半夏白术天麻汤合通窍活血汤加减联合缬沙坦治疗痰瘀互结型高血压眩晕病的临床效果研究  

Clinical effect of Banxia Baizhu Tianma Decoction combined with Modified Tongqiao Huoxue Decoction combined with Valsartan in the treatment of hypertensive vertigo of phlegm and blood stasis type

作　　者：张玉 孟凡波 ZHANG Yu;MENG Fanbo(The First Department of Cardiology,Yantai Penglai Hospital of Traditional Chinese Medicine,Shandong Province,Yantai 265600,China)

机构地区：[1]山东省烟台市蓬莱中医医院心病一科,山东烟台265600

出　　处：《中国当代医药》2025年第9期104-107,共4页China Modern Medicine

摘　　要：目的探讨半夏白术天麻汤合通窍活血汤加减联合缬沙坦用于治疗痰瘀互结型高血压眩晕病的临床效果。方法选取2023年1月至2024年6月烟台市蓬莱中医医院收治的82例痰瘀互结型高血压眩晕病患者作为研究对象,根据随机数字表法分为对照组(41例)和观察组(41例)。对照组采用缬沙坦治疗,观察组采用半夏白术天麻汤合通窍活血汤加减联合缬沙坦治疗。比较两组临床疗效、血压水平、中医证候评分、不良反应情况。结果观察组临床总有效率高于对照组,差异有统计学意义(P<0.05)。治疗后,两组舒张压、收缩压低于本组治疗前,且观察组舒张压、收缩压低于对照组,差异有统计学意义(P<0.05)。治疗后,两组头晕目眩、恶心呕吐、胸闷气短评分低于本组治疗前,且观察组评分低于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。结论半夏白术天麻汤合通窍活血汤加减联合缬沙坦治疗,可以有效减轻患者的眩晕症状,血压水平下降明显,同时不良反应少,治疗效果较好。Objective To investigate the clinical effect of Banxia Baizhu Tianma Decoction combined with Modified Tongqiao Huoxue Decoction combined with Valsartan in the treatment of hypertensive vertigo of phlegm and blood stasis type.Methods A total of 82 cases of hypertensive vertigo patients with phlegm and blood stasis type admitted to Yantai Penglai Hospital of Traditional Chinese Medicine from January 2023 to June 2024 were selected as the study objects,and they were divided into control group(41 cases)and observation group(41 cases)according to random number table method.The control group was treated with Valsartan,and the observation group was treated with Banxia Baizhu Tianma Decoction combined with Modified Tongqiao Huoxue Decoction combined with Valsartan.The clinical efficacy,blood pressure level,traditional Chinese medicine syndrome score and adverse reactions were compared between the two groups.Results The total clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the diastolic blood pressure and systolic blood pressure of the two groups were lower than those before treatment,and the diastolic blood pressure and systolic blood pressure of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After treatment,the scores of dizziness,nausea and vomiting,chest tightness and shortness of breath in the two groups were lower than those before treatment,and the scores of the observation group was lower than the control group,with statistical significances(P<0.05).The total incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion Banxia Baizhu Tianma Decoction combined with Modified Tongqiao Huoxuxue Decoction combined with Valsartan can effectively reduce the vertigo symptoms of the patients,reduce the blood pressure significantly,and re-duce the adv

关 键 词：高血压眩晕病 痰瘀互结型 缬沙坦 半夏白术天麻汤合通窍活血汤 临床疗效 

分 类 号：R544.1[医药卫生—心血管疾病]