老年难治性高血压 血府逐瘀汤 利尿剂 血管紧张素转换酶 β受体阻滞剂 二氢

  本文关键词：血府逐瘀汤联合西药治疗老年难治性高血压疗效，由笔耕文化传播整理发布。

血府逐瘀汤联合西药治疗老年难治性高血压随机平行对照研究

Elderly Refractory Hypertension Randomized Parallel Group Study Xuefuzhuyu Decoction Combined with Western Medicine

[1]

HU Mei （ Yunnan Honghe Jianshui County Hospital emergency department, Honghe 654300, Yunnan, China ）

云南省红河州建水县中医院急诊科,云南红河654300

文章摘要：[目的]观察血府逐瘀汤联合西药治疗老年难治性高血压疗效。[方法]使用随机平行对照方法．将128例住院及门诊患者按抽签法随机分为两组。对照组64例利尿剂、血管紧张素转换酶抑制剂．13受体阻滞剂或二氢吡啶类钙桔抗剂等三种以上药物联合。治疗组64血府逐瘀汤（当归12g，黄芪30g，赤芍、川芎各10g，，桃仁、红花、桔梗、枳壳各6g）；1剂／d，水煎100mL．早晚服用；心悸加丹参、郁金：痰浊加胆南星、半夏；严重失眠加夜交藤、炙远志、炒枣仁等；脾虚加白术、茯苓等。西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、血压变化、不良反应。连续治疗2疗程，判定疗效。[结果]治疗组显效46例．有效15例，无效3例，总有效率95．31％。对照组显效27例．有效24例，无效13例。总有效率79．69％。治疗组疗效优于对照组（P〈0．05）。血压变化两组均有改善（P〈0．05）．治疗组改善优于对照组（P〈0．05）。[结论]血府逐瘀汤联合西药治疗老年难治性高血压效果显著．值得推广。

Abstr：[ Objective ] To observe blood Xuefuzhuyutang combined western medicine treatment of elderly patients with refractory hypertension treatment. [ Methods ] random parallel control method, 128 cases of hospitalized patients and outpatients were randomly divided into two groups according to . A control group of 64 patients based on the patient＇s own differences, and different tolerance to drugs , diuretics plus choose angiotensin converting enzyme inhibitors as the basis for drug , plus β-blockers or dihydropyridine calcium antagonist like three or more drugs in combination scheme , based on the patient to choose the best combination of different treatment options . Treatment group 64 Xuefuzhuyu soup （ Danggui 12g, Huangqi 30g, Chishao, Chuanxiong 10g, Taoren , Honghua, Chishao, Jugeng each 6g ） ; 1does/d, decoction 100mL, sooner or later take ; accompanied by palpitations Danshen, Yujin ; phlegm may be appropriate to add Dannanxing, Banxia; severe insomnia plus Yejiaoteng, Zhiyuanzhi, fried Zaoren etc. ; spleen plus Baishn, Fuling, etc. Western medicine with the control group . 30d is a continuous course of treatment . Observation of clinical symptoms , blood pressure changes , adverse reactions. 2 courses of continuous treatment , to determine efficacy . [ Results ] 46 cases markedly effective in 15 cases, 3 cases, the total efficiency of 95.31% . The control group 27 cases markedly effective in 24 cases, 13 cases , the total efficiency of 79.69%. Treatment group than the control group （ P〈0.05 ） . Changes in blood pressure were improved in both groups （ P〈0.05 ）, improvement in the treatment group than the control group （ P〈0.05 ） . [ Conclusion ] Xuefuzhuyutang combined western medicine treatment

文章关键词：

Keyword：:Elderly refractory hypertension Xuefuzhuyu soup Diuretics Angiotensin- converting enzyme β-blockers Dihydropyridine calcium antagonists Randomized parallel group study

  本文关键词：血府逐瘀汤联合西药治疗老年难治性高血压疗效，由笔耕文化传播整理发布。