本文關(guān)鍵詞：調(diào)肝降壓方對高血壓肝火亢盛證患者生存質(zhì)量的影響　出處：《山東中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的:本研究旨在采用高血壓生存質(zhì)量量表評價調(diào)肝降壓方治療高血壓肝火亢盛證患者的臨床療效。方法:選擇符合標(biāo)準(zhǔn)的高血壓肝火亢盛證患者60例,采用分層隨機化方法分為試驗組和對照組,各組30例。試驗組給予調(diào)肝降壓方聯(lián)用規(guī)范化抗高血壓治療方案,對照組給予單純規(guī)范化抗高血壓治療方案,研究分為導(dǎo)入期、隨機化治療期。分別觀察治療前后的血壓、中醫(yī)證候及生存質(zhì)量。結(jié)果:1.降壓療效:對照組降壓總有效率85.19%,試驗組為89.66%,組間無顯著性差異(P0.05)。降壓幅度:治療后兩組血壓水平均較治療前顯著降低(P0.01)。兩組間SeSBP、SeDBP降壓幅度比較均無顯著性差異(P0.05),PP降低幅度比較,組間有顯著性差異(P0.05)。2.中醫(yī)證候療效:對照組中醫(yī)證候的總有效率70.37%;試驗組為93.10%,組間有顯著性差異(P0.05)。中醫(yī)證候積分:治療后兩組中醫(yī)證候積分與治療前相比明顯降低(P0.01);兩組間中醫(yī)證候積分差值比較有顯著性差異(P0.05)3.生存質(zhì)量:兩組生理癥狀、軀體化癥狀、睡眠狀況、生氣或活力、強迫、工作狀態(tài)治療前后比較,差異有顯著性(P0.01),兩組間軀體化癥狀、性功能、睡眠狀況、生氣或活力、工作狀態(tài)治療前后差值比較有顯著性意義(P0.05~P0.01)。結(jié)論:調(diào)肝降壓方聯(lián)用規(guī)范化抗高血壓治療方案在縮小PP、改善中醫(yī)證候、提高生存質(zhì)量方面具有明顯療效。
[Abstract]:Objective: the purpose of this study is to use the clinical curative effect of hypertension quality of life scale evaluation of adjusting liver antihypertensive treatment in hypertensive patients with hyperactivity of liver fire syndrome. Methods: choose the standard of hypertension liver fire hyperactivity syndrome in 60 cases, stratified randomization were divided into experimental group and control group, 30 cases in each group. The experimental group was given adjusting liver antihypertensive combined with standardized antihypertensive therapy, the control group was treated with standardized antihypertensive therapy, the research is divided into introduction, random treatment period. Before and after treatment were observed in blood pressure, symptoms and quality of life of TCM syndrome. Results: 1. antihypertensive effect: the control group the total efficiency of 85.19%, the test group was 89.66%. There was no significant difference between groups (P0.05). Blood pressure increase after treatment, blood pressure levels in the two groups were significantly lower than those before treatment (P0.01). Among the two groups SeSBP, SeDBP step-down amplitude comparison showed no significant difference (P0.05), PP amplitude decreased The degree of comparison, there are significant differences between the groups (P0.05.2.) TCM syndrome curative effect: the total effective rate was 70.37% in control group syndrome; experimental group was 93.10%, there were significant differences between the groups (P0.05). TCM syndrome score: two groups after treatment of TCM syndrome integral was significantly reduced compared with before treatment between the two groups (P0.01); TCM syndrome score difference was significant difference (P0.05 3.) quality of life: two groups of physical symptoms, somatic symptoms, sleep status, anger or vigor, force, working condition before and after treatment, there were significant differences between the two groups (P0.01), somatic symptoms, sex function, sleep, anger or vigor, working state before and after the treatment difference was statistically significant (P0.05~P0.01). Conclusion: adjusting liver antihypertensive combined with standardized antihypertensive therapy in reducing PP, improve the TCM syndrome, has obvious curative effect to improve the quality of life.

【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

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