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目的:总结20年治疗高血压病经验,探讨中医药在高血压病治疗中的作用与定位。方法:对本院门诊20年所治高血压病患者555例通过问卷调查、体检、辅检等随访观察治疗前后各指标变化。结果:眩晕、头痛、心悸、胸闷、腰酸、耳鸣、乏力、失眠、肢麻、夜尿频位于高血压患者常见症状前10位。中药辨证施治与西药降压结合,绝大部分症状能完全缓解。除耳鸣、夜尿频外,显效率均达到95%以上,总有效率均在96%以上。降压总有效率89.19%。血压达标率77.66%。脑梗死10例11人次,无偏瘫。4例死亡,其中1例明确为脑血管性死亡。无心肌梗死病例。结论:高血压病患者以阴虚阳亢为常见病机;气血失调、痰浊阻滞为重要病理因素;不良生活方式是生痰之因;中西医结合可提高疗效,减少事件发生及病死率,提高患者生活质量。高血压及其并发症是可防可控的。
OBJECTIVE: To summarize 20 years of experience in the treatment of hypertension and to explore the role and orientation of Chinese medicine in the treatment of hypertension. Methods: A total of 555 hypertensive patients treated in our hospital for 20 years were investigated with questionnaires, physical examinations and secondary examinations before and after treatment. Results: Vertigo, headache, palpitations, chest tightness, backache, tinnitus, fatigue, insomnia, limb numbness and nocturia were the top 10 common symptoms in hypertensive patients. Syndrome differentiation of traditional Chinese medicine combined with antihypertensive drugs, most of the symptoms can be completely alleviated. In addition to tinnitus, nocturia frequent, markedly effective rate reached more than 95%, the total efficiency of 96% or more. The total effective rate of decompression 89.19%. Blood pressure compliance rate of 77.66%. 10 cases of cerebral infarction 11 passengers without hemiplegia. 4 died, of which 1 was clearly cerebrovascular death. No cases of myocardial infarction. Conclusion: Hypertension patients are yin yang and yang as common pathogenesis; qi and blood disorders, phlegm stagnation is an important pathological factor; unhealthy lifestyle is the cause of phlegm; Integrative Medicine can improve the curative effect and reduce the occurrence and mortality Rate, improve patient quality of life. Hypertension and its complications are preventative and controllable.