【摘要】：目的:觀察調(diào)肝降壓飲,從平肝潛陽兼疏達(dá)肝氣法治療高血壓病肝陽上亢證患者的臨床療效。方法:按照隨機(jī)、對照的設(shè)計(jì)方法,將符合標(biāo)準(zhǔn)的60例患者分為治療組和對照組,每組30例。療程各12周。對照組單純服用西藥,治療組加服調(diào)肝降壓飲。結(jié)果:1.兩組患者治療后收縮壓及舒張壓均有所降低,但治療組下降幅度優(yōu)于對照組,且兩組診室血壓總有效率分別為86.67%與66.67%,治療組降壓療效明顯高于對照組。2.治療組血壓達(dá)標(biāo)人數(shù)及血壓達(dá)標(biāo)率明顯優(yōu)于對照組,血壓達(dá)標(biāo)時(shí)間經(jīng)統(tǒng)計(jì)分析明顯短于對照組患者。3.治療后兩組患者24h動(dòng)態(tài)血壓各項(xiàng)指標(biāo)中均有不同程度改善,但治療組明顯占優(yōu)勢。4.兩組患者治療后中醫(yī)證候綜合療效及單項(xiàng)證候療效比較,治療組均顯著優(yōu)于對照組。5.分別比較兩組患者組內(nèi)及組間治療前后的血脂水平,除治療組在TG改善明顯外,其他均無統(tǒng)計(jì)學(xué)意義。結(jié)論:調(diào)肝降壓飲針對肝陽上亢型高血壓病患者,具備良好的降壓療效,同時(shí)明顯緩解患者相關(guān)癥狀,具備安全、可靠等優(yōu)點(diǎn),值得應(yīng)用于臨床。
[Abstract]:Objective: to observe the clinical effect of Tiaogan Jiangya decoction in the treatment of hypertension patients with hyperactivity of liver yang from the method of calming liver latent yang and soothing liver qi. Methods: according to the design method of random and control, 60 patients who met the standard were divided into treatment group (n = 30) and control group (n = 30). The course of treatment was 12 weeks each. The control group was treated with western medicine alone, and the treatment group was treated with Tianggan Jiangya decoction. Result: 1. After treatment, systolic and diastolic blood pressure in the two groups decreased, but the decrease in the treatment group was better than that in the control group, and the total effective rate of blood pressure in the two groups was 86.67% and 66.67%, respectively. the antihypertensive effect of the treatment group was significantly higher than that of the control group. The number of blood pressure reaching the standard and the rate of reaching the standard of blood pressure in the treatment group were significantly better than those in the control group, and the time of reaching the standard of blood pressure in the treatment group was significantly shorter than that in the control group. After treatment, the 24 h ambulatory blood pressure indexes of the two groups were improved to varying degrees, but the treatment group was obviously dominant. 4. After treatment, the comprehensive curative effect of TCM syndrome and the curative effect of single syndrome in the two groups were significantly better than those in the control group. 5. The blood lipid levels of the two groups were compared between the two groups before and after treatment, except for the improvement of TG in the treatment group, there was no significant difference between the two groups. Conclusion: Tiaogan Jiangya decoction has a good antihypertensive effect on patients with hyperactivity of liver yang hypertension, and obviously relieves the related symptoms of the patients. It has the advantages of safety and reliability, and is worthy of clinical application.
【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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