张艳教授从痰瘀毒论治难治性高血压经验总结

发布时间：2018-06-15 19:24

  本文选题：难治性高血压 + 痰瘀毒　； 参考：《辽宁中医药大学》2016年硕士论文

【摘要】：难治性高血压又称顽固性高血压,是指联合使用了三种以上降压药(一般包括利尿剂)且剂量合适,血压仍未达到目标水平,或者联合使用了四种以上(包括四种)降压药血压才达标也可以考虑是难治性高血压[1]。难治性高血压是威胁人类生命安全的重要因素,影响心、脑、肾等脏器的功能和结构,最终导致这些器官衰竭。受遗传、饮食习惯等因素的影响,发病率和死亡率逐年增高,严重威胁人类的生命健康,影响患者的生活质量。现代医学对于原发性高血压病还没有特效疗法,需要长期服用降压药治疗高血压病,不良反应多,患者依从性差,而且疗效不稳定,不能很好地解决患者眩晕、头痛、失眠及耳鸣等症状,容易发展成为难治性高血压。中医学治疗高血压病历史悠久,有其独特的优势,降压疗效可靠,作用温和持久,价格低廉,作用途径多,积极改善症状,提高患者的生存质量。吾师张艳教授从事临床医疗、教学、科研工作30余年,学验俱丰,在继承中医经典理论的基础上,结合自己的临床实践,继承之中求创新,治疗难治性高血压有其独特优势,能够个体化治疗,有效改善临床症状。吾师认为“痰瘀蕴毒,毒损脑络”为难治性高血压的主要发病机制,痰瘀毒存在于难治性高血压的病程中,本着治病必求于本的思想,以“痰瘀毒”为切入点,以祛痰化瘀解毒通窍法为主要原则防治难治性高血压,取得较好的临床疗效。
[Abstract]:Refractory hypertension, also known as refractory hypertension, refers to the combination of three or more antihypertensive drugs (including diuretics) and the appropriate dosage, and the blood pressure is still not up to the target level. Or combined use of more than four (including four) antihypertensive drugs to achieve blood pressure may also be considered refractory hypertension [1]. Refractory hypertension is an important factor threatening the safety of human life. It affects the function and structure of organs such as heart, brain and kidney, and finally results in these organ failure. Under the influence of heredity, dietary habits and other factors, the morbidity and mortality increased year by year, which seriously threatened the life and health of human beings and affected the quality of life of patients. Modern medicine has no special treatment for essential hypertension. It needs long-term antihypertensive drugs to treat hypertension. There are many adverse reactions, patients' compliance is poor, and the curative effect is unstable, which can not solve the dizziness and headache of patients. Insomnia and tinnitus symptoms, easy to develop into refractory hypertension. Traditional Chinese medicine (TCM) has a long history in the treatment of hypertension with its unique advantages, such as reliable antihypertensive effect, mild and lasting effect, low price and many ways of action, so it can improve symptoms and improve the quality of life of patients. Professor Zhang Yan has been engaged in clinical medicine, teaching and scientific research for more than 30 years. On the basis of inheriting the classical theory of traditional Chinese medicine, combining with his own clinical practice and seeking innovation in inheritance, Professor Zhang Yan has its unique advantages in the treatment of refractory hypertension. Individualized treatment can effectively improve clinical symptoms. My teacher believes that "phlegm and stasis accumulation of toxin, toxic damage to brain collaterals" is the main pathogenesis of refractory hypertension, phlegm and blood stasis toxin exists in the course of refractory hypertension, in line with the thought that "phlegm and blood stasis toxin" is the starting point of "phlegm and blood stasis toxin". The method of removing phlegm and removing blood stasis and detoxifying the orifices is the main principle to prevent and cure refractory hypertension and obtain better clinical curative effect.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R249;R259
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本文编号：2023274