建瓴降压方治疗阴虚阳亢型高血压病的临床疗效观察-中医内科(内科临床)专业论文.docxVIP

中文摘要目的：1观察建瓴降压方治疗阴虚阳亢型高血压病的临床疗效．2探讨建 中文摘要 目的：1观察建瓴降压方治疗阴虚阳亢型高血压病的临床疗效．2探讨建 瓴降压方治疗阴虚阳亢型高血压病的作用机理。 方法：从高血压病的病因病机入手，选取高血压病阴虚阳亢型患者60例， 随机分为治疗组、对照组各30侧，分别予以建瓴降压方、尼群地平片口服治 疗，观察比较治疗前后各指标的变化。 结果：1。治疗组降压总有效粤为83．33％，对照组为86。67％，经统计学处 理，差异无统计学意义(PO．05)。2．二组中医证候疗效比较，治疗组总有效 率为90％，对照组总有效率为76．67％，经统计学处理，治疗组效果明显优于对 照组(只O．05)。3．与治疗前比较，治疗组治疗后能明显改善血脂代谢 (PO．01)，而对照组治疗后对血脂代谢无影响(P0．05)。4临床应用建瓴降 压方过程中，未发现不良反应． 结论：建瓴降压方治疗阴虚阳亢型高血压病疗效确切，可明显改善眩晕、 头痛、腰酸、膝软、五心烦热、心悸、失眠、耳鸣、健忘等中医证候，作用 机理在于该药有较好的扩张外周血管及冠状动脉，改善微循环、降低血脂、。 血液粘度等作用。建瓴降压方临床应用未发现明显副作用，并对肝肾功能有 一定的保护和改善作用，有其临床实用价值。 关键词： 高血压病建瓴降压方 阴虚阳亢临床疗效 t；llnleal t；llnleal ODserve on JtanLinJiangYa Decoction in Treating Hypertension of Yin--deficiency and Yang··extension Abstract Objective：to observe the clinical effect ofJian Lin Jiang Ya Decoction(JLJYD)in treatin Hypertension ofYin—deficiency and Yang·extension(HYY)． Method：Based on the cause and mechanism of JLJYD，60 patients with HYY were randomly divided into TCM-treating group(30 cases)and western medicine— treating group(30 cases)．The JLJYD and Nitrendipine were given to the two groups respectively．The changes of the indexes were observed before and after treatment． Result：The total effect rates of decreasing blood pressure in tem—group and west medicine—treating group were 83．33％and 86．67％respectively．There were no significant differences between the two groups fPO．05)．The total effect rates of syndrome in tom—group and west medicine—treating group were90％and 76．67％ respectively．And the effect of the former is superior to the latter(P0．05)．The effect of JLJYD on blood fat，blood sugar was superior after the treament 伊o．01)．While the effect of JLJYD on blood fat，blood sugar was no significent rPO。05)．and and SO on。There were no adverse in JLJYD clinical application． Conclusion：The effect of JLJYD on HYY is certain．And JLJYD Can improve some TCM syndrome，such as vertigo，headache，lasstitude in loin and legs，heart- fever,palpitation，insomnia and finnitus，etc．The mechanism of JLJYD include extend the