温阳益肾汤治疗高血压病阴阳两虚证的临床疗效评价研究

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1、提要目的：通过临床观察验证温阳益肾汤治疗阴阳两虚型高血压病的疗效价值。方法：临床研究中，将符合纳入标准的高血压病患者随机分为两组，对照组30例，给予西药氯沙坦口服，治疗组30例，给予温阳益肾汤治疗,同时给予氯沙坦口服；两组的疗程均为4周，连续应用4个疗程。观察治疗前后患者主要临床症状改善情况，及心电图、血压、三大常规、电解质、血脂等指标的变化。结果：经临床观察研究发现，温阳益肾汤可明显改善临床症状及体征，两组间有统计学差异（P＜0.05)。高血压的疗效治疗组与对照组相比，无显著差异（P＞0.05)。结论：温阳益肾汤可显著改善患者的临床症状，减轻眩晕、头痛、腰膝酸软、畏寒肢冷、

2、心悸、气短等症状的程度。关键词高血压病；温阳益肾汤；临床观察ClinicalStudyonTreatmentofHypertensionofDeficiencyofbothYinandYangSyndromewithWenyangyishenDecoctionSpeciality:InternalMedicineofTraditionalChineseMedicineAuthor:ChengGuan-liangTutor:MengZhao-yangAbstractObjective:ToobservethevalueofWenyangyishenDecoctionintrea

3、tmentofhypertensionofdeficiencyofbothyinandyangsyndrome.Methods：Patientswithhypertensionthatmettheinclusioncriteriaweredividedintotwogroupsrandomlyintheclinicalstudies,witheachgroupcontaining30cases.PatientsinthecontrolgroupweretreatedwithoralwesternmedicineLosartan,whilepatientsintreatment

4、grouparetreatedwithWenyangyishenDecoctionandoralwesternmedicineLosartan.Thetreatmentoftwogroupslasted4weeks,continuousapplicationofthefourcourses.Observedtheimprovementaboutmainclinicalsymptomsofpatientsbeforeandaftertreatment,andECG,andmeasurechangesinbloodpressure,thethreeconventional,ele

5、ctrolytes，lipidsandotherindicators.Results:Bytheclinicalstudy,itisfoundthatWenyangyishenDecoctioncansignificantlyimprovetheclinicalsymptomsandsigns.Therearesignificantdifferencesbetweenthetwogroups（P＜0.05).Comparedtheefficacyofhypertensiontreatmentgroupwiththatofcontrolgroup,therewasnosigni

6、ficantdifference（P＞0.05).Conclusions：WenyangyishenDecoctioncangreatlyimprovetheclinicalsymptoms,andreducethedegreeofdizziness,headache,backacheandkneessoft,aversiontocold,palpitations,shortofbreath,etc.KeyWordshypertension;WenyangyishenDecoction;Clinicalobservation目录引言......................

7、.........................................................................................................1临床研究...............................................................................................................................2一、病例选择方法........