益气活血补肾法治疗高血压左室舒张功能障碍的临床研究  

Clinical Study on Treatment of Hypertensive Left Ventricular Diastolic Dysfunction With Yiqi Huoxue Bushen Prescription

作　　者：屈长宏 蒋红心 王小斌 徐斌 

机构地区：[1]江苏省扬州市中医院急诊内科,江苏扬州225002

出　　处：《中国继续医学教育》2018年第26期153-155,共3页China Continuing Medical Education

摘　　要：目的探讨益气活血补肾法治疗高血压左室舒张功能障碍的临床疗效。方法选取我院2016年3月—2018年2月收治的80例高血压左室舒张功能障碍的患者作为研究对象,将其随机分为治疗组和对照组,每组各40例。对照组给予常规西药降压治疗,治疗组在对照组基础上,加服中药汤剂益气活血补肾治疗,对比两组患者的血压及左室舒张功能的改善情况。结果与治疗前相比,治疗后两组患者的收缩压(SBP)、舒张压(DBP)、E/Ea均显著降低,差异具有统计学意义(P<0.05),而E/A和Ea/Aa显著提升,差异具有统计学意义(P<0.05)。与对照组相比,观察组患者的SBP水平、DBP水平、E/Ea相对更低,差异具有统计学意义(P<0.05),而E/A、Ea/Aa水平相对更高,差异具有统计学意义(P <0.05)。结论在高血压左室舒张功能障碍的治疗中,益气活血补肾降压法是一种良好的选择。Objective To investigate the clinical efcacy of Yiqi HuoxueBushen prescription in the treatment of hypertensive left ventriculardiastolic dysfunction. Methods 80 patients with hypertensive leftventricular diastolic dysfunction admitted to our hospital from March 2016to February 2018 were selected as subjects. They were randomly dividedinto treatment group and control group, 40 cases in each group. The controlgroup was given conventional western medicine antihypertensive treatment.On the basis of the control group, the treatment group was given YiqiHuoxue Bushen decoction, and the improvement of blood pressure andleft ventricular diastolic function were compared between the two groups.Results Compared with before treatment, the systolic blood pressure（SBP）, diastolic blood pressure （DBP）, and E/Ea were signifcantly lowerin the two groups after treatment, the diference was statistically signifcant（P〈0.05）, while E/A and Ea/Aa were signifcantly increased, the diferencewas statistically signifcant （P〈0.05）. Compared with the control group, theSBP level, DBP level, and E/Ea were relatively lower in the treatmentgroup, the difference was statistically significant （P〈0.05）, while theE/A and Ea/Aa levels were relatively higher, the diference was statisticallysignifcant （P〈0.05）. Conclusion In the treatment of hypertension with leftventricular diastolic dysfunction, Yiqi Huoxue Bushen prescription is agood choice.

关 键 词：高血压 左室舒张功能障碍 西医治疗 中医药治疗 益气活血补肾法 疗效 

分 类 号：R473[医药卫生—护理学]