首页|加味红龙夏海汤联合常规西药治疗高血压合并颈动脉斑块患者的效果

加味红龙夏海汤联合常规西药治疗高血压合并颈动脉斑块患者的效果

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目的:观察加味红龙夏海汤联合常规西药治疗高血压合并颈动脉斑块患者的效果.方法:选取2022年12月至2023年12月于该院就诊的 80 例高血压合并颈动脉斑块患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 40 例.对照组采用常规西药(氨氯地平+瑞舒伐他汀钙)治疗,观察组在对照组基础上联合加味红龙夏海汤治疗,两组均连续治疗 1 个月.比较两组临床疗效,治疗前后中医证候积分、血压指标(收缩压、舒张压)水平、血脂指标[三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)、总胆固醇(TC)]水平,以及不良反应发生率.结果:观察组治疗总有效率为 95.00%(38/40),高于对照组的75.00%(30/40),差异有统计学意义(P<0.05);治疗后,观察组主症、次症等中医证候积分和舒张压、收缩压水平均低于对照组,差异有统计学意义(P<0.05);治疗后,观察组TG、LDL-C、TC水平低于对照组,HDL-C水平高于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:加味红龙夏海汤联合常规西药治疗高血压合并颈动脉斑块患者可提高治疗总有效率,降低中医证候积分和血压指标水平,改善血脂指标水平,效果优于单纯常规西药治疗.
Effects of Modified Honglong Xiahai decoction combined with conventional Western medicine in treatment of patients with hypertension complicated with carotid plaque
Objective:To observe effects of Modified Honglong Xiahai decoction combined with conventional Western medicine in treatment of patients with hypertension complicated with carotid plaque.Methods:A prospective study was conducted on 80 patients with hypertension and carotid plaque who were treated in this hospital from December 2022 to December 2023.According to the random number table method,they were divided into control group and observation group,40 cases in each group.The control group was treated with conventional Western medicine(Amlodipine+Rosuvastatin calcium),while the observation group was treated with modified Honglong Xiahai decoction on the basis of that of the control group.Both groups were treated continuously for 1 month.The clinical efficacy,the TCM syndrome scores,the blood pressure indexes(systolic blood pressure,diastolic blood pressure)levels,the blood lipid indexes[triglyceride(TG),low-density lipoprotein cholesterol(LDL-C),high-density lipoprotein cholesterol(HDL-C),total cholesterol(TC)]levels before and after the treatment,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the observation group was 95.00%(38/40),which was higher than 75.00%(30/40)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of TCM syndromes such as main symptoms and secondary symptoms as well as the levels of diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of TG,LDL-C and TC in the observation group were lower than those in the control group,the level of HDL-C was higher than that in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Modified Honglong Xiahai decoction combined with conventional Western medicine can improve the total effective rate of treatment,reduce the TCM syndrome scores and the blood pressure levels,and improve the levels of blood lipid indexes in the patients with hypertension complicated with carotid plaque.Moreover,it is superior to simple conventional Western medicine treatment.

HypertensionCarotid plaqueModified Honglong Xiahai decoctionAmlodipineRosuvastatin calciumTCM syndrome scoreBlood pressure

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福州市台江区新港街道社区卫生服务中心全科门诊,福建 福州 350000

高血压 颈动脉斑块 加味红龙夏海汤 氨氯地平 瑞舒伐他汀钙 中医证候积分 血压

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(15)
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