中西医结合心脑血管病杂志2024,Vol.22Issue(15) :2729-2734.DOI:10.12102/j.issn.1672-1349.2024.15.006

基于超声QQ技术评价清肝化痰方治疗高血压前期的临床疗效

Evaluation of the Clinical Effect of Qinggan Huatan Decoction for the Treatment of Prehypertension Based on Ultrasonic QQ Technology

张裕 赵瑞珍 王湘竹 董竞方 李芳 马迪 陈婧
中西医结合心脑血管病杂志2024,Vol.22Issue(15) :2729-2734.DOI:10.12102/j.issn.1672-1349.2024.15.006

基于超声QQ技术评价清肝化痰方治疗高血压前期的临床疗效

Evaluation of the Clinical Effect of Qinggan Huatan Decoction for the Treatment of Prehypertension Based on Ultrasonic QQ Technology

张裕 1赵瑞珍 2王湘竹 2董竞方 2李芳 2马迪 2陈婧2
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作者信息

  • 1. 北京中医药大学第三临床医学院(北京 100029)
  • 2. 北京中医药大学第三附属医院(北京 100029)
  • 折叠

摘要

目的:应用超声QQ技术的血管内中膜分析技术(QIMT)和血管弹性定量计数(QAS)方法,评价清肝化痰方对高血压前期(PHT)受试者的颈总动脉内-中膜厚度(IMT)及双侧颈总动脉弹性参数的影响.方法:从北京中医药大学第三附属医院的健康体检人群中招募PHT受试者15例,予以清肝化痰方进行为期3个月治疗,比较治疗前后诊室血压以及超声QQ技术测定的双侧颈总动脉IMT及扩张性系数(DC)、顺应性系数(CC)、硬度指数(α、β)、脉搏波传导速度(PWV)等弹性指数以及生化指标.结果:治疗后,受试者的收缩压、舒张压、颈总动脉IMT明显降低(P<0.01),双侧颈总动脉弹性参数均明显改善(P<0.01).治疗后,受试者的血尿酸、空腹血糖、总胆固醇、三酰甘油、低密度脂蛋白较治疗前明显降低(P<0.05或P<0.01).结论:清肝化痰方能通过改善血管弹性起到调节、平稳血压的作用.

Abstract

Objective:The effects of Qinggan Huatan decoction on common carotid artery intima-media(IMT)and bilateral common carotid artery elasticity parameters in prehypertensive(PHT)subjects were evaluated by means of quality intima-media thickness(QIMT)and quantitative artery stiffness(QAS).Methods:Fifteen PHT subjects were recruited from healthy physical examination population and treated with Qinggan Huatan decoction for 3 months.The blood pressure in the examination room,the thickness of common carotid IMT,the distensibility coefficient(DC),compliance coefficient(CC),stiffness index(α,β),pulse wave velocity(PWV),and other elastic indexes were compared before and after treatment.Results:After treatment,the subjects'systolic blood pressure,diastolic blood pressure and common carotid artery IMT decreased(P<0.01),and the elastic parameters of both common carotid arteries improved(P<0.01).After treatment,serum uric acid,fasting blood glucose,total cholesterol,triglyceride,and low-density lipoprotein decreased(P<0.05 or P<0.01).Conclusion:Qinggan Huatan decoction can regulate and stabilize blood pressure by improving blood vessel elasticity.

关键词

高血压前期/正常高值血压/清肝化痰方/颈动脉超声/动脉血管弹性

Key words

prehypertension/high-normal blood pressure/Qinggan Huatan decoction/carotid ultrasound/artery elasticity

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基金项目

国家重点研发计划项目(2019YFC1710101)

出版年

2024
中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
参考文献量19
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