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目的:观察中西医结合治疗原发性高血压的临床疗效。方法:选取196例原发性高血压患者,按照简单随机数字表法将患者分为治疗组和对照组各98例,治疗组给予常规西医联合中药治疗,对照组只使用常规西药治疗;治疗8周后观察2组的血压及临床症状的改善情况。结果:治疗前,2组患者的平均血压值、中医证候积分比较,差异均无显著性意义(P>0.05)。治疗后,2组收缩压和舒张压均较治疗前降低,差异均有显著性意义(P<0.05);且治疗组收缩压及舒张压均低于对照组(P<0.05)。2组中医证候积分与治疗前比较,差异均有显著性意义(P<0.05);治疗组中医证候积分低于对照组(P<0.05)。2组临床疗效总有效率、显效率、不良反应发生率分别比较,差异均有显著性意义(P<0.05)。结论:中西医结合治疗原发性高血压的临床疗效优于单纯西药治疗,能减少不良反应的发生,提高患者的生活质量。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in treating essential hypertension. Methods: A total of 196 patients with essential hypertension were randomly divided into treatment group (98 cases) and control group (98 cases). The treatment group was given conventional western medicine combined with traditional Chinese medicine. The control group was treated with conventional western medicine only. Treatment 8 Week 2 after the observation of blood pressure and improvement of clinical symptoms. Results: Before treatment, there was no significant difference between the two groups in mean blood pressure and TCM syndrome score (P> 0.05). After treatment, the systolic and diastolic blood pressures in both groups were significantly lower than those before treatment (P <0.05). The systolic and diastolic blood pressures in the two groups were lower than those in the control group (P <0.05). The scores of TCM syndromes in the two groups were significantly different from those before treatment (P <0.05). The TCM syndrome scores in the treatment group were lower than those in the control group (P <0.05). There was significant difference between the two groups in the total effective rate, markedly effective rate and adverse reaction rate (P <0.05). Conclusion: The clinical curative effect of combining traditional Chinese and western medicine on essential hypertension is better than that of western medicine alone, which can reduce the incidence of adverse reactions and improve the quality of life of patients.