摘要
[目的]观察辨证分型联合西药治疗糖尿病合并高血压疗效。[方法]使用随机平行对照方法,将160例住院患者按随机数字表法分为两组。对照组80例施慧达和瑞易宁,2.5mg/次,1次/d;二甲双胍片,0.5g/次,3次/d。治疗组80例气阴两虚型(丹参15g,黄芪10g,桃仁6g,红花3g等);阴阳两虚型(生熟地黄15g,淫羊藿6g,当归5g,黄柏3g等);阴虚热盛型(巴戟天12g,肉桂10g,鹿角胶3g,杜仲5g等);1剂/d,水煎200mL,早晚口服。西药治疗同对照组。连续治疗8周为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈28例,显效6例,有效40例,无效6例,总有效率92.50%。对照组痊愈8例,显效16例,有效46例,无效10例,总有效率80.00%。治疗组疗效优于对照组(P<0.05)。[结论]辨证分型联合西药治疗糖尿病合并高血压效果显著,值得推广。
[ Objective ] Observed efficacy of dialectical treatment of diabetes and hypertension. [ Methods ] Using randomized controlled method, 160 cases of hospitalized patients were randomly divided into two groups. Control group, 80 cases of Shi Hui Da Rui Yi Ning , 2.5mg / times, 1 times / d, orally ; metformin tablets , 0.5g / time, 3 times / d, orally. Treatment group 80 cases Yin Deficiency type , Danshen 15g, Huangqi 10g, Taoren 6g, Honghua 3g etc. ; yin deficiency type , Sheng shudihuang 15g, Yinyanghuo 6g, Danggui 5g, Huangbai3g , etc. Treats ; Yin Deficiency and Heat type , Bajitian 12g, Rougui 10g, Lujiaojiao 3g, Duzhong5g , etc; 1 / d, decoction 200mL, sooner or later orally. Conventional basic therapy with the control group . 8 weeks of treatment is a continuous course of treatment. Observation of clinical symptoms and adverse reactions. Treatment of a course of treatment, to determine efficacy . [ Results ] The cure 28 cases , effective in 6 cases , effective 40 cases , 6 cases , total effective rate 92.50% . Control group recovered in 8 cases, effective in 16 cases, effective 46 cases , ineffective in 10 cases , total effective rate 80.00% . Treatment group than the control group （ P〈0.05 ） . [ Conclusion ] Differential Treatment of diabetic hypertensive effect is significant, worthy of promotion.
出处
《实用中医内科杂志》
2013年第7期134-136,共3页
Journal of Practical Traditional Chinese Internal Medicine
关键词
糖尿病合并高血压
辨证分型
气阴两虚
阴阳两虚
阴虚热盛
施慧达
瑞易宁
二甲双胍片
随机平行对照研究
Diabetes and hypertension
Syndrome differentiation
Deficiency of both qi and Yin
Deficiency of yin and yang yin deficiency and heat two
Shi Hui Da
Rui Yi Ning
Metformin tablets
Randomized controlled study
