Skip to main content
Log in

Effect of traditional and integrative regimens on quality of life and early renal impairment in elderly patients with isolated systolic hypertension

  • Original Article
  • Published:
Chinese Journal of Integrative Medicine Aims and scope Submit manuscript

Abstract

Objective

To observe the effect of Chinese medical regimen and integrative medical regimen on quality of life and early renal impairment in elderly patients with isolated systolic hypertension (EISH).

Methods

A multi-center, randomized, double-blinded controlled trail was adopted. A total of 270 cases of EISH were randomly divided into 3 groups: Chinese medicine group (CM), combination group and Western medicine group (WM). The course of treatment was 4 weeks. The clinical blood pressure, integral of quality of life (SF-36 scale), immunoglubin G (IgG), microalbumin (mALB), β2-microglobulin (β2-MG), transferrin (TRF) and N-acetyl-β′-D-glucosa-minidase (NAG) in urine were determined before and after the treatment.

Results

After treatment, systolic blood pressure depressed significantly in each group (P<0.05), and the combination group was superior to CM or WM group in depressing SBP (P<0.05); in each group, integral of quality of life improved in different degree, and combination group was superior to WM group in all 8 dimensions (P<0.05). The level of mALB and β2-MG in urine decreased in all groups (P<0.05), and the combination group was superior to CM group or WM group in decreasing mALB (P<0.05).

Conclusions

Chinese medical regimen has affirmative effect in treating EISH patients, and could lower the systolic blood pressure, improve quality of life and early renal impairment of the patients, and integrative medical regimen has superiority on account of cooperation, and deserves further study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Yu JY, Li SQ. The detection methods of the early renal disease of hypertension. Med Recapitulate (Chin) 2006;12:828–829.

    Google Scholar 

  2. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report. JAMA 2003;289:2560–2572.

    Article  CAS  PubMed  Google Scholar 

  3. Amendment Committee of Chinese Prevention and Treatment of Hypertension. China guideline for the prevention and Treatment of hypertension in 2005. (updated version, 2005). Beijing: People’s Medical Publishing House; 2006:20.

    Google Scholar 

  4. Li H, Cui L, Xu LR, Luo ZG. Clinical study on Jiangya Capsules for treatment of 24 cases of senile simple systolic hypertension. J Tradit Chin Med (Chin) 2004;45:26–28.

    Google Scholar 

  5. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care 1992;30:473–483.

    Article  PubMed  Google Scholar 

  6. Chobanian AV. Clinical practice Isolated systolic hypertension in the elderly. N Engl J Med 2007; 357:789–796.

    Article  CAS  PubMed  Google Scholar 

  7. Whitworth JA. Progression of renal failure — the role of hypertension. Ann Acad Med Singapore 2005;34:8–15.

    CAS  PubMed  Google Scholar 

  8. Zhang XC, Chen T. The clinical application of urinary albumin detection on the diagnosis of early renal damage of hypertension. Lab Med Clin (Chin) 2006; 3:25–26.

    Google Scholar 

  9. Stam F, van Guldener C, Schalkwijk CG, ter Wee PM, Donker AJ, Stehouwer CD. Impaired renal function is associated with markers of endothelial dysfunction and increased inflammatory activity. Nephrol Dial Transplant 2003;18:892–898.

    Article  PubMed  Google Scholar 

  10. Tang MF. The clinical research of traditional and West integrative medical treatment of the renal damage of hypertension. Chin J Integr Med Cardio-/Cerebrovasc Dis (Chin) 2008;6:1265–1267.

    Google Scholar 

  11. Wan LL, Sun DX. The detection value of urinary protein and urinary enzyme for early diagnosis of renal damage of hypertensive. Chin Health Med (Chin) 2007;15:76–77.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Hao Li  (李 浩).

Additional information

Supported by “Eleventh Five-Year” National Science and Technology Support Program of Chinese Medicine Treatment of Common Diseases Project (No. 2007BAI20B07); Science and Technology Research Projects of Capital Medical Development Fund, (No. 03 II 01)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Li, H., Liu, Lt., Zhao, Wm. et al. Effect of traditional and integrative regimens on quality of life and early renal impairment in elderly patients with isolated systolic hypertension. Chin. J. Integr. Med. 16, 216–221 (2010). https://doi.org/10.1007/s11655-010-0216-y

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11655-010-0216-y

Keywords

Navigation