目的探讨天麻钩藤饮加减治疗高血压眩晕患者的临床效果。方法选取2014年2月至2015年6月北京市平谷区兴谷街道社区卫生服务中心金乡社区卫生服务站收治的48例高血压晕眩患者作为研究对象,其中23例服用硝苯地平片及卡托普利片治疗的患者设为对照组;另外25例应用天麻钩藤饮加减法治疗的患者设为观察组。比较两组患者治疗前后血压变化情况以及临床疗效。结果治疗后,两组患者的收缩压和舒张压均明显低于治疗前,且观察组患者的收缩压和舒张压均明显低于对照组,差异均有统计学意义(均P<0.05);观察组患者治疗的总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论天麻钩藤饮加减治疗高血压眩晕患者具有快速降压的效果,同时可提高临床疗效,减轻患者痛苦,降低不良反应发生。 Objective To investigate the clinical effects of Tianma Gouteng Decoction on patients with hypertensive vertigo. Methods Forty-eight patients with hypertensive vertigo were selected from Jinxun Community Health Service Station, Xinggu Sub-district Community Health Service Center, Xinggu Street, Pinggu District, Beijing from February 2014 to June 2015. Twenty-three of the patients took nifedipine tablets and Captopril tablets treated patients as the control group; the other 25 cases treated with Tianma Gouteng Decoction treatment of patients as the observation group. The changes of blood pressure before and after treatment and the clinical curative effect were compared between the two groups. Results After treatment, the systolic and diastolic blood pressures in both groups were significantly lower than those before treatment, and the systolic and diastolic blood pressures in the observation group were significantly lower than those in the control group (all P <0.05). The total effective rate of observation group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion Tianma Goutengyin treatment of hypertensive patients with vertigo has a rapid antihypertensive effect, while improving clinical efficacy, reduce patient pain and reduce adverse reactions.