CAJ | 학술논문

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。
목적：관찰자의평간익신건비방연합생활방식간예대고혈압전기환자중의증상급혈압、혈지、체중지수적영향。방법장66례고혈압전기환자수궤분위치료조（34례）여대조조（32례），량조균진행반년적생활방식간예，치료조재생활방식간예기출상가용자의평간익신건비방，관찰량조환자치료전후혈압수평、중의증후료효、혈지、체중지수변화。결과량조수축압급서장압、혈지、체중지수균교간예전유소강저，차혈압급혈삼선감유수평치료조교대조조강저명현，차이유통계학의의（ P ＜0．05），량조중의증상균유개선，치료조개선경가명현（ P ＜0．05）。결론재생활방식간예적기출상，중약평간익신건비방조기간예고혈압전기환자유교호적림상료효。
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.