[1]李淑玲,刘国安,叶丙霖.益气活血方联合常规降压西药治疗老年“H型”高血压病气虚血瘀证48例临床观察[J].甘肃中医药大学学报,2016,33(02):72-76.[doi:10.16841/j.issn1003-8450.2016.02.23]
 LI Shuling,LIU Guoan,YE Binglin.Clinical observation on 48 cases of elderly H-type hypertension with qi deficiency and blood stagnation by Yiqi Huoxue Fang plus routine hypotensor[J].Journal of Gansu University of Chinese Medicine,2016,33(02):72-76.[doi:10.16841/j.issn1003-8450.2016.02.23]
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益气活血方联合常规降压西药治疗老年“H型”高血压病气虚血瘀证48例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
33卷
期数:
2016年02期
页码:
72-76
栏目:
临床研究与报道
出版日期:
2016-04-25

文章信息/Info

Title:
Clinical observation on 48 cases of elderly H-type hypertension with qi deficiency and blood stagnation by Yiqi Huoxue Fang plus routine hypotensor
作者:
李淑玲1 刘国安1 叶丙霖2
1. 甘肃省中医院老年病科, 甘肃兰州 730050;
2. 甘肃省中医药研究院脊柱微创科, 甘肃兰州 730050
Author(s):
LI Shuling1 LIU Guoan1 YE Binglin2
1. Geriatrics Department, Gansu TCM Hospital, Lanzhou, Gansu, 730050, China;
2. Department of Minimally Invasive Spinal Surgery, Gansu Provincial Academy of TCM, Lanzhou, Gansu, 730050, China
关键词:
老年"H型"高血压病气虚血瘀证益气活血方常规降压西药同型半胱氨酸血压临床观察
Keywords:
the elderly H-type hypertensionsyndrome of qi deficiency and blood stagnationYiqi Huoxue Fangroutine hypotensorhomocysteineblood pressureclinical observation
分类号:
R259.441
DOI:
10.16841/j.issn1003-8450.2016.02.23
摘要:
目的 观察益气活血方联合常规降压西药对老年"H型"高血压病气虚血瘀证患者血压及同型半胱氨酸(Hcy)水平的影响。方法 将96例老年"H型"高血压病气虚血瘀证患者随机分为治疗组和对照组,各48例。对照组给予苯磺酸氨氯地平片、氢氯噻嗪片及叶酸片口服治疗,治疗组在对照组治疗方法的基础上联合益气活血方口服。治疗4周后,比较2组治疗前后的血压及Hcy的水平。结果 2组治疗后诊室血压(CBP)及动态血压监测(ABPM)结果较同组治疗前均显著下降(P<0.05);治疗组诊室收缩压较对照组下降明显(P<0.05);治疗组ABPM夜间收缩压均值(nSBP)及白天舒张压均值(dDBP)均低于对照组(P<0.05)。2组CBP疗效比较,治疗组显著优于对照组(P<0.05)。2组Hcy水平较同组治疗前均显著降低(P<0.05),且治疗组作用优于对照组(P<0.05)。结论 益气活血方联合常规降压西药治疗老年"H型"高血压病气虚血瘀证,在控制血压、降低Hcy水平方面均优于单纯西药,疗效确切。
Abstract:
Objective To observe the influence on blood pressure and homocysteine (Hcy) of elderly H-type hypertension treated by Yiqi Huoxue Fang plus routine Western hypotensor. Methods 96 cases of elderly H-type hypertension with qi deficiency and blood stagnation were randomly divided into treatment group and contol group, 48 cases each. Two groups were intervened with amlodipine besylate Tablet, hydrochlorothiazide Tablet and folic acid Tablet. Addtionally, the treatment group took oral liquid for nurishing qi and activating blood circulation, 4 weeks as one course. The blood pressure and Hcy were observed and compared. Results After treatment, the clinic blood pressure (CBP) and the result of hambulatory blood pressure monitoring (ABPM) in two groups decreased significantly (P<0.05). Compared with control group, CBP in treatment group decreased more (P<0.05). The nighttime systolic blood pressure (nSBP), diastolic blood pressure during the day (dDBP) and CBP in treatment group were all lower than that in control group (P<0.05). The level of Hcy in two groups decreased obviously and that in treatment group changed more (P<0.05). Conclusion The combination therapy is superior to mere Western medicine in controlling blood pressure and lowering Hcy. It has a definite efficacy.

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2015-11-09
作者简介:李淑玲(1978-),女,住院医师,医学硕士。研究方向:中西医结合心血管病的研究与防治。
更新日期/Last Update: 1900-01-01