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[目的]观察辨证分型联合西药治疗老年高血压疗效。[方法]使用随机平行对照方法,将120例住院患者按病志号抽签方法简单随机分为两组。对照组60例氨氯地平,5mg/次,1次/d,口服。治疗组60例:肝火亢盛-龙胆泻肝汤加减;阴虚阳亢-天麻钩藤饮加减;阴阳两虚-金水宝胶囊;痰湿壅盛-半夏白术天麻汤;西药治疗同对照组。连续治疗2个月为1疗程。观测临床症状、收缩压、舒张压、不良反应。治疗1疗程(2个月),判定疗效。[结果]治疗组显效45例,有效13例,无效2例,总有效率96.67%;对照组显效17例,有效27例,无效16例,总有效率73.33%;治疗组疗效优于对照组(P<0.05)。收缩压、舒张压两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]辨证分型联合西药治疗老年高血压,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the curative effect of syndrome differentiation and western medicine on senile hypertension. [Method] Using randomized parallel control method, 120 inpatients were randomly divided into two groups randomly according to the method of lot drawing of disease symbols. Control group, 60 cases of amlodipine, 5mg / time, 1 / d, orally. The treatment group of 60 patients: liver fire Sheng - Long Dan Xie Gan addition and subtraction; yin yang Kang - Tianma Undertake addition and subtraction; yin and yang - Jin Shui Bao capsule; phlegm Sheng - Pinellia Tianma Tang; Western medicine treatment Control group. Continuous treatment for 2 months as a course of treatment. Observed clinical symptoms, systolic blood pressure, diastolic blood pressure, adverse reactions. Treatment 1 course of treatment (2 months), determine the efficacy. [Results] 45 cases were markedly effective in treatment group, 13 cases were effective, 2 cases were ineffective, and the total effective rate was 96.67%. In control group, 17 cases were markedly effective, 27 cases were effective and 16 cases were ineffective. The total effective rate was 73.33% (P <0.05). Systolic blood pressure and diastolic blood pressure were improved in both groups (P <0.01), the treatment group improved better than the control group (P <0.01). [Conclusion] Syndrome differentiation combined with western medicine in the treatment of senile hypertension has satisfactory curative effect and no serious adverse reactions, which deserves promotion.