高血压眩晕的急诊中西医结合标准化治疗效果分析  

Analysis on the Effect of Standardized Treatment of Hypertension Vertigo in Emergency with Integrated Traditional Chinese and Western Medicine

作　　者：谈文俊 TAN Wen-jun(Zhouqu County People’s Hospital,Gannan Prefecture,Gansu Province)

机构地区：[1]甘肃省甘南州舟曲县人民医院

出　　处：《中国标准化》2025年第8期246-249,共4页China Standardization

摘　　要：目的:分析针对高血压眩晕的急诊中西医结合标准化治疗效果。方法:选取甘肃省甘南州舟曲县人民医院急诊科2023年1月至2023年12月收治的60例急诊高血压眩晕患者,分为对照组及研究组,各30例,对照组予以氯沙坦钾氢氯噻嗪片治疗,研究组予以氯沙坦钾氢氯噻嗪片结合天麻钩藤饮治疗,对比两组血压控制水平、中医证候积分、药物使用安全性。结果:治疗前,两组血压指标比较,P>0.05;治疗后,研究组收缩压及舒张压均较对照组低,P<0.05;治疗前,两组中医证候积分比较,P>0.05;治疗中使用氯沙治疗后,头晕、目眩、恶心、呕吐、纳差腹胀、虚热自汗及神疲乏力等中医证候积分均较对照组低,P<0.05;研究组与对照组患者药物不良反应比较,P>0.05。结论:针对急诊高血压眩晕患者,采用坦钾氢氯噻嗪片+天麻钩藤饮标准化治疗方案,有助于实现患者机体血压控制,降低患者中医证候积分,而且联合药物相较于单一西药治疗并未增加严重的并发症,具有较高的使用安全性,能够满足患者急诊治疗需求,建议推广实施。Objective:To analyze the effect of integrated traditional Chinese and Western medicine in emergency treatment of hypertension vertigo.Methods:Sixty patients with emergency hypertension vertigo admitted to the Emergency Department of Zhouqu County People’s Hospital,Gannan Prefecture,Gansu Province from January 2023 to December 2023 were divided into the control group and the study group,with 30 cases in each group.The control group was treated with losartan potassium hydrochlorothiazide tablets,while the study group was treated with Losartan potassium hydrochlorothiazide tablets combined with Tianma Guteng drink.Blood pressure control level,TCM syndrome score and drug safety were compared between the two groups.Results:Before treatment,the blood pressure index of the two groups was compared,P>0.05;After treatment,the systolic blood pressure and diastolic blood pressure in the study group were lower than those in the control group(P<0.05).Before treatment,the TCM syndrome scores of the two groups were compared,P>0.05;After treatment with loxar,the scores of TCM syndrome such as dizziness,dizziness,nausea,vomiting,abdominal distension,asthenic heat and spontaneous sweating were lower than those of the control group(P<0.05).The adverse drug reactions of the study group and the control group were compared,P>0.05.Conclusion:For patients with emergency hypertensive vertigo,the standardized treatment regimen of Tanpotassium hydrochlorothiazide tablets plus Gastroma Guteng Yin can help to control the blood pressure of the patients and reduce the TCM syndrome score of the patients.Besides,compared with the single Western medicine treatment,the combined drug does not increase serious complications,so it has a higher use safety and can meet the needs of patients in emergency treatment,and it is recommended to popularize and implement.

关 键 词：高血压眩晕 急诊 中西医结合 标准化治疗 

分 类 号：R544.1[医药卫生—心血管疾病]