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目的：观察中西医结合治疗原发性高血压的临床疗效及对中医临床症状积分的改善。方法纳入本院2014年6月~2015年10月门诊高血压患者60例，随机分为治疗组与对照组各30例，治疗组予西医常规治疗加以中医辨证复方治疗，对照组予西药常规治疗，治疗周期：4周。结果治疗组治疗前后收缩压分别为（163.15±18.49）mmHg、（135.69±13.45）mmHg，对照组治疗前后收缩压分别为（162.24±16.34）mmHg、（137.53±12.61） mmHg，两组患者治疗后血压均较治疗前显著降低（P＜0.01），治疗组血压控制优于对照组，但无统计学差异（P＞0.05）；治疗组患者早晚血压波动为（10.23±9.42）mmHg，对照组（15.46±12.24）mmHg，治疗组优于对照组，有统计学差异（P＜0.05）；治疗组治疗前中医症状积分（23.43±7.29），治疗后为（6.97±3.47），对照组治疗前中医症状积分为（25.06±8.35），治疗后为（11.92±4.68），两组患者治疗后中医症状积分均较治疗前显著改善（P＜0.01），治疗组优于对照组，有统计学差异（P＜0.05）。结论中西医结合治疗能更好的改善高血压患者临床症状，稳定血压，提高患者生活质量。“,”Objective To observe the effects of treatment of primary hypertension with combination of traditional Chinese Medicine (TCM) and modern medicine. Methods 60 outpatient with primary hypertension aged 37~79 were randomly divided into 2 equal groups: TCM treatment group treated by traditional Chinese medicine decoction combined with conventional Western medicine , and control group treated by conventional western medicine only. Four weeks later, blood pressure was measured and syndrome integral of vertigo was calculated. Results The systolic blood pressure 4 weeks after treatment of the combined treatment group was (135.69 ± 13.45) mmHg, significantly lower than that before treatment [(163.15±18.49) mmHg, P<0.05]. The systolic blood pressure 4 weeks after treatment of the Western medicine group was (137.53 ± 12.61) mmHg, significantly lower than that before treatment [(162.24 ± 16.349) mmHg, P<0.05]. The systolic blood pressure 4 weeks after treatment of the combined treatment group was lower than that of the Western medicine group , however, not significantly (P<0.05). The daily fluctuation of blood pressure between evening and morning in the combined treatment group was (10.23 ± 9.42) mmHg, significantly lower than that of the Western medicine group [(15.46 ± 12.24) mmHg, P<0.05]. The TCM syndrome integral of vertiligo 4 weeks after treatment of the Western medicine group was 11.92 ± 4.68, significantly lower than that before treatment [(25.06 ± 8.35),P<0.05]. The TCM syndrome integral of vertiligo 4 weeks after treatment of the combined tereatment group was 6.97±3.47, significantly lower than that of the same group before treatment [(23.43±7.29), P<0.05] and that of the Western medicine gropup after treatment as well (P<0.01). Conclusion Combined TCM and Western medicine treatment is more effective in treatment of primary hypertension.