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中西医结合治疗老年冠心病合并高血压的效果研究

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目的 研究中西医结合治疗老年冠心病合并高血压的效果。方法 选 98 例老年冠心病合并高血压患者,按随机方法分为观察组(50 例)与对照组(48 例)。对照组使用常规的西医方案治疗,观察组在对照组基础上联合中医方案治疗。对比两组患者的临床疗效及治疗前后的血压[收缩压(SBP)和舒张压(DBP)]水平、心功能指标[左心室舒张末期容积(LVEDV)、左心室收缩末期容积(LVESV)、左心室射血分数(LVEF)、左心室收缩末期内径(LVESD)]。结果 观察组的临床总有效率 96。00%(48/50)比对照组的 83。33%(40/48)明显更高,差异有统计学意义(P<0。05)。治疗前,两组患者的SBP、DBP水平对比差异不显著(P>0。05);治疗后,观察组的SBP(114。03±18。16)mm Hg(1 mm Hg=0。133 kPa)、DBP(67。01±10。67)mm Hg比对照组的(129。11±20。90)、(77。97±12。62)mm Hg更低,差异有统计学意义(P<0。05)。治疗前,两组患者的LVEDV、LVESV、LVEF、LVESD对比差异不显著(P>0。05);治疗后,观察组的LVEDV(103。55±16。49)ml、LVESV(55。41±8。83)ml、LVESD(33。54±5。34)mm小于对照组的(127。38±20。62)ml、(68。90±11。16)ml、(41。01±6。64)mm,LVEF(57。40±9。14)%高于对照组的(50。82±8。23)%,差异有统计学意义(P<0。05)。结论 采用中西医结合治疗老年冠心病合并高血压能提升临床疗效,控制患者血压水平,并改善心功能,值得推荐。
Study on the effect of integrated traditional Chinese and Western medicine on coronary heart disease complicated with hypertension in the elderly
Objective To study the effect of integrated traditional Chinese and Western medicine on coronary heart disease complicated with hypertension in the elderly.Methods 98 elderly patients with coronary heart disease and hypertension were selected and randomly divided into an observation group(50 cases)and a control group(48 cases).The control group was treated with conventional Western medicine,and the observation group was treated with integrated traditional Chinese and Western medicine based on the control group.Both groups were compared in terms of clinical efficacy,blood pressure[systolic blood pressure(SBP)and diastolic blood pressure(DBP)]levels and cardiac function indexes[left ventricular end-diastolic volume(LVEDV),left ventricular end-systolic volume(LVESV),left ventricular ejection fraction(LVEF),left ventricular end-systolic diameter(LVESD)]before and after treatment.Results The total clinical effective rate of 96.00% (48/50)in the observation group was significantly higher than 83.33% (40/48)in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in SBP and DBP levels between the two groups(P>0.05).After treatment,the observation group had SBP of(114.03±18.16)mm Hg(1 mm Hg=0.133 kPa)and DBP of(67.01±10.67)mm Hg,which were lower than(129.11±20.90)and(77.97±12.62)mm Hg in the control group.The difference was statistically significant(P<0.05).Before treatment,there was no significant difference in LVEDV,LVESV,LVEF and LVESD between the two groups(P>0.05).After treatment,the observation group had LVEDV of(103.55±16.49)ml,LVESV of(55.41±8.83)ml and LVESD of(33.54±5.34)mm,which were smaller than(127.38±20.62)ml,(68.90±11.16)ml and(41.01±6.64)mm in the control group;LVEF of(57.40±9.14)% in the observation group was higher than(50.82±8.23)% in the control group;the difference was statistically significant(P<0.05).Conclusion Integrated traditional Chinese and Western medicine in the treatment of elderly coronary heart disease complicated with hypertension can improve clinical efficacy,control the blood pressure level of patients,and improve heart function of patients,which is worthy of recommendation.

Integrated traditional Chinese and Western medicineOld ageCoronary heart diseaseHypertensionBlood pressure levelCardiac function

杜志春

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124010 辽宁省盘锦市中心医院心内一科

中西医结合 老年 冠心病 高血压 血压水平 心功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(16)