摘要
目的:观察疏肝降火汤联合心理干预治疗肝郁火旺型高血压的临床疗效。方法:200例肝郁火旺型高血压患者随机分为中药组(口服疏肝降火汤)、西药组(口服苯磺酸氨氯地平片5 mg·d^-1)、中药+心理干预组(口服疏肝降火汤+心理干预)、西药+心理干预组(口服苯磺酸氨氯地平片5 mg·d^-1+心理干预)各50例。治疗后,比较各组患者的血压水平、临床证候评分。结果:动态血压指标比较:中药+心理干预组与中药组比较,差异有统计学意义(P<0.05);中药+心理干预组与西药组比较,差异有统计学意义(P<0.05);中药组与西药组比较,差异有统计学意义(P<0.05);西药+心理干预组与中药组比较,差异有统计学意义(P<0.05);中药+心理干预组与西药+心理干预组比较,差异有统计学意义(P<0.05)。中医证候评分比较:各组治疗前后比较,差异有统计学意义(P<0.05);中药+心理干预组与中药组比较,差异有统计学意义(P<0.05);中药+心理干预组与西药组比较,差异有统计学意义(P<0.05);中药组与西药组比较,差异有统计学意义(P<0.05);中药组与西药+心理干预组比较,差异有统计学意义(P<0.05);中药+心理干预组与西药+心理干预组比较,差异有统计学意义(P<0.05)。结论:疏肝降火汤联合心理干预治疗肝郁火旺型高血压疗效确切,可显著降低患者动态血压指标及中医证候评分。
Objective:To observe the clinical efficacy of Shugan Jianghuo Decoction combined with psychological intervention in the treatment of hypertension of the type depressed liver qi and effulgent fire.Methods:200 patients with hypertension of the type depressed liver qi and effulgent fire were randomly divided into Chinese medicine group(oral Shugan Jianghuo Decoction),western medicine group(oral amlodipine besylate tablets 5 mg·d^-1),Chinese medicine+psychological intervention group(oral Shugan Jianghuo Decoction+psychological intervention),western medicine+psychological intervention group(oral amlodipine besylate tablets 5 mg·d-1+psychological intervention),with 50 cases in each group.After treatment,the blood pressure level and the improvement of clinical syndromes were compared in each group.Results:Comparison of ambulatory blood pressure indexes:the difference was statistically significant between the Chinese medicine+psychological intervention group and the Chinese medicine group(P<0.05);the difference was statistically significant between the Chinese medicine+psychological intervention group and the western medicine group(P<0.05);the difference between the Chinese medicine group and the western medicine group was statistically significant(P<0.05);the difference between the western medicine+psychological intervention group and the Chi-nese medicine group was statistically significant(P<0.05);compared with the western medicine+psychological intervention group,the difference was statistically significant(P<0.05).Comparison of TCM syndrome score:before and after treatment,the difference was statistically significant(P<0.05)in each group;the difference between Chinese medicine+psychological intervention group and Chinese medicine group was statistically significant(P<0.05);the difference between Chinese medicine+psychological intervention group and western medicine group was statistically significant(P<0.05);the difference between Chinese medicine group and western medicine group was statistically significant(P<0.05);the difference was statistically significant between the Chinese medicine group and the western medicine+psychological intervention group(P<0.05);the difference was statistically significant between Chinese medicine+psychological intervention group and Western medicine+psychological intervention group(P<0.05).Conclusion:Shugan Jianghuo Decoction combined with psychological intervention has a definite effect on hypertension of of the type depressed liver qi and effulgent fire,and can significantly reduce ambulatory blood pressure index and TCM syndrome score.
作者
曹志娜
刘庆乐
周立华
CAO Zhina;LIU Qingle;ZHOU Lihua(The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan China 450008)
出处
《中医学报》
CAS
2020年第9期1991-1995,共5页
Acta Chinese Medicine
基金
河南省中医药管理局项目(2015ZY02053)。
关键词
高血压
疏肝降火汤
心理干预
肝郁火旺证
苯磺酸氨氯地平片
动态血压
中医证候评分
hypertension
Shugan Jianghuo Decoction
psychological intervention
depressed liver qi and effulgent fire syndrome
amlodipine besylate tablets
ambulatory blood pressure
TCM syndrome score
