益气活血方治疗气虚血瘀型老年单纯收缩期高血压的临床观察

发布时间：2018-01-04 21:27

本文关键词：益气活血方治疗气虚血瘀型老年单纯收缩期高血压的临床观察　出处：《云南中医学院》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察益气活血方治疗气虚血瘀型老年单纯收缩期高血压的临床疗效。方法:将66例气虚血瘀型老年单纯收缩期高血压患者随机分为治疗组和对照组,每组各33例。对照组服用苯磺酸氨氯地平片,每日1次,每次5mg,治疗组在对照组的基础上加服益气活血方,每日1剂。两组疗程均为14天。观察比较两组患者治疗前后血压变化及临床症状积分情况。结果:1.血压疗效的比较:血压下降总有效率治疗组和对照组分别为86.7%和63.3%,两组之间比较,差异有统计学意义(P0.05);治疗后治疗组收缩压下降39.03±13.074mm Hg,对照组下降23.90±10.908mm Hg,差异有显着性(P0.05),收缩压的降低治疗组明显优于对照组;治疗后治疗组脉压差差值为19.29±8.614mm Hg,对照组为30.70±12.003mm Hg,(P0.05),差异有统计学意义,治疗组的脉压差缩小程度优于对照组。2.中医证候积分比较:治疗前后两组中医证候积分均较本组治疗前下降(P0.05),且治疗后治疗组中医证候积分显著低于对照组(P0.05)。结论:益气活血方治疗气虚血瘀型老年单纯收缩期高血压能明显降低收缩压,缩小脉压差并能明显改善临床症状。
[Abstract]:Objective: To observe the clinical effect of Yiqi Huoxue Decoction in treating qi deficiency and blood stasis syndrome in elderly patients with isolated systolic hypertension. Methods: 66 cases of qi deficiency and blood stasis type of isolated systolic hypertension in the elderly patients were randomly divided into treatment group and control group, 33 cases in each group. The control group was given 1 times per day, Amlodipine Besylate Tablets, 5mg, the treatment group in the control group based with clothing Yiqihuoxuefang, 1 dose daily. Two groups were treated for 14 days. The two groups were observed and compared before and after treatment the changes of blood pressure and clinical symptoms. Results: 1. the curative effect of blood: blood pressure decreased the total efficiency of treatment group and control group were 86.7% and 63.3%, between the two groups, there are statistically significant difference (P0.05); after treatment, systolic blood pressure decreased 39.03 + 13.074mm Hg 23.90 + 10.908mm Hg decreased in the control group, there were significant differences (P0.05), systolic blood pressure decreased significantly better than the control group; After treatment, pulse pressure difference was 19.29 + 8.614mm Hg, the control group was 30.70 + 12.003mm Hg (P0.05), the difference was statistically significant, the treatment group reduced pulse pressure than control group.2. TCM syndrome integral comparison: two groups before and after treatment of TCM syndrome scores were compared with the group before treatment decreased (P0.05), and after treatment, TCM syndrome score was significantly lower than the control group (P0.05). Conclusion: Yiqi Huoxue Decoction Treatment of qi deficiency and blood stasis in elderly patients with isolated systolic hypertension can significantly reduce systolic blood pressure, reduce pulse pressure and can significantly improve clinical symptom.

【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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