CAJ | 학술논문

目的：探讨中西医结合治疗老年原发性高血压合并高脂血症的临床价值。方法选取2012年1月-2013年5月就诊的高血压合并高血脂老年患者135例，随机分为2组，A 组患者给予单纯西药治疗，B 组在此基础上按证型给予中药方剂，观察2组治疗后血压、血脂及血液流变学指标的改善情况。结果2组血压改善有效率无显著差异（P ＞0．05）。B 组患者血压、血脂、血液流变学各指标改善优于 A 组（P ＜0．05或 P ＜0．01）。2组患者治疗后血压、血脂、血液流变学各指标均优于治疗前（P ＜0．05或 P ＜0．01）。结论中西医结合治疗高血压合并高脂血症，患者血压、血脂及血液流变学指标改善程度均优于单纯西药治疗，且安全性高。
목적：탐토중서의결합치료노년원발성고혈압합병고지혈증적림상개치。방법선취2012년1월-2013년5월취진적고혈압합병고혈지노년환자135례，수궤분위2조，A 조환자급여단순서약치료，B 조재차기출상안증형급여중약방제，관찰2조치료후혈압、혈지급혈액류변학지표적개선정황。결과2조혈압개선유효솔무현저차이（P ＞0．05）。B 조환자혈압、혈지、혈액류변학각지표개선우우 A 조（P ＜0．05혹 P ＜0．01）。2조환자치료후혈압、혈지、혈액류변학각지표균우우치료전（P ＜0．05혹 P ＜0．01）。결론중서의결합치료고혈압합병고지혈증，환자혈압、혈지급혈액류변학지표개선정도균우우단순서약치료，차안전성고。
Objective To evaluate the combination of traditional Chinese medicine and western medicine in treatment of primary hypertensive complicated with hyperlipidemia among el-derly patients.Methods A total of 135 hypertensive patients with hyperlipidemia were randomly divided into group A and B,and they were given western medicine only and combined Chinese medicine and western medicine therapy,respectively.Blood pressure,blood-lipoid indexes and hemorheology were observed after treatment.Results The difference in recovery rate of blood pressure was no significant between two groups(P >0.05);There were significant differences in blood pressure,blood-lipoid indexes and hemorheology before and after treatment in both groups(P<0.05,P <0.01),and changes of those indexes were significant difference between two groups (P <0.05,P <0.01).Conclusion Compared with western therapy,combination of Chinese medicine and western medicine is superior and safe for elderly hypertensive patients with hyperlipi-demia.