中西医结合治疗老年高血压合并脂代谢紊乱

发布时间：2018-02-02 01:15

本文关键词： 高血压高血脂中西医结合　出处：《中国实验方剂学杂志》2013年22期 　论文类型：期刊论文

【摘要】：目的:探讨中西医结合治疗老年高血压合并脂代谢紊乱的临床疗效。方法:将128例老年高血压合并脂代谢紊乱患者随机分入对照组与观察组,对照组患者接受常规西医降压及降脂治疗,观察组在西医治疗基础上给予中药口服,疗程4周。比较两组降压效果及血流变学指标的改变。结果:疗程结束后观察组患者降压有效率显著高于对照组(92.4%vs71.0%,P0.05);治疗后观察组收缩压与舒张压分别为(126.76±10.41)mmHg和(78.13±5.21)mmHg,显著优于对照组(142.33±12.62)mmHg和(84.24±5.47)mmHg(P0.05);与对照组治疗后甘油三酯(TG)、总胆固醇(TC)及低密度脂蛋白(LDL-C)相比较[(1.97±0.20),(5.38±0.57),(3.35±0.73)mmol·L-1],观察组上述指标均显著降低[(1.68±0.16),(4.60±0.51),(2.94±0.62)mmol·L-1,P0.05];治疗后观察组全血高切黏度、全血低切黏度及血液黏度分别为(3.68±0.74),(16.33±2.40),(1.30±0.43)mPa·s,与对照组差别具有统计学意义[(5.26±1.17),(21.46±2.84),(1.68±0.55)mPa·s,P0.05]。结论:在西医治疗基础上给予中药口服在降压及改善脂代谢紊乱方面更具优势。
[Abstract]:Objective: To investigate the clinical effect of combined treatment of lipid metabolism disorders in elderly hypertensive patients with traditional Chinese medicine and Western medicine. Methods: 128 cases of elderly hypertensive patients with dyslipidemia were randomly divided into control group and observation group, the control group received routine antihypertensive and lipid-lowering treatment, observation group on the basis of Western Medicine treatment with traditional Chinese medicine orally, for 4 weeks. The antihypertensive effect was compared between the two groups and blood rheology changes. Results: after the treatment of patients in the observation group the effective rate was significantly higher than the control group (92.4%vs71.0%, P0.05); after treatment, the observation group systolic blood pressure and diastolic blood pressure were (126.76 + 10.41) mmHg and (78.13 + 5.21) was significantly better than the control group (mmHg. 142.33 + 12.62) mmHg and (84.24 + 5.47) mmHg (P0.05); triglyceride and control group after treatment (TG), total cholesterol (TC) and low density lipoprotein (LDL-C) compared to [(1.97 + 0.20), (5.38 + 0.57), (3.35 + 0.73) mmol - L-1] observation These indicators were significantly reduced [(1.68 + 0.16), (4.60 + 0.51), (2.94 + 0.62) mmol, L-1, P0.05]; the observation group after treatment, high blood viscosity, low blood viscosity and blood viscosity were (3.68 + 0.74), (16.33 + 2.40), (1.30 + 0.43) mPa, s, and control group was statistically significant difference [(5.26 + 1.17), (21.46 + 2.84), (1.68 + 0.55) mPa, s, P0.05]. in conclusion: on the basis of Western medicine treatment given oral medicine in lowering blood pressure and improve lipid metabolism with more advantages.

【作者单位】：宜宾市第四人民医院;
【基金】：宜宾市科学技术局重点科技项目(社会发展)(2012SF012)
【分类号】：R544.1
【正文快照】： 近年来随着生活节奏的加快及饮食结构的调整,原发性高血压病的发生率呈上升趋势。原发性高血压是心脑血管疾病的风险因素,长期高血压会导致心脏、脑及肾脏等靶器官损害,严重影响患者健康及生活质量[1]。原发性高血压病为终身疾病,目前尚无治愈疾病的治疗方法,临床治疗以药物控

【相似文献】