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[目的]观察中西医结合治疗高血压合并高脂血症临床疗效。[方法]将120例高血压合并高脂血症病例随机分为两组,每组60例。对照组服用硝苯地平缓释片、倍他乐克、双氢克尿塞、脂必妥等西药;治疗组在对照组用药基础上,尚按肝阳上亢、痰湿阻滞、气阴两虚挟瘀三型进行辨证论治。[结果](1)血压疗效:治疗组总有效率91.67%,对照组总有效率为71.67%,经x~2检验,两组疗效有显著性差异(P<0.01)。(2)血脂疗效:治疗组总有效率93.33%,对照组总有效率为76.67%,经x~2检验,两组疗效有显著性差异(P<0.05)。(3)中医证候疗效:治疗组总有效率95.00%,对照组总有效率为68.33%,经x~2检验,两组疗效有显著性差异(P<0.01)。[结论]中西医结合治疗顽固性高血压合并高脂血症临床疗效显著。
[Objective] To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of hypertension with hyperlipidemia. [Methods] 120 cases of hypertension with hyperlipidemia were randomly divided into two groups of 60 cases. The control group took nifedipine sustained-release tablets, metoprolol, hydrochlorothiazide, lipid and other western medicine; the treatment group in the control group based on the medication, according to liver-yang hyperactivity, phlegm blockage, Qi and Yin Deficiency Three types of syndrome differentiation. [Results] (1) The effect of blood pressure: The total effective rate was 91.67% in the treatment group and 71.67% in the control group. There was significant difference (P <0.01) between the two groups by x ~ 2 test. (2) Lipid efficacy: The total effective rate was 93.33% in the treatment group and 76.67% in the control group. There was significant difference (P <0.05) between the two groups by x ~ 2 test. (3) TCM Syndrome Efficacy: The total effective rate of the treatment group was 95.00%, while the total effective rate of the control group was 68.33%. There was significant difference (P <0.01) between the two groups by x ~ 2 test. [Conclusion] Integrative treatment of refractory hypertension with hyperlipidemia clinical efficacy significantly.