辨证分型联合西药治疗糖尿病合并高血压随机平行对照研究  

Differential Treatment of Diabetes and Hypertension Randomized Controlled Study

作　　者：李照禄 

机构地区：[1]山东省莒县中楼卫生院内科,山东日照276518

出　　处：《实用中医内科杂志》2013年第7期134-136,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：[目的]观察辨证分型联合西药治疗糖尿病合并高血压疗效。[方法]使用随机平行对照方法,将160例住院患者按随机数字表法分为两组。对照组80例施慧达和瑞易宁,2.5mg/次,1次/d;二甲双胍片,0.5g/次,3次/d。治疗组80例气阴两虚型(丹参15g,黄芪10g,桃仁6g,红花3g等);阴阳两虚型(生熟地黄15g,淫羊藿6g,当归5g,黄柏3g等);阴虚热盛型(巴戟天12g,肉桂10g,鹿角胶3g,杜仲5g等);1剂/d,水煎200mL,早晚口服。西药治疗同对照组。连续治疗8周为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈28例,显效6例,有效40例,无效6例,总有效率92.50%。对照组痊愈8例,显效16例,有效46例,无效10例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合西药治疗糖尿病合并高血压效果显著,值得推广。[ Objective ] Observed efficacy of dialectical treatment of diabetes and hypertension. [ Methods ] Using randomized controlled method, 160 cases of hospitalized patients were randomly divided into two groups. Control group, 80 cases of Shi Hui Da Rui Yi Ning , 2.5mg / times, 1 times / d, orally ; metformin tablets , 0.5g / time, 3 times / d, orally. Treatment group 80 cases Yin Deficiency type , Danshen 15g, Huangqi 10g, Taoren 6g, Honghua 3g etc. ; yin deficiency type , Sheng shudihuang 15g, Yinyanghuo 6g, Danggui 5g, Huangbai3g , etc. Treats ; Yin Deficiency and Heat type , Bajitian 12g, Rougui 10g, Lujiaojiao 3g, Duzhong5g , etc; 1 / d, decoction 200mL, sooner or later orally. Conventional basic therapy with the control group . 8 weeks of treatment is a continuous course of treatment. Observation of clinical symptoms and adverse reactions. Treatment of a course of treatment, to determine efficacy . [ Results ] The cure 28 cases , effective in 6 cases , effective 40 cases , 6 cases , total effective rate 92.50% . Control group recovered in 8 cases, effective in 16 cases, effective 46 cases , ineffective in 10 cases , total effective rate 80.00% . Treatment group than the control group （ P〈0.05 ） . [ Conclusion ] Differential Treatment of diabetic hypertensive effect is significant, worthy of promotion.

关 键 词：糖尿病合并高血压 辨证分型 气阴两虚 阴阳两虚 阴虚热盛 施慧达 瑞易宁 二甲双胍片 随机平行对照研究 

分 类 号：R255.4[医药卫生—中医内科学] R255.3[医药卫生—中医学]