發(fā)布時間：2018-03-04 21:23

  本文選題：原發(fā)性高血壓　切入點：肝陽上亢　出處：《遼寧中醫(yī)藥大學》2016年碩士論文　論文類型：學位論文

【摘要】：目的:原發(fā)性高血壓已成為現(xiàn)代社會危害人類健康的主要疾病之一,是常見的心血管疾病。單純的西醫(yī)治療已不能夠滿足控制血壓,改善癥狀提高患者生活質(zhì)量的需求,故而尋求其他方法替代或者輔助降壓。本研究以原發(fā)性高血壓并符合肝陽上亢證的患者60例為研究對象,施以平肝降壓方煎劑,與單純服用西藥對照,并結(jié)合自身服藥前后比較,觀察平肝降壓方的降壓效應,為高血壓的臨床治療提供新的策略。方法:將符合納入標準的60例遼寧中醫(yī)藥大學附屬醫(yī)院門診部2014年1月至2015年11月期間確診為高血壓的患者,采用非隨機對照研究方法,按1:1的比例分為中藥組和對照組。對照組為不能接受中藥煎劑的患者,但能規(guī)律服用其他降壓藥物控制血壓;中藥組服用平肝降壓方煎劑,每日3次。觀察兩組患者治療前后的血壓變化水平,并以此作為降壓療效和癥狀療效標準判定。所有數(shù)據(jù)采用SPSS17.0統(tǒng)計軟件分析。結(jié)果:符合本次觀察標準的60例病例中,中藥組30例,對照組30例。經(jīng)治療后,兩組在血壓療效方面均有明顯降壓作用,組間比較無統(tǒng)計學意義(P0.05)。中藥組患者經(jīng)過治療后,收縮壓和舒張壓明顯降低,且治療前后比較有意義(P0.05)。兩組在改善癥狀方面,中藥組總有效率86.66%;對照組總有效率為23.33%,中藥組明顯優(yōu)于對照組,兩組總有效率比較差異有統(tǒng)計學意義(P0.05),平肝降壓方能夠明顯改善中醫(yī)臨床癥候。結(jié)論:1.平肝降壓方能夠有效的降低血壓,將血壓控制在正常范圍內(nèi),具有良好的臨床療效。2.平肝降壓方能夠有效的改善高血壓患者的中醫(yī)證候。
[Abstract]:Objective: essential hypertension has become one of the main diseases endangering human health in modern society and is a common cardiovascular disease. Western medicine alone can no longer meet the needs of controlling blood pressure, improving symptoms and improving the quality of life of patients. In this study, 60 patients with essential hypertension and syndrome of liver-yang hyperactivity were treated with Pinggan Jiangya decoction, which was compared with western medicine alone. The antihypertensive effect of Pinggan Jiangya prescription was observed by comparison before and after medication. To provide a new strategy for the clinical treatment of hypertension. Methods: a non-randomized controlled study was conducted in 60 patients diagnosed as hypertension in outpatient department of affiliated Hospital of Liaoning University of traditional Chinese Medicine from January 2014 to November 2015. According to the ratio of 1: 1, the Chinese medicine group and the control group were divided into two groups. The control group was the patient who could not accept traditional Chinese medicine decoction, but could regularly take other antihypertensive drugs to control blood pressure; the traditional Chinese medicine group took Pinggan Jiangya decoction decoction, Three times a day, the changes of blood pressure were observed before and after treatment in both groups, which were used as criteria for the efficacy of hypotension and symptoms. All the data were analyzed by SPSS17.0 statistical software. Results: among the 60 patients who met the criteria of this observation, There were 30 cases in the traditional Chinese medicine group and 30 cases in the control group. After treatment, the two groups had obvious hypotensive effects on blood pressure, but there was no significant difference between the two groups. After treatment, the systolic and diastolic blood pressure in the Chinese medicine group decreased significantly. The total effective rate of the traditional Chinese medicine group was 86.66, the total effective rate of the control group was 23.333.The traditional Chinese medicine group was obviously superior to the control group. The total effective rate of the two groups was significantly higher than that of the control group (P 0.05). Pinggan Jiangya prescription could obviously improve the clinical symptoms of traditional Chinese medicine. Conclusion: 1. Pinggan Jiangya prescription can effectively lower blood pressure and control blood pressure within normal range. With good clinical efficacy. 2. Pinggan Jiangya prescription can effectively improve the TCM syndromes of patients with hypertension.
【學位授予單位】：遼寧中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R259
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本文編號：1567379