中西医结合治疗老年人心脑血管病用药研究

Treatment of Cardiovascular and Cerebrovascular Ciseases in Elderly Patients with Integrated Chinese and Western Medicine

目的:研究并探讨中西医结合疗法在老年人心脑血管疾病中的治疗作用,以期能够为老年人心脑血管疾病的临床治疗提供可靠的参考依据。方法:选取2012年1月至2015年12月解放军二五四医院收治的300例老年心脑血管疾病患者作为此次研究的对象,采取计算机随机分组法将这300例老年心脑血管疾病患者分为对照组、观察组,每组150例。对照组采取单纯西医治疗方案进行治疗,观察组在西医治疗基础上采取中西医结合疗法。比较2组患者的临床总有效率,并对2组患者治疗前后的血压、血糖、血脂以及血液流变学指标进行比较。结果:观察组的临床总有效率为97.33%,对照组的临床总有效率为89.33%,2组相比,差异有统计学意义(P<0.05)。与治疗前相比,治疗后2组患者的血压(收缩压、舒张压)、血糖(空腹血糖、餐后2 h血糖)、血脂(总胆固醇、三酰甘油、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇)以及血液流变学指标(红细胞压积、红细胞电泳时间、红细胞沉降率、血浆黏度)均明显得到改善(P<0.05),但在治疗后,观察组的血压、血糖、血脂以及血液流变学指标较对照组明显更优(P<0.05)。结论:在老年心脑血管疾病患者的临床治疗中,采取中西医结合疗法进行治疗可取得满意的疗效,能够有效促进血压、血糖、血脂的控制,有效抑制红细胞的聚集,阻遏病情发展。

Objective：To study the therapeutic effect of integrated Chinese and western medicine therapy in the elderly and cardio- vascular diseases so as to provide a reliable references for the clinical treatment of cardiovascular diseases. Methods ： A total of 300 cases of elderly patients with cardiovascular and cerebrovascular diseases in January 2012 to December 2015 in our hospital were selected as the research objects. The 300 cases were divided into control group and observation group by computer random grouping method, 150 cases in each group. The control group was treated with routine western medicine treatment, the observation group in- tegrated Chinese and western medicine treatment based on the treatment of western medicine. The total effective rate of patients, and the patient＇s blood pressure, blood glucose, blood lipid and blood rheology were compared between two groups before and after treatment. Results：The total effective rate of the observation group was 97.3 3 %, the clinical control group 89. 33%, the differ- ence was statistically significant （P 〈 0. 05）. After the treatment, both groups patients＇ blood pressure （systolic pressure, dias- tolic pressure）, blood glucose （fasting blood glucose, postprandial blood glucose （2H）, serum total cholesterol, three glycerol es- ter, low density lipoprotein cholesterol, high density lipoprotein cholesterol） and blood rheology index （hematocrit, erythrocyte e- lectrophoresis time, erythrocyte sedimentation rate, plasma viscosity） were significantly improved （P 〈 0. 05 ） , while blood pres- sure, blood glucose, blood lipid and hemorheology of the observation group were significantly better （ P 〈 0. 05 ）. Conclusion： In the clinical treatment of elderly patients with cardiovascular and cerebrovascular diseases, integrated Chinese and western medicine therapy can obtain satisfactory curative effect by effectively promoting the blood pressure, blood glucose, blood lipid control, inhib- iting the aggregation of red cells, and blocking the progression of the disease.