【摘要】目的：探讨采取化痰祛湿定眩汤联合非洛地平缓释片对老年原发性高血压(EH)的治疗效果。方法：纳入在2022年1月—2022年12月本社区卫生服务中心收治的120例老年EH者为研究对象，遵循随机数字表法，分成观察组(n=60)与对照组(n=60)。对照组给予单纯应用非洛地平缓释片治疗1个月，观察组则给予化痰祛湿定眩汤联合非洛地平缓释片治疗1个月。比较患者治疗前后中医症候积分变化，治疗前后的收缩压与舒张压指标变化，治疗期间不良反应情况。结果：治疗1个月患者的中医症候积分各个项目得分均低于治疗前，而观察组的症候积分低于对照组，组间差异有统计学意义(P<0.05)；治疗1个月的收缩压与舒张压指标水平较治疗前降低，观察组治疗后的血压水平低于对照组，组间差异有统计学意义(P<0.05)；两组在治疗期间不良反应差异无统计学意义(P>0.05)。结论：采取化痰祛湿定眩汤联合非洛地平缓释片对老年EH患者的治疗效果满意，可降低症候积分，改善症状体征，此外降低血压指标水平，且不良反应发生率低。

    【关键词】老年；原发性高血压；化痰祛湿定眩汤；非洛地平缓释片；中医症候积分

    Analysis of the effect of phlegm removal and dampness dizziness decoction combined with felodipine sustained-release tablets in the treatment of elderly essential hypertension

    WANG Chunxiang

    Department of Traditional Chinese Medicine， Yangfang Community Health Service Center， Yangfang Town， Changping District， Beijing 102205， China

    【Abstract】Objective： To investigate the therapeutic effect of phlegm removal decoction combined with felodipine sustained-release tablets on the treatment of elderly essential hypertension (EH). Methods： A total of 120 elderly patients with EH admitted to the community health service center from January to December 2022 were enrolled as the study subjects ......