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羚角钩藤汤治疗原发性高血压合并高血脂症的临床研究
http://www.100md.com 2011年4月5日 纪定国
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     [摘要] 目的:观察羚角钩藤汤对原发性高血压合并高血脂症的临床疗效。方法:将原发性高血压合并高血脂症患者166例,中医辨证属肾水亏虚,肝风内动,肝风夹痰上扰清窍,以眩晕和头痛为主症者,随机分为治疗组84例,服用羚角钩藤汤。对照组82例,服用长效降压片及血脂康胶囊。两组均治疗30 d后比较效果。结果:治疗组血压、血脂水平与对照组比较均明显降低,中医临床症状明显改善(P<0.05)。结论:羚角钩藤汤对原发性高血压合并高血脂症辨证属肝阳上亢,痰瘀互结者疗效显著,且能明显改善眩晕、头痛等症状。

    [关键词] 高血压;高血脂症;羚角钩藤汤;中医药疗法

    [中图分类号] R544.1 [文献标识码]B [文章编号]1674-4721(2011)04(a)-092-02

    Ling kok uncaria decoction in the treatment of hypertension

    JI Dingguo

    Department of Traditional Chinese Medicine, the Fourth People's Hospital of Ziyang, Sichuan Province, Ziyang641300, China

    [Abstract] Objective: To observe the clinical efficacy of ling kok uncaria decoction in the treatment of hypertension complicated with hyperlipemia. Methods: 166 patients of hypertension complicated with hyperlipidemia, TCM syndrome differentiation pertains to liver Yang hyperactivity, phlegm stasis mutual knot, with vertigo and headaches for the main symptoms, they were randomly divided into treatment group 84 cases, taking ling kok uncaria decoction, the control group 82 cases, taking long-term blood pressure and Xuezhikang capsule. Both groups were compared effect after 4 weeks of treatment. Results: The blood pressure and lipid levels of the treatment group were significantly lower compared with the control group, TCM clinical symptoms improved obviously (P<0.05). Conclusion: Ling kok uncaria decoction for hypertension complicated with hyperlipidemia, syndrome differentiation pertains to liver Yang hyperactivity, phlegm stasis mutual knot, the curative effect is distinct, and can significantly improve vertigo, headaches and other symptoms.

    [Key words] Hypertension; Hyperlipidemia; Ling kok uncaria decoction; TCM therapy

    随着我国人民生活方式的改变,中老年患者中原发性高血压合并高血脂症的发病率呈逐年上升趋势。该病多与年老阴亏,过食肥甘有关,多见阴虚阳亢,痰瘀互结之证。临床上多以镇肝息风,化痰降浊为治[1]。本研究的目的在于观察羚角钩藤汤对辨证属于肝阳上亢,痰瘀互结之原发性高血压合并高血脂症的临床疗效,现将相关情况报道如下:

    1资料与方法

    1.1一般资料

    2008年6月~2010年6月,本院收治高血压合并高血脂症患者166例,中医辨证属肾水亏虚,肝风夹痰上扰清窍,以头痛、眩晕为主要症状。随机将患者分为治疗组和对照组,其中,治疗组84例,男56例,女28例,年龄63~82岁,对照组82例,男50例,女32例,年龄61~80岁。两组患者均符合《中国高血压防治指南》制定的高血压诊断标准[2]及《中华心血管杂志》编委会血脂异常防治对策专题组制定的血脂异常诊断标准[3]。患者在年龄、性别、病程、收缩压、舒张压、并发症及主要不适症状等方面均无明显差异,具有可比性(P>0.05)。

    1.2 治疗方法 ......

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