甘酸缓急法治疗肝阳上亢型高血压的临床疗效观察

Clinical observation of Gansuanhuanji method treating hypertension with liver yang hyperactivity type

关键词:  甘酸缓急法  高血压  肝阳上亢型  动态血压

Key words:  Gansuanhuanji method  hypertension  liver yang hyperactivity type  dynamic blood pressure

摘要:

[目的] 观察甘酸缓急中药治疗肝阳上亢型高血压患者的临床疗效。[方法] 选取64例轻、中度高血压患者随机分为甘酸缓急法治疗组和西医治疗对照组,两组均予苯磺酸氨氯地平口服,治疗组加用甘酸缓急中药,治疗4周后,观察两组中医证候积分、诊室血压以及动态血压的变化情况。[结果] 治疗前后相比,两组中医证候、诊室血压以及24 h动态血压各项参数均明显改善(P<0.05);两组相比,治疗组中医证候改善更加明显(P<0.05),治疗组24 h收缩压、24 h舒张压、夜间收缩压、夜间舒张压下降更加明显(P<0.05).[结论] 在西医治疗基础上加用甘酸缓急中药能够更好的改善临床症状,进一步降低血压。

Abstract:

[Objective] To observe the clinical effect of Gansuanhuanji Chinese medicine treating patients with hypertension of liver yang hyperactivity type. [Methods] Sixty-four cases of patients with mild and moderate hypertension were randomly divided into treatment group with Gansuanhuanji and the control group with western medicine treatment. Two groups were treated with amlodipine orally, the treatment group addition with Gansuanhuanji Chinese medicine. After 8 weeks of treatment, observation changes of two groups in TCM syndrome integral, office blood pressure and ambulatory blood pressure. [Results] After treatment, TCM syndrome, office blood pressure and 24 h ambulatory blood pressure parameters of two groups were significantly improved (P<0.05); Comparing the two groups, the treatment group improved more in traditional Chinese medicine symptoms(P<0.01), and decreased obviously in office blood pressure, 24 h systolic pressure, 24 h diastolic pressure, nocturnal systolic blood pressure and nocturnal diastolic blood pressure (P<0.05). [Conclusion] The use of Gansuanhuanji Chinese medicine based on Western medicine therapy can improve clinical symptoms better, and further reduced blood pressure.