双化止眩汤联合西药治疗痰瘀互结型盐敏感性高血压临床效果分析
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R544.1

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浙江省中医药科技计划舟山专项(201425ZX05)


Clinical Effect Analysis of Shuanghua Zhixuan Tang Combined with Western Medicine for Salt-sensitive Hypertension of Phlegm and Blood Stasis Entangled Type
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    摘要:

    目的:观察双化止眩汤联合西药治疗痰瘀互结型盐敏感性高血压的疗效。方法:将入选的80例痰瘀互结型盐敏感性高血压患者随机分为治疗组和对照组各40例,2组患者均给予常规口服降压药治疗,治疗组在此基础上加服双化止眩汤,2组疗程均为12周。比较2组治疗后的中医证候疗效、盐敏感患者所占比例及治疗前后血压的变化情况。结果:治疗后,治疗组总有效率87.5%,对照组总有效率67.5%,2组比较,差异有统计学意义(P<0.05)。盐敏感患者所占比例治疗组为67.5%,对照组为97.5%,2组比较,差异有统计学意义(P<0.01)。2组血压均较治疗前降低(P<0.01);治疗组平均收缩压、平均舒张压、夜间平均收缩压及夜间平均舒张压均低于对照组(P<0.05)。结论:双化止眩汤联合西药能有效改善痰瘀互结型盐敏感性高血压患者的症状,降低患者的盐敏感性,同时能更有效地控制血压,特别是降低夜间高血压。

    Abstract:

    Objective: To observe the curative effect of Shuanghua Zhixuan tang combined with western medicine for salt-sensitive hypertension of phlegm and blood stasis entangled type.Methods:Divided 80 cases of patients with salt-sensitive hypertension of phlegm and blood stasis entangled type into the treatment group and the control group randomly,40 cases in each group.Patients in the two groups were given routine oral administration of anti-hypertensive medicine for treatment,while the treatment group was additionally given Shuanghua Zhixuan tang based on that treatment.The treatment of both groups lasted for 12 weeks.Compared the changes of the curative effect of Chinese medicine syndrome,proportion of salt-sensitive patients and blood pressure before and after treatment in the two groups.Results:After treatment, the total effective rate was 87.5% in the treatment group and was 67.5% in the control group, the difference being significant(P<0.05).The proportion of salt-sensitive patients was 67.5%in the treatment group and was 97.5%in the control group,the difference being significant(P<0.01).The blood pressure in the two groups was reduced when compared with that before treatment(P<0.01).The levels of 24 h mean systolic pressure,24 h mean diastolic pressure,night systolic pressure and night diastolic pressure in the treatment group were lower than those in the control group(P<0.05).Conclusion:The therapy of Shuanghua Zhixuan tang combined with western medicine can effectively improve the symptoms of patients with salt-sensitive hypertension of phlegm-blood stasis turbid type,reduce the salt sensitivity of patients,and control blood pressure more effectively,especially reducing the hypertension at night.

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龚炳,李飞泽,邵海斌.双化止眩汤联合西药治疗痰瘀互结型盐敏感性高血压临床效果分析[J].新中医,2018,50(5):62-65

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  • 在线发布日期: 2018-05-03
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