本文選題：補(bǔ)腎和脈顆粒 + 老年H型高血壓��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察補(bǔ)腎和脈顆粒對(duì)老年H型單純收縮期高血壓頸動(dòng)脈粥樣硬化斑塊的干預(yù)作用。方法:隨機(jī)選取符合納入標(biāo)準(zhǔn)的患者70例,隨機(jī)分為治療組和對(duì)照組兩組,每組35例。對(duì)照組采用常規(guī)西醫(yī)治療老年H型單純收縮期高血壓伴頸動(dòng)脈粥樣硬化,治療組在西醫(yī)常規(guī)治療的基礎(chǔ)上加用補(bǔ)腎和脈顆粒口服,一次兩袋,一天兩次,四周為一治療周期。觀察患者相關(guān)指標(biāo)在治療前后的改善情況。結(jié)果:對(duì)照組與治療組在治療前后收縮壓值、高血壓癥狀,頸動(dòng)脈內(nèi)中膜厚度、頸動(dòng)脈斑塊均有良好的改善,組間療效無統(tǒng)計(jì)學(xué)差異,中醫(yī)癥狀積分、頸動(dòng)脈斑塊積分(Crouse積分)試驗(yàn)組明顯優(yōu)于對(duì)照組(P0.01)。結(jié)論:補(bǔ)腎和脈顆�？梢悦黠@降低患者收縮壓水平、頸動(dòng)脈內(nèi)中膜厚度,減少斑塊形成,改善患者的不適癥狀,提高患者的生活質(zhì)量,是治療老年H型單純收縮期高血壓伴頸動(dòng)脈粥樣硬化的有效方劑,值得在臨床進(jìn)一步推廣應(yīng)用。
[Abstract]:Aim: to observe the intervention effect of Bushen Hemai granule on carotid atherosclerotic plaque in elderly patients with H-type simple systolic hypertension. Methods: 70 patients who met the inclusion criteria were randomly divided into two groups: treatment group and control group with 35 cases in each group. The control group was treated with routine western medicine in elderly patients with H type simple systolic hypertension accompanied with carotid atherosclerosis. The treatment group was treated with Bushen and Mai granules on the basis of routine western medicine, two bags once, two times a day, four weeks for a treatment cycle. To observe the improvement of patients' relative indexes before and after treatment. Results: systolic blood pressure (SBP), hypertension symptom, carotid intima media thickness and carotid plaque were all improved in the control group and the treatment group before and after treatment, but there was no significant difference in the curative effect between the two groups. The carotid plaque score (Crouse score) in the experimental group was significantly better than that in the control group (P0.01). Conclusion: Bushen and Mai granule can significantly reduce the systolic blood pressure, carotid intima media thickness, reduce plaque formation, improve the uncomfortable symptoms of patients, improve the quality of life of patients. It is an effective prescription for the treatment of H type simple systolic hypertension with carotid atherosclerosis in the elderly.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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