中医辨证治疗社区老年高血压临床疗效观察

[目的]探讨中医辨证治疗对社区老年高血压患者临床疗效的影响,为推广中医药走进社区提供依据。[方法]将106例社区老年高血压患者按随机数字表法随机分为对照组和观察组,每组53例,对照组给予西药降压治疗,观察组在对照组基础上给予中医辨证治疗;并于治疗后的第3、6、12个月对患者的血压控制率、临床症状及生活质量等进行统计分析。[结果]治疗3个月时,两组患者血压控制率、临床症状有效率及生活质量比较,差异均无统计学意义(P0.05);治疗6个月时,两组患者血压控制率差异无统计学意义(P0.05),但观察组患者临床症状有效率及生活质量明显优于对照组(P0.05);治疗12个月后,观察组患者血压控制率、临床症状有效率及生活质量的改善均显著优于对照组,差异有统计学意义(P0.05)。[结论]中医辨证治疗社区老年高血压,能够持久降压,远期改善患者临床症状及生活质量,值得社区推广应用。

Effect of traditional Chinese medicine treatment on community elderly patients with hypertension

[Objective] To investigate the effects of traditional Chinese medicine(TCM) in the treatment of elderly patients with hypertension in community, and provide a basis for the promotion of TCM into the community. [Methods] The 106 cases of community elderly hypertensive patients were randomly divided into control group and observation group, 53 cases in each group, the control group were given Western medicine antihypertensive therapy. The observation group received TCM treatment on the basis of the control group. And in 3, 6, 12 months after treatment for statistical analysis of the patient's blood pressure control rate, clinical symptoms and quality of life. [Results] The 3 months after treatment, two groups of patients with blood pressure control rates, clinical symptoms effectively, and the quality of life, the difference was no statistical significance (P>0.05). Treatment for 6 months, two groups of patients with blood pressure control rates, there was no statistically significant difference (P>0.05), but the observation group patients of clinical symptoms and quality of life were obviously better than that control group (P<0.05). The 12 months after treatment, the observation group of patients with blood pressure control rates, clinical symptoms effectively, and the improvement of the quality of life were significantly better than the control group, the difference was statistically significant (P<0.05). [Conclusion] The TCM treatment of community elderly hypertension, can lasting step-down blood pressure, forward to improve the patient's clinical symptoms and quality of life, and it is worthy of popularization and application in community.