中西医结合治疗老年原发性高血压的效果观察

The effect observation of integrated traditional Chinese and western medicine treating senile primary hypertension

目的探讨中西医结合治疗老年原发性高血压的临床效果，为临床应用提供参考。方法选择本院2008年3月～2013年3月收治的145例老年原发性高血压患者为研究对象，将其完全随机分为观察组73例与对照组72例。对照组给予常规西药硝苯地平缓释片治疗，观察组在对照组治疗的基础上加用中医汤药治疗，比较两组的临床治疗效果。结果治疗后，两组患者的收缩压、舒张压均降低，且观察封[较对照组降低更明显（P〈O．05）；观察组的总有效率为91．78％（67，73），明显高于对照组的80．56％（58／72）（P〈O．05）；两组患者均未出现肝、肾功能严重损害等明显不良反应。结论中西医结合治疗老年原发性高血压的临床效果显著，值得临床广泛推广。

Objective To investigate clinical effect of integrated traditional Chinese and western medicine treating se- nile primary hypertension,which made guidance for clinical application. Methods 145 senile patients with primary hy- pertension were selected as subjects from March 2008 to March 2013 in our hospital and they were completely random divided into the observation group （n=73） and the control group （n=72）.The control group was given routine western medicine such as extended release nifedipine tablets while the observation group was given traditional Chinese medicine decoction based on the treatment of the control group.The clinical effect of the two groups was compared. Results After treatment,the systolic and diastolic blood pressure of the two groups decreased,and the observation group decreased obviously compared to the control group （P〈0.05）;the total effective rate of the observation group [91.78% （67/73）] was higher than that of the control group [80.56% （58/72）]（P〈0.05）;two groups of patients had no severe func- tion damage of liver and renal and other serious adverse reaction. Conclusion The clinical effect of integrated traditional Chinese and western medicine treating senile primary hypertension is significant.It is worthy of wide promotionn in clinic.