健脾活血法对老年性高血压患者脂代谢的影响  

Jianpihuoxue treatment of elder patients with hypertension lipid metabolism

作　　者：柯娟[1] 王俊华[1] 李翠娥[1] 

机构地区：[1]湖北医药学院附属太和医院中医科,湖北十堰442000

出　　处：《长春中医药大学学报》2016年第3期518-520,共3页Journal of Changchun University of Chinese Medicine

基　　金：十堰市科技局计划项目(2010ST14)

摘　　要：目的研究健脾活血法对老年性高血压患者脂代谢的影响。方法选取老年性高血压患者110例,随机分为治疗组和对照组,各55例,对照组给予阿托伐他汀钙口服干预,10 mg/次,1次/d,治疗组给予健脾活血中药方口服,1剂/次,1次/d。对比2组治疗前后脂代谢指标变化情况。结果治疗组治疗后LDL、TC、TG下降程度以及HDL升高程度明显优于对照组,P<0.05;治疗组改善血压和体质量的临床效果明显优于对照组,P<0.05;治疗组治疗6个月期间发生1例肝肾指标异常,对照组发生15例,占27.27%,治疗组发生肝肾指标异常率明显小于对照组,P<0.01。结论健脾活血法能够有效改善老年性高血压患者脂代谢水平,且不良反应少。Objective To study jianpihuoxue for eld patients with hypertension lipid metabolism of effect and clinical application value. Methods Selected 110 elder paitents with hypertension,randomly number table method divided into observation group and control group. Control group was treatmennt with atorvastatin,10 mg / times,1 time /day,observation group was treatment with jianpihuoxue medicine,1 agent / times,1 time / day. Compared two group of changes in lipid metabolism indexes before and after treatment. Results After treatment observation group elevated LDL,decreased TC,TG and HDL significantly better than control group,P 〈0.05; Observation group improve clinical effect of blood pressure and weight were obviously better than control group,P〈0.05; in 6 months of treatment observation group has one paitent of liver and kidney abnormalities,control group has fifteen patitens,accounting for 27. 27%,occurrence kidney index abnormal rate of observation group was obviously less than controlgroup（ P 〈0.01）. Conclusion Jianpihuoxue can effectively improve lipid metabolism in eld patients with hypertension,and has high security,has great reference value in clinical application.

关 键 词：健脾活血 中医药疗法 老年性高血压 脂代谢 

分 类 号：R255.3[医药卫生—中医内科学]