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目的:观察和胃化痰法联合美托洛尔片治疗静息心率偏快型原发性高血压患者的疗效及对糖脂代谢的影响。方法:选择符合条件的高血压患者共76例,随机分为2组,对照组36例在西药基础治疗上给予安慰剂;治疗组40例在西药基础治疗上给予二陈汤治疗。治疗12周。结果:2组治疗后,收缩压、舒张压组间比较,差异无显著性意义(P>0.05)。2组治疗后,心率水平组间比较,差异无显著性意义(P>0.05)。2组空腹血糖、高密度脂蛋白胆固醇及糖化血红蛋白治疗后组间比较,差异均无显著性意义(P>0.05);2组治疗后餐后2h血糖及甘油三酯比较,差异均有显著性意义(P<0.05)。2组降压疗效比较,差异无显著性意义(P>0.05)。结论:和胃化痰法联合美托洛尔片治疗静息心率偏快型原发性高血压患者疗效确切,同时可调节糖脂代谢。
OBJECTIVE: To observe the curative effect and the effect on the metabolism of glucose and lipids in patients with essential hypertension with resting heart rate and metoprolol combined with gas phlegm method. Methods: A total of 76 hypertensive patients were selected and randomly divided into two groups. 36 cases in the control group were given placebo on the basis of western medicine. Forty cases in the treatment group were given Erchen decoction on the basis of Western medicine. Treatment for 12 weeks. Results: There was no significant difference in systolic blood pressure and diastolic blood pressure between the two groups after treatment (P> 0.05). There was no significant difference between two groups after treatment (P> 0.05). The fasting blood glucose, high density lipoprotein cholesterol and glycosylated hemoglobin in the two groups after treatment showed no significant difference (P> 0.05); 2h postprandial blood glucose and triglyceride between the two groups after treatment were significantly different Significance (P <0.05). There was no significant difference between the two groups in antihypertensive efficacy (P> 0.05). Conclusion: Combined with metoprolol in the treatment of patients with resting essential hypertension and essential hypertension patients with curative effect is exact, and can regulate glucose and lipid metabolism.