血压，改善更年期临床症状，而且还能降 低血脂，调节体内的激素水平，疗效明显优于对照组 (P0.05)。故本方是治疗高血 压病（更年期女性）心肝火旺，阴血亏虚证的有效方剂。 关键词 高血压病（更年期女性）；疏肝清火养阴方；疏肝清火养阴法；临床观 察 Clinical research on Shu Gan Qing Huo Yang Yin soup treating the Female Climacteric Hypertension Speciality: Medicine of TCM Tutor: Prof.ZhangXuezin Author: JiaJingjing Abstract Objective: To explore a new therapeutic methods and clinical thinking for Female Climacteric Hypertension through the clinical curative effect observation about Shu Gan Qing Huo Yang Yin soup to treat the Female Climacteric Hypertension with Heart of the irascible, yin and blood deficiency. Methods: Sixty Patients of Female Climacteric Hypertension were divided into curative group (30 cases) and collating group (30cases) at random. The curative group was treated by Enalapril and Shu Gan Qing Huo Yang Yin soup while the collating group was treated by Enalapril. Eight weeks was a course of treatment. The changes of Clinical symptoms, physical sign, blood pressure, heart rate, blood fat, E and so on were observed before and after treatment. Results: Compared with 2 collating group, curative group has obvious effect on the total mark of TCM symptoms, lowering the blood pressure, reducing TC, LDL, heart rate and improving the E2. Conclusion: Shu Gan Qing Huo Yang