补益肝肾方治疗老年肝肾阴虚型高血压病(2级)的临床疗效观察

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1、提要目的：通过观察补益肝肾方治疗老年高血压病（2级）肝肾阴虚型的临床疗效并探讨其作用机理。方法：筛选未合并重大疾病的60-79岁高血压（2级）患者，中医辨证属于肝肾阴虚患者100例，随即分为两2组：治疗组50例，给予补益肝肾方合并西药洛丁新口服治疗；对照组50例，给予西药洛丁新口服治疗。结果：1、治疗组及对照组均能显著降低血压（P＜0.05），两组降压的疗效分别为96%、92%，无显著差异（P＞0.05），但治疗组在降低收缩压方面疗效明显优于对照组（P＜0.05）。2、治疗组可明显改善中医症状，两组有显著差异（P＜0.05）。3、治疗组及对照组的不良反应发生率分别为0

2、%、10%，治疗组明显低于对照组（P＜0.05）。结论：补益肝肾方治疗老年高血压病（2级）肝肾阴虚型，对于改善临床症状、降低收缩压作用显著，并可以有效抑制洛丁新的副作用。关键词补益肝肾方；眩晕；高血压（2级）；肝肾阴虚证ClinicalStudyofthetreatmentofKidneyYindeficiencypatterntypeStage2SenileHypertensionwithBuYiGanShenprescriptionSpeciality：DepartmentofChineseinternalmedicineAuthor：SunqianTutor：M

3、engZhaoyangAbstractObjective：Toobservetheclinicalefficacythroughliverandkidneytonictreatmentofelderlypatientswithhypertension（2）ofkidneyYindeficiencypatternandtoexploreitsmechanism.Methods：Screening100patients60to79-year-oldunconsolidatedmajordiseasessufferingfromhypertension（2）ofkidney

4、Yindeficiencypattern.Then,dividethemintotwogroups,thetreatmentgroupwith50cases,givenChinesemedicineliverandkidneytonicprescriptioncombinedwithWesternmedicineLotensintotreat,controlgroupwith50cases,onlygivenwesternmedicineLotensin.Results：1.Accordingtotheresearch，wefindthatbothtwogroupsc

5、ansignificantlylowerbloodpressure（P<0.05）,theantihypertensiveefficacyofthetwogroupsarerespectively96%and92%,nosignificantdifferences（P>0.05），butthetreatmentgroupinthelowercontractionpressureaspectsmoreeffectivethanthecontrolgroup（p<0.05）.2.Treatmentgroupcanbesignificantlyimprovedclinica

6、lsymptoms,Therewassignificantdifferencebetweenbothgroups（P<0.05）.3.Theincidenceofadversereactionsoftreatmentgroupandcontrolgroupare0，10%，theleveloftreatmentgroupislowerthancontrolgroup（P<0.05）.Conclusion：BuYiGanShenprescriptionofelderlypatientswithhypertension（2）ofkidneyYindeficiencypat

7、terncanimproveclinicalsymptomssignificantlyandreducesystolicbloodpressure,andcaneffectivelysuppressthesideeffectsofLotensin.KeywordsBuYiGanShenprescription；fainting；typeStage2Hypertension；liverandkidneycertificate.目录引言............................................................