理气祛痰法治疗H型高血压的临床疗效观察  

The Efficacy of Liqi Qutan for Eliminating Phlegm Method on H-type Hypertension

作　　者：蒋子易 许慧卓 邓微宏 程晓昱[2] 王柯娜 JIANG Ziyi;XU Huizhuo;DENG Weihong;CHENG Xiaoyu;WANG Kena(Anhui University of Traditional Chinese Medicine Anhui Hefei 230038,China;The First Affiliated Hospital of Anhui University of Traditional Chinese Medicine Anhui Hefei 230031,China)

机构地区：[1]安徽中医药大学,安徽合肥230038 [2]安徽中医药大学第一附属医院,安徽合肥230038

出　　处：《中医药临床杂志》2019年第12期2344-2347,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:探索理气祛痰法治疗H型高血压(中医辨证属气滞痰阻型)的临床疗效,24h动态血压、日测血压,以及对血浆同型半胱氨酸(Hcy)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)水平,及肝肾功能的影响。方法:纳入符合H型高血压(中医辨证属气滞痰阻型)的患者84例,采用完全区组随机法将患者分为对照组(西药组)和研究组(对照组基础上联合理气祛痰汤),每组42例,2组疗程均28d。观察2组眩晕等中医临床症状,24h动态血压、日测血压、Hcy、LDL-C、TG以及肝肾功能的变化。结果:2组经过1个疗程治疗后,研究组治疗总有效率明显高于照组(P<0.05),研究组中医临床症状,24h动态血压、日测血压比对照组下降明显(P<0.05),研究组Hcy、LDL-C、TG比对照组下降更明显(P<0.01)。2组患者肝肾功能指标比较无统计学差异(P>0.05),治疗期间2组患者均未出现明显不良反应。结论:理气祛痰法治疗H型高血压(气滞痰阻型)有较好的治疗效果,且没有明显不良作用,对于临床上具有积极的指导意义。Objective:To analyze the efficacy of regulating Qi-flowing for eliminating phlegm on H-type hypertension.Methods:84 patients with H-type hypertension(liver depression phlegm obstruction syndrome)were randomized to control group(western medicine group)and treatment group(western medicine and regulating Qi and removing phlegm soup group).After 4 weeks prior,compare the syndrome,blood pressure,average 24 hours ambulatory blood pressure,blood Hcy and so on between the two groups of patients.Results:regulating Qi and removing phlegm soup treatment group has better efficiency in improving the clinical symptoms,blood pressure,average 24 hours ambulatory blood pressure,blood Hcy,and the like than western medicine group.Conclusion:Regulating Qi-flowing for eliminating phlegm can improve clinical symptoms of H-type hypertension with liver depression phlegm obstruction syndrome and improve efficacy,with no obvious untoward effect.

关 键 词：理气祛痰 H型高血压 气滞痰阻 HCY 临床观察 

分 类 号：R255.3[医药卫生—中医内科学]