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目的:观察天麻降压饮配合口服降血压西药治疗阴虚阳亢型1～2级高血压患者的临床疗效。方法:将符合中西医诊断标准的阴虚阳亢型1～2级原发高血压病例120例,随机分为治疗组、中药对照组和西药对照组各40例,中药对照组单纯口服天麻降压饮,西药对照组单纯口服降压西药,治疗组在口服降压西药基础上,加用天麻降压饮,治疗4周观察疗效。结果:治疗组总有效率:90%,西药对照组总有效率:82.5%,中要对照组总有效率:62.5%。症状总积分疗效比较,治疗组总有效率:85.0%,中药对照组总有效率80%,西药对照组总有效率60%。结论:天麻降压饮配合降压西药(依那普利)治疗阴虚阳亢型原发性高血压,无论从降压,还是改善临床症状两方面均明显优于中药组和西药组。
Objective: To observe the clinical efficacy of Tianma Jiangya Decoction combined with oral antihypertensive drugs in the treatment of patients with grade 1 ~ 2 hypertension of yin deficiency and yang hyperactivity. Methods: One hundred and twenty cases of grade 1 ~ 2 primary hypertension with yin deficiency and yang hyperactivity according with diagnostic criteria of TCM and Western Medicine were randomly divided into treatment group, TCM control group and western medicine control group, 40 cases in each group. Pressure drink, western medicine control group oral antihypertensive Western medicine, the treatment group on the basis of oral antihypertensive western medicine, plus Tianma antihypertensive drink, treatment for 4 weeks to observe the curative effect. Results: The total effective rate was 90% in the treatment group, 82.5% in the western medicine control group, and 62.5% in the middle control group. Symptoms of the total score more effective, the total effective rate of the treatment group: 85.0%, the total effective rate of 80% of the traditional Chinese medicine control group, Western medicine control group, the total effective rate of 60%. Conclusion: Tianma Jiangya Decoction combined with antihypertensive western medicine (enalapril) in the treatment of essential hypertension with yin deficiency and yang hyperactivity is obviously superior to traditional Chinese medicine group and western medicine group in reducing blood pressure and improving clinical symptoms.