首页|黄连解毒汤联合瑞舒伐他汀对高血压合并高脂血症患者血脂代谢及血压控制的影响

黄连解毒汤联合瑞舒伐他汀对高血压合并高脂血症患者血脂代谢及血压控制的影响

扫码查看
探讨黄连解毒汤联合瑞舒伐他汀对高血压合并高脂血症患者血脂代谢及血压控制的影响,将医院2021年6月至2022年10月收治的高血压合并高脂血症患者160例作为此次研究的研究对象,按照随机数字表法分为对照组(80例)和观察组(80例)。对照组给予常规治疗及瑞舒伐他汀治疗,观察组在前述对照组基础上给予黄连解毒汤治疗,均治疗8 w。比较两组治疗8 w后临床疗效,治疗前及治疗8w后中医证候积分、胆固醇代谢标志物、血脂水平、血压控制,治疗期间不良反应发生情况。治疗8w后,与对照组83。75%比较,观察组临床总有效率96。25%,高于对照组;两组胸闷、眩晕、头晕、心悸各项积分、血清载脂蛋白A、载脂蛋白B、载脂蛋白E、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)水平、舒张压、收缩压、脉压差治疗8 w后相比治疗前均降低,且观察组低于对照组;血清高密度脂蛋白胆固醇(HDL-C)水平则升高,观察组高于对照组(P<0。05)。治疗期间两组不良反应总发生率组间比较差异没有统计学意义(均P>0。05)。黄连解毒汤联合瑞舒伐他汀应用于高血压合并高脂血症患者可有效控制血压,降低血脂水平,还能稳定患者血脂代谢情况,缓解其胸闷、眩晕、头晕等多种临床症状,临床应用疗效确切,且安全性较高。
Effect of Huanglian Jiedu Decoction Combined with Rosuvastatin on Blood Lipid Metabolism and Blood Pressure Control in Patients with Hypertension and Hyperlipidemia
To investigate the effect of Huanglian Jiedu Decoction combined with rosuvastatin on blood lipid metabolism and blood pressure control in patients with hypertension and hyperlipidemia,a total of 160 patients with hypertension and hyperlipidemia who were admitted to the hospital from June 2021 to October 2022 were included in this study.They were divided into the control group(80 cases)and the observation group(80 cases)according to the random number table method.The control group was given con-ventional treatment and rosuvastatin treatment,and the observation group was given Rhizoma Coptidis Jiedu Decoction treatment on the basis of the above control group.All the patients were treated for 8 weeks.The clinical effects after 8 weeks of treatment were compared between the two groups.The scores of traditional Chinese medicine syndrome,cholesterol metabolism markers,levels of blood lipid,blood pressure control,and the incidence of adverse reactions during the treatment were compared before treatment and after 8 weeks of treatment.After 8 weeks of treatment,compared with 83.75%of the control group,the total clinical effective rate of 96.25%in the observation group was higher.After 8 weeks of treatment,the scores of chest stuffiness,vertigo,dizziness and palpita-tion,levels of serum apolipoprotcin A,apolipoprotein B,apolipoprotcin E,total cholesterol(TC),triglyceride(TG)and low density lipoprotein cholesterol(LDL-C),diastolic blood pressure,systolic blood pressure and pulse pressure in the two groups were all lower than those before treatment,which was lower in the observation group than in the control group.However,the level of serum high density lipoprotein cholesterol(HDL-C)increased,which was higher in the observation group than in the control group(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups during the treatment(P>0.05).Huanglian Jiedu Decoction combined with rosuvastatin could effectively control levels of blood pressure and reduce blood lipid in patients with hypertension and hyperlipidemia,stabilize blood lipid metabolism of patients,and relieve chest tightness,vertigo,dizzi-ness and other clinical symptoms.The curative effect of clinical application was exact,and the safety was high.

HypertensionHyperlipidemiaRosuvastatinHuanglian Jiedu DecoctionBlood lipidsBlood pressureIntegrals of tradi-tional Chinese medicine syndromes

夏阳、侯雨蒙

展开 >

泰州市中医院心血管内科,江苏泰州 225300

高血压 高脂血症 瑞舒伐他汀 黄连解毒汤 血脂 血压 中医证候积分

2024

药物生物技术
中国药科大学,中国医药科技出版社,中国药学会

药物生物技术

CSTPCD
影响因子:0.463
ISSN:1005-8915
年,卷(期):2024.31(2)
  • 23