自拟平肝益肾健脾方联合生活方式干预对高血压前期人群的短期疗效观察

目的：观察自拟平肝益肾健脾方联合生活方式干预对高血压前期患者中医症状及血压、血脂、体重指数的影响。方法将66例高血压前期患者随机分为治疗组（34例）与对照组（32例），两组均进行半年的生活方式干预，治疗组在生活方式干预基础上加用自拟平肝益肾健脾方，观察两组患者治疗前后血压水平、中医证候疗效、血脂、体重指数变化。结果两组收缩压及舒张压、血脂、体重指数均较干预前有所降低，且血压及血三酰甘油水平治疗组较对照组降低明显，差异有统计学意义（P＜0.05），两组中医症状均有改善，治疗组改善更加明显（P＜0.05）。结论在生活方式干预的基础上，中药平肝益肾健脾方早期干预高血压前期患者有较好的临床疗效。

Short term Effects of Chinese M edicine Com bined w ith Lifestyle Intervention for P rehypertension

Objective To observe the effects of P inggan Y ishen Jianpi decoction （ PYJD） com bined w ith lifestyle intervention in patients w ith prehypertension traditionalChinese m edicine（TCM） sym ptom s ,blood pressure ,blood lipid and body m ass index （BMI） . M ethods S ixty six patients w ith prehypertension w ere random ly divided into the treatm ent group 34 cases ,the contro lgroup 32 ca-ses ,bo th groups for ha lf a year’ s lifestyle intervention ,and the treatm ent group w as g iven the P inggan Y ishen JianpiFang on the ba-sis of the lifestyle intervention ,The blood pressure levels ,therapeutic effect of syndrom e ,blood lipids ,BM Iof patients in the tw o group w ere observed before and after treatm ent.Results Tw o groups of systo lic and diasto lic blood pressure ,blood lipid,BM Iw ere de-creased ,com pared w ith before ,and the treatm ent group’ s blood pressure and blood trig lyceride levels low er than the contro lgroup , there w as significant difference（ P〈0.05） .TCM sym ptom s w ere im proved ,w hich in treatment group improved more obvious（ P〈0.05） . C onclusion On the basis of the lifestyle intervention ,early intervention for prehypertension by PYJD had good clinical curative effect.