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自拟黄精降压汤治疗H型高血压亚组分析

史雯 马海娟 何晋涛 董蕾 刘瑶 赵会灵 邢远

长春中医药大学学报2024,Vol.40Issue(7):769-774,6.
长春中医药大学学报2024,Vol.40Issue(7):769-774,6.DOI:10.13463/j.cnki.cczyy.2024.07.014

自拟黄精降压汤治疗H型高血压亚组分析

Analysis of the therapeutic effect of self-formulated solomonseal rhizome decoction for dropping blood pressure on H-type hypertension subgroup

史雯 1马海娟 1何晋涛 1董蕾 1刘瑶 1赵会灵 1邢远2

作者信息

  • 1. 北京市第六医院中医科,北京 100007
  • 2. 西安医学院公共卫生学院,西安 710021
  • 折叠

摘要

Abstract

Objective To observe the therapeutic effect of self-formulated solomonseal rhizome decoction for dropping blood pressure on Qi-deficiency type hypertension with hyperhomocysteinemia subgroup.Methods A confirmatory subgroup analysis was conducted on 65 patients with homocystine(Hcy)≥ 10μmol·L-1 selected from the clinical efficacy observation project of self-formulated solomonseal rhizome decoction for dropping blood pressure in the treatment of Qi-deficiency type hypertension.The control group received treatment with oral amlodipine besylate tablets,5mg/time,once a day,and the observation group received oral self-formulated solomonseal rhizome decoction for dropping blood pressure treatment on the basis of the treatment of the control group,twice a day.Both groups were treated for 8 weeks.The changes in traditional Chinese medicine(TCM)syndrome scores,blood pressure,homocysteine,and blood lipids before and after treatment in both groups were observed and compared.Results After treatment,the differences in TCM syndrome scores and the effective rate in the observation group were significantly higher than those in the control group(P<0.001).After treatment,the clinic blood pressure,home blood pressure,24-hour ambulatory blood pressure,and homocysteine in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the level of low-density lipoprotein cholesterol in the observation group was lower than that in the control group,but there was no statistically significant difference(P>0.05).Conclusion Self-formulated solomonseal rhizome decoction for dropping blood pressure can significantly improve the clinical symptoms and reduce blood homocysteine levels in patients with Qi-deficiency type H-type hypertension.This therapy is safe and effective.

关键词

H型高血压/自拟黄精降压汤/气虚型/确证性亚组分析

Key words

H-type hypertension/self-formulated solomonseal rhizome decoction for dropping blood pressure/Qi-deficiency type/confirmatory subgroup analysis

分类

医药卫生

引用本文复制引用

史雯,马海娟,何晋涛,董蕾,刘瑶,赵会灵,邢远..自拟黄精降压汤治疗H型高血压亚组分析[J].长春中医药大学学报,2024,40(7):769-774,6.

基金项目

2022年首都卫生发展科研专项项目(2022-2-7013) (2022-2-7013)

北京市东城区优秀人才培养资助项目(2022-dchrcpyzz-60) (2022-dchrcpyzz-60)

长春中医药大学学报

OACSTPCD

2095-6258

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