调肝降压饮治疗高血压病肝阳上亢证的临床研究
发布时间：2019-06-08 08:31
【摘要】：目的:观察调肝降压饮,从平肝潜阳兼疏达肝气法治疗高血压病肝阳上亢证患者的临床疗效。方法:按照随机、对照的设计方法,将符合标准的60例患者分为治疗组和对照组,每组30例。疗程各12周。对照组单纯服用西药,治疗组加服调肝降压饮。结果:1.两组患者治疗后收缩压及舒张压均有所降低,但治疗组下降幅度优于对照组,且两组诊室血压总有效率分别为86.67%与66.67%,治疗组降压疗效明显高于对照组。2.治疗组血压达标人数及血压达标率明显优于对照组,血压达标时间经统计分析明显短于对照组患者。3.治疗后两组患者24h动态血压各项指标中均有不同程度改善,但治疗组明显占优势。4.两组患者治疗后中医证候综合疗效及单项证候疗效比较,治疗组均显著优于对照组。5.分别比较两组患者组内及组间治疗前后的血脂水平,除治疗组在TG改善明显外,其他均无统计学意义。结论:调肝降压饮针对肝阳上亢型高血压病患者,具备良好的降压疗效,同时明显缓解患者相关症状,具备安全、可靠等优点,值得应用于临床。
[Abstract]:Objective: to observe the clinical effect of Tiaogan Jiangya decoction in the treatment of hypertension patients with hyperactivity of liver yang from the method of calming liver latent yang and soothing liver qi. Methods: according to the design method of random and control, 60 patients who met the standard were divided into treatment group (n = 30) and control group (n = 30). The course of treatment was 12 weeks each. The control group was treated with western medicine alone, and the treatment group was treated with Tianggan Jiangya decoction. Result: 1. After treatment, systolic and diastolic blood pressure in the two groups decreased, but the decrease in the treatment group was better than that in the control group, and the total effective rate of blood pressure in the two groups was 86.67% and 66.67%, respectively. the antihypertensive effect of the treatment group was significantly higher than that of the control group. The number of blood pressure reaching the standard and the rate of reaching the standard of blood pressure in the treatment group were significantly better than those in the control group, and the time of reaching the standard of blood pressure in the treatment group was significantly shorter than that in the control group. After treatment, the 24 h ambulatory blood pressure indexes of the two groups were improved to varying degrees, but the treatment group was obviously dominant. 4. After treatment, the comprehensive curative effect of TCM syndrome and the curative effect of single syndrome in the two groups were significantly better than those in the control group. 5. The blood lipid levels of the two groups were compared between the two groups before and after treatment, except for the improvement of TG in the treatment group, there was no significant difference between the two groups. Conclusion: Tiaogan Jiangya decoction has a good antihypertensive effect on patients with hyperactivity of liver yang hypertension, and obviously relieves the related symptoms of the patients. It has the advantages of safety and reliability, and is worthy of clinical application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259
本文编号：2495152
[Abstract]:Objective: to observe the clinical effect of Tiaogan Jiangya decoction in the treatment of hypertension patients with hyperactivity of liver yang from the method of calming liver latent yang and soothing liver qi. Methods: according to the design method of random and control, 60 patients who met the standard were divided into treatment group (n = 30) and control group (n = 30). The course of treatment was 12 weeks each. The control group was treated with western medicine alone, and the treatment group was treated with Tianggan Jiangya decoction. Result: 1. After treatment, systolic and diastolic blood pressure in the two groups decreased, but the decrease in the treatment group was better than that in the control group, and the total effective rate of blood pressure in the two groups was 86.67% and 66.67%, respectively. the antihypertensive effect of the treatment group was significantly higher than that of the control group. The number of blood pressure reaching the standard and the rate of reaching the standard of blood pressure in the treatment group were significantly better than those in the control group, and the time of reaching the standard of blood pressure in the treatment group was significantly shorter than that in the control group. After treatment, the 24 h ambulatory blood pressure indexes of the two groups were improved to varying degrees, but the treatment group was obviously dominant. 4. After treatment, the comprehensive curative effect of TCM syndrome and the curative effect of single syndrome in the two groups were significantly better than those in the control group. 5. The blood lipid levels of the two groups were compared between the two groups before and after treatment, except for the improvement of TG in the treatment group, there was no significant difference between the two groups. Conclusion: Tiaogan Jiangya decoction has a good antihypertensive effect on patients with hyperactivity of liver yang hypertension, and obviously relieves the related symptoms of the patients. It has the advantages of safety and reliability, and is worthy of clinical application.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259
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