中医治未病思想结合降压药物预防老年高血压患者肾损害疗效观察

目的 观察老年高血压在中医治未病思想下应用降压药物治疗对肾损害的预防作用。方法 选取2017年1月~2018年8月我院收治的老年高血压患者92例，采用随机数表法分为两组，各46例。对照组单纯予以降压药物干预，观察组应用降压药物+中医未病思想干预。比较两组血压、肾功能尿微量白蛋白（UmAlb）、肌酐清除率（Ccr）及尿β2-微球蛋白（Uβ2-MG）]。结果两组干预2个月血压水平均较治疗前降低，且观察组降幅大于对照组，差异有统计学意义（P＜0.05）；观察组干预2个月UmAlb、Uβ2-MG低于对照组，Ccr高于对照组，差异有统计学意义（P＜0.05）。结论 针对老年高血压患者，应用中医治未病思想与降压药物进行干预利于降低血压水平，预防肾损害。

Therapeutic Effect of Traditional Chinese Medicine Treatment and Disease Prevention Combined with Antihypertensive Drugs on Preventing Renal Damage in Elderly Patients with Hypertension

Objective To observe the preventive effect of antihypertensive drugs on renal damage in elderly patients with hypertension. Methods A total of 92 elderly hypertensive patients admitted to our hospital from January 2017 to August 2018 were enrolled. The patients were divided into two groups, 46 cases each.The control group was treated with antihypertensive drugs alone, and the observation group was treated with antihypertensive drugs + traditional Chinese medicine to prevent ideological intervention. Blood pressure and renal function UmAlb, creatinine clearance (Ccr) and urinary β2-microglobulin (Uβ2-MG) were compared between the two groups. Results The blood pressure levels of the two groups were lower than those before treatment, and the decrease in the observation group was greater than that in the control group,the difference was statistically significant (P<0.05). In the observation group, the UmAlb and Uβ2-MG were lower than the control group for 2 months. Ccr was higher than the control group,the difference was statistically significant (P<0.05). Conclusion In the elderly patients with hypertension, the application of TCM treatment and antihypertensive drugs to prevent blood pressure levels and prevent renal damage.