杞菊地黄汤加减治疗围绝经期高血压合并焦虑状态40例  

Qiju Dihuang Decoction in Modification Treating 40 Cases of Combination of Perimenopausal Hypertension and Anxiety

作　　者：陈林榕[1] 潘红翼 李创鹏[1] 孙静[1] 彭敏[1] 谭勇文[1] 

机构地区：[1]广东省中医院珠海医院内科,广东珠海519015

出　　处：《南京中医药大学学报》2014年第1期85-87,共3页Journal of Nanjing University of Traditional Chinese Medicine

摘　　要：目的观察杞菊地黄汤加减治疗女性围绝经期高血压合并焦虑状态临床疗效。方法将80例病人随机分为治疗组与对照组各40例。2组均根据2010年《中国高血压防治指南》选取合适降血压药物治疗。治疗组在此基础上加用杞菊地黄汤加减中药口服。观察2组患者治疗4周后中医证候疗效、24h平均血压、汉米尔顿焦虑量表(HAMA)评分的变化。结果治疗组总有效率为97.5%,对照组为75.0%,2组比较有显著性差异(P<0.05),治疗组24h平均血压较对照组有显著性差异(P<0.05);HAMA评分治疗组治疗前后比较有显著性差异(P<0.05),与对照组治疗后比较有显著性差异(P<0.05)。结论杞菊地黄汤加减治疗女性围绝经期高血压合并焦虑状态疗效确切。OBJECTIVE To observe clinical effect of Qiju Dihuang decoction in modification treating 40 cases of combination of perimenopausal hypertension and anxiety. METHODS 80 patients were randomly divided into treatment group（40 cases） and control group （40 cases）. Both were treated with proper antihypertensive medicine under the guidance of Chinese Hypertension Prevention Guide in 2010. Besides, treatment group took modified Qiju Dihuang decoction in oral. Syndrome effect, average blood pressure in 24 hours and Hamilton Anxiety Scale （HAMA） score changes were observed after 4 weeks. RESULTS The total effective rate was 97.5 % in treatment group while control group 75.0% ; the difference between the two groups was statistically significant （P〈0.05）. In terms of average blood pressure, treatment group showed significant difference（P〈0.05） compared with control group; as for HAMA score, treatment group had statistically significant difference（P〈 0.05） before and after treatment and compared with control group as well. CONCLUSION Modified Qiju Dihuang decoction can treat women＇ combination of perimenopausal hypertension and anxiety.

关 键 词：杞菊地黄汤 围绝经期高血压 焦虑状态 

分 类 号：R271.116[医药卫生—中医妇科学]