Effect analysis of integrated Chinese and Western treatment for Liver-Yang hyperactivity syndrome hypertension in community
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摘要: 目的 临床中发现有部分伴有肝阳上亢证的高同型半胱氨酸血症(Hcy)高血压患者,治疗后仍不能明显减轻患者头晕头痛等症状,治疗效果不佳,本文研究叶酸、依那普利、强力定眩片中西医结合治疗肝阳上亢证高同型半胱氨酸血症型(H型)高血压的效果。 方法 选择2014年10月-2015年6月嘉定区真新社区卫生服务中心门诊就诊的新发肝阳上亢证H型高血压Ⅰ、Ⅱ级患者100例作为研究对象,电脑随机分为干预组和对照组各50例。干预组口服依那普利10 mg/d,叶酸0.8 mg/d,强力定眩片4片/次,3次/d,对照组口服依那普利10 mg/d、叶酸0.8 mg/d。观察2组患者治疗前后血压变化、Hcy值及肝阳上亢证的症状及积分。计量资料以x±s表示,计量资料比较采用t检验,计数资料比较采用χ2检验,等级资料采用Wilcoxon秩和检验,P<0.05为差异有统计学意义。 结果 干预组总有效率为88%(44/50),对照组总有效率为30%(15/50),干预组总有效率显著高于对照组,差异有统计学意义(P<0.01);治疗3个月后干预组的收缩压/舒张压均低于对照组,差异有统计学意义(P<0.05)。干预组的血浆同型半胱氨酸(Hcy)值与对照组比较,差异无统计学意义(P>0.05)。干预组的肝阳上亢证分值低于对照组,差异有统计学意义(P<0.05)。 结论 中西医结合治疗肝阳上亢证H型高血压效果好,既能有效控制H型高血压,又能明显改善患者头痛头晕等肝阳上亢的临床症状。Abstract: Objective In clinical practice,we found some patients with Liver-Yang hyperactivity syndrome high Hcy (H type) hypertension did not respond well to treatment for Hcy and blood pressure.Patients still experienced dizziness or headache after treatment.We sought to investigate the therapeutic effect of folic acid,Enalapril,and Qiangli Dingxuan Tablets integrated Chinese and Western medicine treatment for Liver-Yang hyperactivity syndrome high Hcy (H type) hypertension. Methods We recruited 100 patients from October,2014 to June,2015 newly diagnosed as Liver-Yang hyperactivity syndrome high Hcy (H type) hypertension stage 1 and 2 as our study cases.They were divided randomly by software into intervention group and control group,with 50 patients for each.Intervention group was treated orally with Enalapril 10 mg/d,folic acid 0.8 mg/d,and Qiangli Dingxuan Tablets 4 pieces per time,three times per day.Control group was treated orally with Enalapril 10 mg/d and folic acid 0.8 mg/d.During treatment,the change of blood pressure,Hcy values,the recognition and the symptom of Traditional Chinese Medicine constitution were observed.Continuous variables were recorded as mean±standard error,and were analyzed with student t test.Categorical variables were analyzed with chi-square test,and ranked data were evaluated with Wilcoxon rank sum test.Statistical significances were achieved as P<0.05. Results The total effective rate of the intervention group was 88%(44/50),while 30%(15/50) for the control group.The total effective rate of the intervention group was significantly higher than the control group,and the difference reached statistical significance (P<0.01).After three-month treatment,the average systolic blood pressure (SBP)/diastolic blood pressure (DBP) of the intervention group were both lower than those in the control group,and the difference was statistically significant (P<0.05).The difference of Hcy values between the intervention group and the control group failed to reach statistical significance (P>0.05).And the intergroup difference of the Liver-Yang hyperactivity syndrome scores between the intervention group and the control group was statistically significant (P<0.05). Conclusion Integrated Chinese and Western treatment for Liver-Yang hyperactivity syndrome H type hypertension has a decent therapeutic effect.Not only did it effectively control H type hypertension,but also significantly improved Liver-Yang hyperactivity symptoms like dizziness and headache.
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Key words:
- Hypertension /
- Hcy /
- Hyperactivity of Liver-Yang /
- Folic acid /
- elderly people
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