理气祛痰法治疗H型高血压的临床疗效观察

The Efficacy of Liqi Qutan for Eliminating Phlegm Method on H-type Hypertension

目的:探索理气祛痰法治疗H型高血压(中医辨证属气滞痰阻型)的临床疗效,24h动态血压、日测血压,以及对血浆同型半胱氨酸(Hcy)、低密度脂蛋白胆固醇(LDL-C)、甘油三酯(TG)水平,及肝肾功能的影响。方法:纳入符合H型高血压(中医辨证属气滞痰阻型)的患者84例,采用完全区组随机法将患者分为对照组(西药组)和研究组(对照组基础上联合理气祛痰汤),每组42例,2组疗程均28d。观察2组眩晕等中医临床症状,24h动态血压、日测血压、Hcy、LDL-C、TG以及肝肾功能的变化。结果:2组经过1个疗程治疗后,研究组治疗总有效率明显高于照组(P<0.05),研究组中医临床症状,24h动态血压、日测血压比对照组下降明显(P<0.05),研究组Hcy、LDL-C、TG比对照组下降更明显(P<0.01)。2组患者肝肾功能指标比较无统计学差异(P>0.05),治疗期间2组患者均未出现明显不良反应。结论:理气祛痰法治疗H型高血压(气滞痰阻型)有较好的治疗效果,且没有明显不良作用,对于临床上具有积极的指导意义。

Objective:To analyze the efficacy of regulating Qi-flowing for eliminating phlegm on H-type hypertension.Methods:84 patients with H-type hypertension(liver depression phlegm obstruction syndrome)were randomized to control group(western medicine group)and treatment group(western medicine and regulating Qi and removing phlegm soup group).After 4 weeks prior,compare the syndrome,blood pressure,average 24 hours ambulatory blood pressure,blood Hcy and so on between the two groups of patients.Results:regulating Qi and removing phlegm soup treatment group has better efficiency in improving the clinical symptoms,blood pressure,average 24 hours ambulatory blood pressure,blood Hcy,and the like than western medicine group.Conclusion:Regulating Qi-flowing for eliminating phlegm can improve clinical symptoms of H-type hypertension with liver depression phlegm obstruction syndrome and improve efficacy,with no obvious untoward effect.