辨证分型联合西药治疗糖尿病合并高血压随机平行对照研究

Syndrome Differentiation Type Combined Western Medicine Treatment of Diabetes Hypertension Random Parallel Control Study

[目的]观察辨证分型联合西药治疗糖尿病合并高血压疗效。[方法]使用随机平行对照方法,将56例住院患者按随机数字表法分为两组。对照组24例二甲双呱,0.25g/次,3次/d。格列吡嗪,5mg/次,3次/d。卡托普利,25mg/次,3次/d。治疗组32例辨证分型,肝肾阴虚,治宜滋养肝肾、育阴潜阳;痰湿中阻,治宜化痰除湿、健运疏导;气阴两虚、气虚血瘀,治宜益气养阴、活血化瘀,玉液汤合生脉散;阴阳两虚,治宜滋阴助阳、平肝降逆,右归丸和地黄饮子。西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。连续治疗4疗程(28d),判定疗效。[结果]治疗组显效9例,有效21例,无效2例,总有效率93.75%。对照组显效3例,有效15例,无效6例,总有效率75.00%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合西药治疗糖尿病合并高血压效果显著,值得推广。

[ Objective ] To observe the differentiation and type combined western medicine treatment of diabetes hypertension curative effect. [ Methods ] Using random parallel control method, 56 patients with clinic/ hospital were divided into two groups according to random number table method. The control group of 24 cases of metformin is gung, 0.25 nag/time, 3 times/d. Metformin is gung, 5 rag/time, 3 times/d. Metforrnin is gung, 25 mg/time, 3 times/d. Treatment group of 32 cases of liver and kidney Yin deficiency, liver YangKangCheng type ： put appropriate nourishing liver and kidney, breeding of Yin and Yang. Of phlegm dampness, put appropriate phlegm moisture, and health guidance. Qi and Yin deficiency, qi deficiency and blood stasis, appropriate qi and nourishing Yin, promoting blood circulation to remove blood stasis, jade soup hopson of arteries and veins. Yin and Yang are two empty, put appropriate inverse, Yin Yang, fiat liver drop pills and radix rehmanniae YinZi right. Western medicine treatment with the control group. Continuous treatment of 7 d for 1 course of treatment. Observation of clinical symptoms and adverse reactions. Treatment of 4 consecutive treatment （ 28 d ）, to determine efficacy. [ Results ] The treatment group 9 cases had marked effect, effectively and 21 cases, 2 had no effect, the total effective rate was 93.75%. Control group 3 cases had marked effect, 15 cases were effective, 6 no effect, the total effective rate was 75.00%. The treatment group curative effect is better than that of control group （ P〈0.05 ） . [ Conclusion ]Combined western medicine treatment of diabetes hypertension effect is remarkable, is worth promoting.