基于血流动力学对高血压病患者治疗方案的思考  

The thought on the treatment plan of patients with hypertension based on hemodynamics

作　　者：王俊磊[1] 燕晓雯[2] 李保有 张燕茹[2] 郭建红[2] WANG Junlei

机构地区：[1]山东省泰山疗养院,山东泰安271000 [2]宁夏医科大学,宁夏银川750004 [3]李保有中医中心,丹麦马里博4930

出　　处：《中医临床研究》2022年第5期34-37,共4页Clinical Journal Of Chinese Medicine

基　　金：宁夏医科大学校级课题(XM2020014);宁夏自然科学基金项目(2021AAC03132)。

摘　　要：西医目前采用以“堵”为主的降压原则,这样会使血液流动性降低,进而导致心脑血管并发症如微循环障碍、血压代偿性反弹等的发生。中医药降压以“疏”为主,通过调节肝的疏泄、温阳散寒、健脾固肾益气等多种方式达到活血化瘀的目的,调节血流动力学,从而达到降压的目标。临床实践证明其疗效确切,治疗后血压不易反弹。从改善血液流动性入手,发掘并推广应用对于不同证型高血压病人群的降压经验效方,有望打破高血压病不可逆的主流医学思想,使中医药在高血压病降压治疗上取得重大突破。Western medicine currently adopts the antihypertensive principle of“blocking”,which will decrease blood fluidity and lead to cardio-cerebrovascular complications such as microcirculation disturbance and compensatory rebound of blood pressure.TCM medicine decreases blood pressure mainly by regulating hemodynamics.It achieves the purposes of promoting blood circulation and removing blood stasis,and regulating hemodynamics through various methods such as regulating liver drainage,warming Yang(阳)and dispelling coldness,strengthening the spleen,strengthening the kidney and replenishing Qi(气)and so on,so as to decrease blood pressure.Clinical practice has proved that the curative effect is accurate,and blood pressure is not easy to rebound after treatment.Starting from improving blood fluidity,discovering and popularizing the application of empirical antihypertensive prescriptions for people with different syndrome types of hypertension,it is expected to break the irreversible mainstream medical thought of hypertension,so as to make a major breakthrough in TCM treatment of hypertension.

关 键 词：高血压病 降压 血流动力学 微循环障碍 中医药 

分 类 号：R259.441[医药卫生—中西医结合]