蔡玲

[摘要] 目的 探讨对糖尿病合并高血压危象患者进行葛根汤辅助治疗的临床效果。方法 选取张家港市中医医院于2016年1月—2017年12月期间收治的80例糖尿病合并高血压危象患者作为研究对象。随机分为对照组和观察组，每组40例，对照组采用单一西药治疗，观察组加用葛根汤辅助治疗，然后比较两组患者的临床治疗效果。结果 观察组患者的空腹血糖指标、收缩压、舒张压均低于对照组，观察组的治疗总有效率高于对照组，差异有统计学意义（P<0.05）。结论 在西药治疗的基础上加用葛根汤予以辅助治疗，可显著治疗糖尿病合并高血压危象患者的临床治疗效果。

[关键词] 糖尿病新；高血压；葛根汤；临床效果

[中图分类号] R544.1；R587.1 [文献标识码] A [文章编号] 1672-4062（2018）08（b）-0071-02

Clinical Experience of Pueraria Decoction in the Treatment of Diabetic Patients with Hypertension

CAI Ling

Department of Rehabilitation， Zhangjiagang Traditional Chinese Medicine Hospital， Zhangjiagang， Jiangsu Province， 215600 China

[Abstract] Objective To investigate the clinical effect of adjuvant treatment of Pueraria Decoction in patients with diabetes mellitus complicated with hypertension. Methods Eighty patients with diabetes mellitus complicated with hypertension were admitted to Zhangjiagang Traditional Chinese Medicine Hospital from January 2016 to December 2017. They were randomly divided into control group and observation group， 40 cases in each group. The control group was treated with single western medicine. The observation group was treated with Pueraria Decoction， and then the clinical effects of the two groups were compared. Results The fasting blood glucose index， systolic blood pressure and diastolic blood pressure of the observation group were lower than those of the control group. The total effective rate of the observation group was higher than that of the control group， and the difference was statistically significant（P<0.05）. Conclusion The addition of Pueraria Decoction to the treatment of western medicine can significantly treat the clinical treatment of diabetic patients with hypertension.

[Key words] New diabetes； Hypertension； Pueraria Decoction； Clinical effect

隨着人们生活水平的提高，糖尿病合并高血压危象的发病率正在不断上升。此类疾病的患者容易引发动脉硬化和心血管病变，直接损害心、脑、肾等组织，严重影响患者的生活质量。临床上，西医治疗以药物控制为主要治疗手段，但治疗效果并不理想。中医治疗常用葛根汤予以病情控制，可有效缓解西医治疗的副作用和容易复发的不足，具有较好的临床效果[1-2]。该次研究于2016年1月—2017年12月探究葛根汤辅助西医治疗40例糖尿病合并高血压病的临床疗效，现报道如下。

1 资料与方法

1.1 一般资料

该次研究选取的对象为张家港市中医医院收治的80例糖尿病合并高血压危象患者。随机分为对照组和观察组，每组40例。其中对照组患者中男29例，女11例，其年龄为42～72岁，平均年龄（64.4±2.21）岁；高血压病程2～11年，平均病程（6.02±0.21）年；入院时平均空腹血糖（9.09±0.21）mmol/L；平均舒张压力为（189.19±18.91）mmHg。……