本文選題：補(bǔ)腎降濁法　切入點(diǎn)：高血壓　出處：《遼寧中醫(yī)雜志》2017年08期

【摘要】：目的:研究補(bǔ)腎降濁法對(duì)老年高血壓合并阿爾茲海默病患者生活質(zhì)量改善狀況。方法:選取2014年6月—2016年8月本院接診的84例老年高血壓合并阿爾茲海默病患者作為本次研究對(duì)象。按隨機(jī)數(shù)字法分為觀察組(n=42)與對(duì)照組(n=42)。對(duì)照組給予基礎(chǔ)治療,觀察組在基礎(chǔ)治療基礎(chǔ)上采用補(bǔ)腎降濁法治療,觀察比較兩組患者治療前后的血壓(收縮壓、舒張壓)、生活質(zhì)量評(píng)分(MMSE、ADL、NPI、GDS評(píng)分)變化情況,及其不良反應(yīng)發(fā)生情況。結(jié)果:治療前兩組患者血壓、生活質(zhì)量評(píng)分均無(wú)顯著差異(P0.05)。治療后3個(gè)月,觀察組的收縮壓與舒張壓均顯著下降,且觀察組明顯低于對(duì)照組(P0.05);觀察組的MMSE和ADL量表評(píng)分均顯著提高,且觀察組高于對(duì)照組(P0.05);觀察組的NPI和GDS量表評(píng)分均顯著下降,且觀察組低于對(duì)照組(P0.05),兩組的不良反應(yīng)比較無(wú)顯著差異(P0.05)。結(jié)論:補(bǔ)腎降濁法治療老年高血壓合并阿爾茲海默病的臨床療效良好,可顯著改善患者生活質(zhì)量。
[Abstract]:Objective: to study the improvement of quality of life in elderly patients with hypertension and Alzheimer's disease by tonifying kidney and reducing turbidity.Methods: 84 elderly patients with hypertension complicated with Alzheimer's disease were selected from June 2014 to August 2016.According to the random number method, the observation group and the control group were divided into two groups: the observation group and the control group.The control group was given basic treatment, and the observation group was treated with the method of tonifying kidney and reducing turbidity on the basis of basic treatment. The changes of blood pressure (systolic blood pressure, diastolic blood pressure, quality of life score and MMSE / ADLNPIN GDS score) before and after treatment were observed and compared between the two groups.And the occurrence of adverse reactions.Results: there was no significant difference in blood pressure and quality of life score between the two groups before treatment.After 3 months of treatment, systolic and diastolic blood pressure decreased significantly in the observation group, and were significantly lower in the observation group than in the control group (P 0.05), and the scores of MMSE and ADL in the observation group were significantly increased.The scores of NPI and GDS in the observation group were significantly lower than those in the control group (P 0.05), and there was no significant difference in the adverse reactions between the two groups (P 0.05).Conclusion: the therapy of tonifying kidney and reducing turbidity can improve the quality of life of elderly patients with hypertension and Alzheimer's disease.
【作者單位】： 南陽(yáng)醫(yī)學(xué)高等�？茖W(xué)校教務(wù)處;
【基金】：南陽(yáng)市科技發(fā)展計(jì)劃項(xiàng)目(2012GG051)
【分類號(hào)】：R259;R277.7

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