·922·2023年8月第43卷第8期JilinJournalofChineseMedicineAug.2023Vol.43No.8DOI:10.13463/j.cnki.jlzyy.2023.08.014柴胡疏肝汤加减治疗高血压病伴焦虑疗效观察邢齐树1,刘汉顺1,陈继群2,黄春华1,吴蓉1(合肥市第三人民医院/安徽医科大学合肥第三临床学院,合肥230022)摘要:目的探讨柴胡疏肝汤加减治疗高血压病伴焦虑的临床疗效。方法按照随机数字表法将60例高血压病伴焦虑症患者分成对照组和观察组。2组均采用常规降压治疗,对照组另外联合草酸艾司西肽普兰片治疗,观察组另外联合柴胡疏肝汤加减治疗。观察2组治疗前后中医证候积分(胸部刺痛、胸胁胀痛、抑郁或易怒急躁、腹胀)、血压水平(SBP、DBP)、焦虑自评量表(SAS)、生活质量评分、单胺神经递质[多巴胺(DA)、去甲肾上腺素(NE)、5-羟色胺(5-HT)]水平变化,并比较2组治疗总有效率及安全性。结果观察组治疗后各项中医证候积分、SBP、DBP、SAS评分均低于对照组(P<0.05),生活质量评分、DA、NE、5-HT水平及治疗总有效率均高于对照组(P<0.05);2组均无严重不良反应发生。结论柴胡疏肝汤加减结合常规降压措施治疗高血压伴焦虑疗效确切,安全有效,能够有效控制血压水平,调节单胺神经递质水平,缓解焦虑症状。关键词:原发性高血压;焦虑;柴胡疏肝汤加减中图分类号:R544.1文献标志码:A文章编号:1003-5699(2023)08-0922-04ObservationontheeffectofmodifiedChaihuShuganDecoctioninthetreatmentofpatientswithhypertensionandanxietyXINGQishu1,LIUHanshun1,CHENJiqun2,HUANGChunhua1,WURong1(HefeiThirdPeople'sHospital/HefeiThirdClinicalCollege,AnhuiMedicalUniversity,Hefei230022,China)Abstract:ObjectiveToexploretheclinicaleffectofmodifiedChaihuShuganDecoctioninthetreatmentofhypertensionwithanxiety.MethodsAccordingtothemethodofrandomnumbertable,60patientswithhypertensionandanxietyweredividedintoacontrolgroupandanobservationgroup.Thetwogroupsweretreatedwithaconventionalantihypertensivetherapy,andthecontrolgroupwasadditionallytreatedwithescitalopramoxalatetablets,whiletheobservationgroupwasadditionallytreatedwithmodifiedChaihuShuganDecoction.ThechangesoftheTCMsyndromescores(chestpain,chestandflankpain,depressionorirritability,abdominaldistension),thebloodpressurelevels(SBP,DBP),scoresoftheself-ratinganxie...