摘要
目的分析半夏白术天麻汤与温胆汤加减治疗原发性高血压痰湿壅盛证对患者血压控制和中医证候积分的影响。方法对收治的87例原发性高血压痰湿壅盛证患者的临床资料进行回顾性分析,患者就诊时间均为2019年5月—2020年4月;根据患者所采用的治疗方案将其分为A组、B组,A组为采用常规西医治疗的44例患者,B组为采用半夏白术天麻汤与温胆汤加减治疗的43例患者;对比2组治疗前后的血压水平及中医证候积分,并评估2组的临床疗效。结果治疗后,相较于A组,B组收缩压(SBP)、舒张压(DBP)平均值较低,差异有统计学意义(P<0.05);相较于A组,B组中医证候积分均较低,差异有统计学意义(P<0.05);B组治疗总有效率为93.02%,高于A组的77.27%,差异有统计学意义(P<0.05)。结论采用半夏白术天麻汤与温胆汤加减对痰湿壅盛证原发性高血压进行治疗,可显著提高降压效果,有利于改善患者的中医症状,疗效显著。
Objective To analyze the influence of Banxia Baizhu Tianma decoction and Wendan decoction on the blood pressure control and TCM syndrome integration of patients with excessive phlegm-dampness in the treatment of essential hypertension.Methods Retrospective analysis was performed on the clinical data of 87 patients with excessive phlegm-dampness syndrome in our hospital.All patients visited our hospital from May 2019 to April 2020.The patients were divided into group A and group B according to the treatment regimen they adopted.Group A included 44 patients treated with conventional western medicine,and group B included 43 patients treated with Banxia Baizhu Tianma decoction and Wendan decoction.The blood pressure levels and TCM syndrome scores of the two groups were compared before and after treatment,and the clinical efficacy of the two groups was evaluated.Results After treatment,compared with group A,the average levels of SBP and DBP in group B were lower,and the differences were statistically significant(P<0.05).Compared with group A,the scores of TCM syndromes in group B were lower,and the difference was statistically significant(P<0.05).The total effective rate of treatment in group B was 93.02%,which was higher than 77.27%in group A,and there had statistically significant difference(P<0.05).Conclusion Using Banxia Baizhu Tianma decoction and Wendan decoction can reduce the excessive phlegm-dampness in the treatment of primary hypertension,can significantly improve the hypotensive effect,is conducive to improve the symptoms of traditional Chinese medicine,and has significantly curative effect.
作者
姜雪
李国林
JIANG Xue;LI Guolin(Department of Traditional Chinese Medicine,Dalian Friendship Hospital,Liaoning Province,Dalian 116001,China;Department of Traditional Chinese Medicine,the Second People's Hospital of Dalian,Liaoning Province,Dalian 116011,China)
出处
《光明中医》
2021年第15期2565-2567,共3页
GUANGMING JOURNAL OF CHINESE MEDICINE
关键词
痰湿壅盛证
原发性高血压
半夏白术天麻汤
温胆汤
中医药疗法
excessive phlegm-dampness syndrome
essential hypertension
Banxia Baizhu Tianma decoction
Wendan decoction
therapy of traditional Chinese medicine
