|
|
Effect of Yiqi Huayu and Pinggan Zishen Decoction on heart and kidney function in patients with hypertension retinopathy |
ZHANG Qiaona1 FANG Fang2 CAO Yan2 |
1.Department of Emergency, Tangshan Traditional Chinese Medicine Hospital, Hebei Province, Tangshan 063000, China;
2.Department of Cardiovascular Medicine, Tangshan Traditional Chinese Medicine Hospital, Hebei Province, Tangshan 063000, China |
|
|
Abstract Objective To investigate the effect of Yiqi Huayu and Pinggan Zishen Decoction on heart and kidney function in patients with hypertension retinopathy (HRP). Methods One hundred and sixty HRP patients treated in Tangshan Traditional Chinese Medicine Hospital from June 2017 to June 2018 were selected and divided into control group and observation group according to random digital table method, with 80 cases in each group, of which, two cases fell off in control group and one case in observation group. Control group was given Western medicine basic hypotension and Western medicine complication symptomatic treatment, on the basis of conventional Western medicine treatment, observation group was added with Yiqi Huayu and Pinggan Zishen Decoction, treatment course of two groups was one month. Clinical efficacy, traditional Chinese medicine syndrome efficacy, cardiac and renal function indexes [serum creatinine (Scr), blood urea nitrogen (BUN), brain natriuretic peptide (BNP), ejection fraction (EF)] were observed in two groups. Results Clinical total effective rate and traditional Chinese medicine syndrome total effective rate of observation group were higher than those of control group, the differences were statistically significant (P < 0.05). After treatment, BNP level of two groups was lower than that before treatment, EF was higher than that before treatment, BNP level of observation group was lower than that of control group, EF was higher than that of control group, the differences were statistically significant (P < 0.05). After treatment, Scr and BUN levels of two groups were lower than those before treatment, and observation group was lower than that of control group, the differences were statistically significant (P < 0.05). Conclusion Conventional Western medicine basic treatment combined with Yiqi Huayu and Pinggan Zishen Decoction has significant effect in improving heart and kidney function in patients with HRP, which is worthy of clinical promotion.
|
|
|
|
|
[1] 温鑫洋,颜春鲁,金华.HRP的研究概况[J].中医临床研究,2016,8(1):141-143.
[2] 刘潇,段幸亭.高血压性视网膜病变与高血压靶器官损害的关系[J].中国实用医药,2019,14(29):57-58.
[3] 陶丽丽.高血压性视网膜病变与中医证型的相关性研究[J].中西医结合心脑血管病杂志,2018,16(17):2527-2530.
[4] 陈杨磊,孔媛媛,夏伟,等.天麻钩藤方治疗原发性HRP临床研究[J].河南中医,2018,38(9):1363-1366.
[5] 陈业,范育玲,展磊.复方血栓通胶囊联合阿司匹林治疗高血压性视网膜病变的临床研究[J].深圳中西医结合杂志,2019,29(20):36-37.
[6] 中国高血压防治指南修订委员会.中国高血压防治指南(2010年修订版)[M].北京:人民卫生出版社,2010:53.
[7] 国家药品监督管理局.证候类中药新药临床研究技术指导原则[Z].2018:48.
[8] 边波,万征,李永乐,等.高血压患者视网膜病变调查及其临床价值评价[J].中国慢性病预防与控制,2011,19(2):170-171.
[9] 邹艳玲.中西医结合治疗心肾综合征临床研究[J].中医学报,2014,29(4):580-581.
[10] 张真,王彤,徐强,等.HRP的研究进展[J].中国慢性病预防与控制,2016,24(7):541-543.
[11] 谷秀娟,钱晓蓉,高枫,等.高血压合并AMI患者中ALD、NT-proBNP、cTnI的临床意义[J].中国医药导报,2016,13(5):59-62.
[12] 陶相宜,董志军,董微丽.高血压性视网膜病变与高血压靶器官损害的相关关系分析[J].河北医药,2017,39(13):2004-2007.
[13] 栗艳萍,刘声.血脂康胶囊联合缬沙坦对高血压视网膜病变硬化期的短期效果[J].中国医药导报,2018,15(3):107-109,133.
[14] 程广杰,周皓.妊娠高血压综合征视网膜病变临床分析[J].中国医药导报,2011,8(21):165-166.
[15] 刘源,庄雪芬.HRP与高血压心脏改变及肾病的关系[J].心血管康复医学杂志,2015,24(4):388-390.
[16] 陈璇,韩莉,范传峰,等.HRP患者血浆内皮素-1的表达及意义[J].山东大学耳鼻喉眼学报,2016,30(6):78-80,93.
[17] 《中国高血压防治指南》修订委员会.中国高血压防治指南2018年修订版[J].心脑血管病防治,2019,19(1):1-44.
[18] 陈其敬,罗江宾,张云波,等.原发性高血压患者血清FKN水平与血管内皮功能的关系[J].中国医药导报,2018, 15(23):45-48.
[19] 吕婷婷,孙丙毅,李圆,等.高血压发病机制及相关进展[J].医学综述,2018,24(23):4689-4693.
[20] 王川雨,陈奕君,林尤直.高血压病犯遵医行为现状及其影响因素分析[J].中国医药导报,2019,16(36):54-57.
[21] 刘巍,熊兴江,王阶.高血压前期的中医认识及治疗[J].中国中药杂志,2013,38(14):2416-2420. |
|
|
|