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Step-down Particles Yishen Renal Damage In Hypertension-related Target Of The Impact Study

Posted on:2010-02-01Degree:MasterType:Thesis
Country:ChinaCandidate:J ChenFull Text:PDF
GTID:2144360278476021Subject:Chinese medical science
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Purpose:Observation of step-down particles Yishen early renal damage in hypertension and other related laboratory improvement target,and used alone felodipine(Plendil) compared to clear its position.Ways:2008-2009,where our selection criteria in line with hypertension,a TCM card yinxuyangkang or hyperactivity,high blood pressure disease limited toⅠ,Ⅱperiod(mild to moderate) patients,stageⅡin hypertension as the main observation object,at the age of 18-70 years old,at the same time there is urine MALB≥13.4mg / L and / or urineβ2-MG≥0.227mg/ L in urine NAG≥17.8U / g and some hospital out-patient cases,as the observation of objects, were randomly divided into treatment group(20 cases) and control group(20 cases).Treatment group and control group using the same basic treatment,such as smoking cessation,alcohol,take part in physical exercise,diet,light,combined hyperlipidemia,hyperuricemia and other treatment when symptomatic.Yishen antihypertensive treatment group to add felodipine particles, particles from step-down Yishen Bidens,Shouwu system,cornus officinalis,Scrophulariaceae, Cyathula officinalis Kuan,Zexie composition,according to the proportion of prescriptions processed into granules each 10g,daily 2 times 2-month course of treatment for one.To felodipine(Plendil) 5mg,daily one time treatment,2 months for one course of treatment. Observed after treatment of clinical symptoms and signs,blood pressure,heart rate and early kidney damage in laboratory indicators:urinary MAlb,urinaryβ2-MG,urinary NAG and so on, after the end of treatment,all the information entered into the computer,using statistical procedures SPSS.Results:Blood pressure after treatment showed that the treatment group Yishen particles symptom score was significantly lower than the control group,and there is significant difference (p<0.01).Antihypertensive effect in the total efficiency,the two groups showed no significant differences,but the efficiency of the treatment group significantly better than the control group (p<0.05).In terms of the range of step-down effect and showed that the treatment group significantly reduced SBP in the control group,and had no significant effect on heart rate,heart rate control group significantly affected.In addition,the treatment group,urine NAG,β2-MG than those in pre-treatment has declined significantly(p<0.01) than before treatment mAlb urine decreased significantly(p<0.05);control group,urine NAG,β2-MG after treatment than before treatment decreased(p<0.05).Comparison of the two groups after treatment,the treatment group decreasedβ2-MG and there is significant difference in the control group(p<0.05).Conclusion:The step-down Yishen particles and add felodipine alone felodipine(Plendil) compared to the improvement of symptoms,blood pressure and MALB,blood,urineβ2-MG, urinary NAG latter regard the former is better than that of Chinese medicine Renal protection at an advantage.
Keywords/Search Tags:high blood pressure, kidney damage, blood pressure Yishen particles
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