平气养神汤治疗肝阳上亢型高血压病合并睡眠障碍的临床效果  

Clinical effect of Pingqi Yangshen decoction in the treatment of hypertension with sleep disorder of liver-Yang hyperactivity type

作　　者：张兴邦 仝婉 李雪苓[2] ZHANG Xingbang;TONG Wan;LI Xueling(Anhui University of Chinese Medicine,Hefei 230038;No.1 Ward of Cardiovascular Internal Medicine Department,the First Affiliated Hospital of Anhui University of Chinese Medicine,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心血管内科一病区,安徽合肥230031

出　　处：《临床医学研究与实践》2023年第9期107-110,共4页Clinical Research and Practice

摘　　要：目的探讨平气养神汤治疗肝阳上亢型高血压病合并睡眠障碍的临床效果。方法选取2021年6月至12月于安徽中医药大学第一附属医院就诊的60例高血压病合并睡眠障碍患者,以随机对照原则将其分为对照组和治疗组,各30例。对照组采用常规降压药物(苯磺酸左旋氨氯地平片)联合苯二氮卓类镇静催眠类药物(艾司唑仑片)治疗,治疗组在对照组基础上加用平气养神汤治疗。比较两组的治疗效果。结果治疗组的治疗总有效率为96.67%,高于对照组的80.00%,差异具有统计学意义(P<0.05)。治疗后,两组的中医证候积分均低于治疗前,且治疗组低于对照组,差异具有统计学意义(P<0.05)。治疗后,两组的收缩压、舒张压及匹兹堡睡眠质量指数(PSQI)评分均降低,且治疗组低于对照组(P<0.05)。结论平气养神汤治疗肝阳上亢型高血压病合并睡眠障碍的效果确切。Objective To explore the clinical effect of Pingqi Yangshen decoction in the treatment of hypertension with sleep disorder of liver-Yang hyperactivity type.Methods From June to December 2021,60 patients with hypertension and sleep disorder treated in the First Affiliated Hospital of Anhui University of Chinese Medicine were selected and divided into control group and treatment group according to the principle of random control,with 30 cases in each group.The control group was treated with conventional antihypertensive drugs(levamlodipine besylate tablets)combined with benzodiazepine sedative and hypnotic drugs(estazolam tablets),the treatment group was treated with Pingqi Yangshen decoction on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment of the treatment group was 96.67%,which was higher than 80.00%of the control group,and the difference was statistically significant(P<0.05).After treatment,the TCM syndrome score of the two groups was lower than that before treatment,and that in the treatment group was lower than the control group,and the difference was statistically significant(P<0.05).After treatment,the systolic blood pressure,diastolic blood pressure and scores of Pittsburgh Sleep Quality Index(PSQI)in the two groups decreased,and those in the treatment group were lower than the control group(P<0.05).Conclusion Pingqi Yangshen decoction is effective in treating hypertension with sleep disorder of liver-Yang hyperactivity type.

关 键 词：平气养神汤 肝阳上亢型 高血压病 睡眠障碍 

分 类 号：R256.23[医药卫生—中医内科学]