| 引用本文:王春华，高怡，陈建芝，李春禹，王长志，范洪亮.辨证论治联合泽泻汤加味方治疗高血压病70例临床观察[J].世界中医药,2012,7(4):. |
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| 辨证论治联合泽泻汤加味方治疗高血压病70例临床观察 |
| Diagnosis and treatment combine with Alisma The Decoction side treatment of hypertension 70 cases of clinical observation |
| 投稿时间：2012-05-21 |
| DOI： |
| 中文关键词: 辨证论治 泽泻汤加味方 高血压 临床观察 |
| English Keywords:Diagnosis and treatment Alisma The Decoction side Hypertension Antihypertensive effect Clinical observation |
| 基金项目: |
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| 中文摘要: |
| 目的:观察辨证论治联合泽泻汤加味方对高血压病患者降压效果，明确此种治疗方式更适合何种高血压病。方法:原发性高血压病患者140例随机分为2组，一组给予辨证论治方，另一组给予辨证论治方联合泽泻汤加味方，口服治疗，疗程28d，观测不同阶段偶测血压。结果:2组偶测血压较治疗前均明显下降（P<0.01）。其中，治疗组与对照组同期比较SBP第14、21、28d均有差异（P<0.05或P<0.01），DBP同期比较第21、28d均有差异（P<0.05或P<0.01）；治疗组与对照组相同病史组间第28d同期比较，病史≤5年组、5年＜病史≤10年组间SBP、DBP均无差异（P>0.05），10年＜病史≤15年组、病史＞15年组间SBP、DBP均有差异（P<0.05或P<0.01），其差异随病史延长而日渐显著；治疗组与对照组相同证型组间第28d同期比较：肝火亢盛证SBP、DBP均无差异（P>0.05），阴虚阳亢证SBP无差异（P>0.05）、DBP有差异（P<0.05），痰湿壅盛证、阴阳两虚证SBP、DBP均有差异（P<0.05或P<0.01）。结论:辨证论治联合泽泻汤加味方较单纯辨证论治具有更好的降压效果，尤其适用于病史较长、中医证型属于痰湿壅盛证、阴阳两虚证的高血压病患者。 |
| English Summary: |
| To observe the diagnosis and treatment combine with Alisma The Decoction side antihypertensive effect in patients with hypertension，clear that such treatment is more suitable for the circumstances of hypertension. Methods:Selected patients with primary hypertension in 140 cases were randomly divided into two groups，one group was given the diagnosis and treatment side，the other group was given the diagnosis and treatment side combine with Alismataceae Decoction side，oral therapy，course of treatment is 28 days，observing the different stages of casual blood pressure. Results: Two groups of casual blood pressure before treatment were significantly decreased ( P<0.01) . Among them，the observation group and the control group compared SBP on the fourteenth day、the twenty-first day and the twenty-eighth day are of difference ( P<0.05 or P<0.01)，DBP earlier on the twenty-first day and the twenty-eighth day are of difference ( P<0.05 or P<0.01).The observation group and the control group with the same history between groups twenty-eighth days earlier，less than five years of history，five years of history group is less than ten years between group SBP，DBP were no difference ( P>0.05)，ten years less than or equal to fifteen years group， fifteen years between group SBP，DBP showed difference ( P<0.05 or P<0.01)，with a history extending its difference and more significantly；the observation group and the control group with the same syndrome between groups twenty-eighth days earlier：the SBP and DBP of anger hyperactivity permit was of no difference ( P>0.05)，the SBP is of no difference ( P>0.05) and DBP is different ( P<0.05) of syndrome of hyperactivity of Yang due to Yin deficiency，the SBP of DBP are of differences ( P<0.05 or P<0.01) of phlegm dampness card and deficiency of both Yin and Yang.Conclusion:The diagnosis and treatment combine with Alisma The Decoction side has a better antihypertensive effect than a simple diagnosis and treatment，especially suitable for the history long、TCM syndrome of phlegm dampness card syndrome of deficiency of both Yin and Yang in hypertensive patients. |
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