半夏白术天麻汤联合黄连温胆汤治疗高血压病伴眩晕临床研究
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Clinical Study on Banxia Baizhu Tianma Tang Combined with Huanglian Wendan Tang for Dizziness Related to Hypertension
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    摘要:

    目的:半夏白术天麻汤联合黄连温胆汤治疗高血压病伴眩晕的临床效果。方法:将高血压病伴眩晕患者82 例随机分为观察组和对照组各41 例。对照组采用氯沙坦钾片、酒石酸美托洛尔片等常规西药治疗,观察组采用半夏白术天麻汤联合黄连温胆汤治疗。2 组均治疗14 d,观察比较2 组治疗前后血压、眩晕障碍量表(DHI) 评分变化,统计2 组治疗期间不良反应发生情况。结果:治疗前,2 组收缩压(SBP)、舒张压(DBP) 比较,差异无统计学意义(P>0.05);治疗后,2 组SBP、DBP 均较治疗前降低(P<0.05),且观察组SBP、DBP 均低于对照组(P<0.05)。治疗前,2 组DHI 评分比较,差异无统计学意义(P>0.05);治疗后,2 组DHI 评分均较治疗前降低(P<0.05),且观察组DHI 评分低于对照组(P<0.05)。观察组不良反应发生率为7.32%,对照组为24.39%,2 组比较,差异有统计学意义(P<0.05)。结论:半夏白术天麻汤联合黄连温胆汤治疗高血压病伴眩晕疗效肯定,可有效下调血压,改善眩晕症状,疗效优于西医常规治疗。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Banxia Baizhu Tianma tang combined with Huanglian Wendan tang for patients with dizziness related to hypertension. Methods:A total of 82 cases of patients with dizziness related to hypertension were randomly divided into the observation group and the control group,with 41 cases in each group. The control group was treated with losartan potassium tablets, metoprolol tartrate tablets and other routine western medicine. The observation group was treated with Banxia Baizhu Tianma tang combined with Huanglian Wendan tang. Both groups were treated for 14 days. Changes in blood pressure and scores of Dizziness Handicap Inventory(DHI) in the two groups before and after treatment were observed and compared. Incidence of adverse reactions in the two groups during treatment was counted. Results:Before treatment,there was no significant difference being found in the comparison of systolic blood pressure(SBP) and diastolic blood pressure(DBP) between the two groups(P> 0.05). After treatment,SBP and DBP in the two groups were decreased when compared with those before treatment(P<0.05),and SBP and DBP in the observation group were lower than those in the control group (P<0.05). Before treatment, there was no significant difference being found in the comparison of DHI scores between the two groups(P>0.05). After treatment,DHI scores in the two groups were decreased when compared with those before treatment(P<0.05),and DHI score in the observation group was lower than that in the control group(P<0.05). The incidence of adverse reactions was 7.32% in the observation group and 24.39% in the control group, the difference being significant(P<0.05). Conclusion: Banxia Baizhu Tianma tang combined with Huanglian Wendan tang has a definite curative effect in the treatment of dizziness related to hypertension;it can effectively down regulate blood pressure,and improve dizziness symptom,with a better curative effect than that of routine western medicine treatment.

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张国芳,栗晓乐,袁清茹.半夏白术天麻汤联合黄连温胆汤治疗高血压病伴眩晕临床研究[J].新中医,2022,54(16):40-43

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  • 在线发布日期: 2022-08-28
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