化痰通络活血方治疗原发性高血压的临床观察

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1、授予单位代码10089学号或申请号13616HebeiMedicalUniversity在职科学位化痰通络活血方治疗原发性高血压的临床观察学位申请人：焦红蕾导师：苗华为教授专业：中西医结合临床二级学院：中医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师(或指导小组〉的指导下，由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文,第一署名为单位河北医科大学，试验材料、原始数据、申报的专利等

2、知识产权均归河北医科大学所有。否则,承担相应法律责任。研究生签名：售命善导师签章:^V"二级学院领导盖章：一“^年r月4曰河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果,除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名：今I�.导师签章：^年玄月卞1日目录中文摘要··································································

3、···········1英文摘要·············································································4研究论文化痰通络活血方治疗原发性高血压的临床观察前言·············································································9材料与方法·······························································

4、·····10结果·············································································13附表·············································································15讨论·············································································19结论··············

5、·······························································27参考文献·······································································28综述中医对高血压病的认识及治疗近况···································30致谢····································································

6、···············40个人简历·············································································41中文摘要化痰通络活血方治疗原发性高血压的临床观察摘要目的：原发性高血压简称高血压病，主要临床表现就是血压升高。它的患病率和发病率因国度、地域和种族的差别而有不同，当前在我国高血压成人患病率为18.8％，中年人群中患病率为24％。高血压发展到晚期可形成心、脑、肾等靶器官的损害，使病人的的发病率、死亡率很高,严重影响患者的寿命、生活质

7、量，已经成为严重威胁人类健康、性命的疾病。在我国40岁以上人群的死亡原因中，第一位和第三位分别是心脏病和脑血管病，而高血压是总死亡的第一危险因素。如何安全、有效地防治高血压病是广大患者所关注的焦点，也是临床医师研究的主要课题之一。研究表明中、西医结合比单独的中医或西医的应用，可以增强身体对抗高血压药物的敏感性，减少靶器官损伤，取得较好的疗效。本课题主要通过进行对化痰通络活血方的临床观察，探讨高血压病的中医药治疗效果以及应用前景。方法：将80例符合诊断标准的病人随机分成中西药组和西药组进行临床观察，两组病人的一般情况无统计学差异

8、。西药组40例，给予苯磺酸氨氯地平（络活喜、辉瑞制药有限公司，国药准字H10950224），每次5mg，每日一次口服；中西药组共40例，给予化痰通络活血方（半夏10克，陈皮10克，天麻10克，炒白术10克，桃仁10克，红花10克，当归10克，白芍15克，川芎10克，葛根30克