首页|半夏白术天麻汤合温胆汤对痰湿型高血压患者血压及临床症状的影响

半夏白术天麻汤合温胆汤对痰湿型高血压患者血压及临床症状的影响

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目的:探究半夏白术天麻汤合温胆汤对痰湿型高血压患者血压及临床症状的影响.方法:选取符合标准的痰湿型高血压患者 92 例进行研究,以随机数字表法进行分组,2 组各 46 例.对照组予以苯磺酸氨氯地平治疗.观察组在对照组的西药治疗基础上加用半夏白术天麻汤合温胆汤.2 组均治疗 1 个月.观察患者收缩压、舒张压;中医症候积分;临床疗效.结果:与对照组治疗前的收缩压和舒张压比较,观察组同时期变化差异不显著(t=0.260,P=0.795、t=0.283,P=0.778),治疗 1 个月后,2 组收缩压和舒张压均降低(t=13.774,P=0.000,t=15.238,P=0.000)、(t=11.239,P=0.000,t=11.382,P=0.000),且观察组(132.82±5.12)mmHg、(80.87±3.65)mmHg 较对照组(136.11±5.35)mmHg、(83.17±3.88)mmHg低,差异显著(t=3.013,P=0.003、t=2.928,P=0.004).与对照组治疗前的中医症候积分相比,观察组同时期变化差异不显著(t=0.406,P=0.686),治疗 1 个月后,2 组中医症候积分均显著降低(t=29.320,P=0.000、t=29.249,P=0.000),且观察组(5.24±0.87)分较对照组低(6.05±1.15)分,差异有统计学意义(t=3.810,P=0.000).观察组治疗总有效率[45/46(97.83%)]高于对照组[40/46(86.96%)],差异显著(χ2=3.866,P=0.049).结论:半夏白术天麻汤合温胆汤对痰湿型高血压患者的血压有较好的改善作用,并可明显改善患者临床症状,疗效良好.
Effects of Banxia Baizhu Tianma Decoction and Wendan Decoction on Blood Pressure and Clinical Symptoms of Patients with Phlegm-dampness Hypertension
Objective:To explore the effect of Banxia Atractylodes Tianma Decoction and Wendan Decoction on blood pressure and clinical symptoms in patients with phlegm-dampness type hypertension.Methods:92 patients with phlegm-dampness type hypertension who met the criteria were selected for study,and divided into two groups using the random number table method,with 46 cases in each group.The control group was treated with amlodipine besylate.The observation group was treated with Banxia Atractylodes Tianma Decoction and Wendan Decoction on the basis of the western medicine treatment of the control group.Both groups were treated for 1 month.Observe the patient's systolic blood pressure,diastolic blood pressure;TCM symptom score;clinical efficacy.Results:Compared with the systolic blood pressure and diastolic blood pressure of the control group before treatment,the changes in the observation group during the same period were not significantly different(t=0.260,P=0.795,t=0.283,P=0.778).After 1 month of treat-ment,2 The systolic blood pressure and diastolic blood pressure of the observation group were both reduced(t=13.774,P=0.000,t=15.238,P=0.000),(t=11.239,P=0.000,t=11.382,P=0.000),and the observation group(132.82±5.12)mmHg,(80.87±3.65)mmHg were lower than those in the control group(136.11±5.35)mmHg,(83.17±3.88)mmHg,and the difference was significant(t=3.013,P=0.003,t=2.928,P=0.004).Compared with the TCM symptom scores of the control group before treatment,the difference in changes in the observation group during the same period was not significant(t=0.406,P=0.686).After 1 month of treatment,the TCM symptom scores of both groups were significantly reduced(t=29.320,P=0.000,t=29.249,P=0.000),and the score of the observation group(5.24±0.87)was lower than that of the control group(6.05±1.15),and the difference was statistically significant(t=3.810,P=0.000).The total ef-fective rate of treatment in the observation group[45/46(97.83%)]was higher than that in the control group[40/46(86.96%)],and the difference was significant(χ2=3.866,P=0.049).Conclusion:Banxia Atractylodes Tianma Decoction combined with Wendan Decoction has a good effect on improving the blood pressure of patients with phlegm-dampness type hypertension,and can significantly improve the clinical symptoms of the patients,with good curative effect.

Banxia Baizhu Tianma Decoction and Wendan DecoctionAmlodipine besylatePhlegm-dampness typeHypertensionBlood pressure

赵璐、闫玉琴、潘常玉

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北京市东城区体育馆路社区卫生服务中心 北京 100061

北京市隆福医院 北京 100010

北京市东城区东花市社区卫生服务中心 北京 100061

半夏白术天麻汤合温胆汤 苯磺酸氨氯地平 痰湿型 高血压 血压

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(12)