益气化痰活血法对高血压病患者血管内皮依赖性舒张功能的影响  

Effect on the Vascular Endothelial Function with the Treatment of Yiqi Huatan Huoxue method on Patients with Hypertension

作　　者：谭景光 刘淑玲[2] 李启毓 郑崇琦 

机构地区：[1]广州市南沙区中医医院内科,广州511426 [2]广东省中医院大学城医院急诊科,广州510006

出　　处：《中国中医药现代远程教育》2015年第7期11-13,共3页Chinese Medicine Modern Distance Education of China

基　　金：广州市南沙区公共服务研究项目(No:2013G006)

摘　　要：目的观察益气化痰活血法对高血压病患者血管内皮功能及临床疗效的影响。方法选取住院及门诊227例高血压患者,随机分为对照组与治疗组,均给予常规降压治疗。治疗组在降压治疗基础上采用益气化痰活血法,拟方四君子汤、温胆汤合桃红四物汤。治疗30天后,检测血管内皮依赖性舒张功能(FMD)。结果治疗前,治疗组与对照组FMD差异无显著性,而治疗后,两组患者FMD水平均升高,采用益气化痰活血法的治疗组明显高于对照组;治疗组的总有效率为95.7%,明显高于对照组的总有效率85.7%,差异有统计学意义(P<0.05)。结论益气化痰活血法可在一定程度上改善高血压患者血管内皮依赖性舒张功能,并可提高临床疗效。Objective To observe the effects of Yiqi Huatan Huoxue method on vascular endothelial function on patients with hypertension and on clinical effect. Methods Outpatient and inpatient 277 cases of the patients with hypertension were randomly divided into two groups. The two groups received a decoction for Yiqi Huatan Huoxue method combined with routine therapy. Brachial artery blood flow mediated endothelial dependence （FMD） was observed after the treatment of 30 days. Results There was no significant difference be- tween the two groups before treatment, while found FMD increased in the two groups after 1 month treatment, and the FMD of the treat- ment group was higher than that of the control group, the difference was statistically significant （P〈 0.05） .The total effective rate of the treatment group was 95.7%, and was 85.7% for the control group, there was difference between the two groups （P〈0.05） . Conclusion Yiqi Huatan Huoxue method can effectively improve vascular endothelial function on patients with hypertension, and increase the clinical efficacy at the same time.

关 键 词：益气化痰活血法 高血压病 血管内皮依赖性舒张功能 眩晕 

分 类 号：R285.6[医药卫生—中药学]