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降壓方穴位貼敷治療肝陽上亢型高血壓病的療效探討

發(fā)布時間:2018-06-24 來源: 幽默笑話 點擊:


  [摘要] 目的 探討復方中藥貼敷多穴位治療肝陽上亢型高血壓病的療效。方法 方便選擇2016年9月—2017年5月入住該院的肝陽上亢型高血壓病患者隨機分治療組和對照組,各30例每組。對照組行規(guī)范化西醫(yī)治療。治療組在對照組治療基礎上行降壓方穴位貼敷。結果 治療組血壓下降總有效率為100.0%(且中醫(yī)證候有效率如下:眩暈100.0%;頭痛100.0%;口干口苦便秘87.5%;溲赤100.0%;五心煩熱100.0%;耳鳴100.0%;急躁易怒100.0%;失眠健忘94.7%;腰膝酸軟91.7%,總有效率為97.1%)。尿微量蛋白減少總有效率為73.3%。患者總體療效總有效率為94.0%。結論 復方中藥多穴位貼敷聯(lián)合降壓藥能更有效地降低肝陽上亢型高血壓病患者的血壓;改善中醫(yī)證候;降低患者尿微量白蛋白水平。
  [關鍵詞] 降壓方穴位貼敷;肝陽上亢型高血壓;治療;療效
  [中圖分類號] R246.1 [文獻標識碼] A [文章編號] 1674-0742(2018)01(c)-0162-03
  [Abstract] Objective This paper tries to investigate the curative effect of compound Chinese medicine sticking multiple acupoints on hyperthyroidism with liver-yang syndrome with Jiangya recipe. Methods 60 patients who admitted to the hospital from September 2016 to May 2017 were convenient selected and divided into the treatment group and the control group by random, 30 cases in each group. The control group was given regularly western medicine; the treatment group received the jiangya recipe acupoint sticking therapy on pionts on the basis of the regularly western medicine. Results In the treatment group, the total effective rate of blood pressure decreased was 100.0%(and TCM syndromes were as follows: vertigo 100.0%;headache 100.0%;mouth dry and bitter, constipation 87.5%;scanty dark urine 100.0%; dysphoria in chestpalms-soles 100.0%; tinnitus 100.0%, irritability 100.0%; insomnia amnesia 94.7%; soreness and weakness of waist and knees 91.7%, the total effective rate was 97.1%). The total effective rate of urinary microalbumin reduction was 73.3%. The total effective rate of overall treatment was 94.0%. Conclusion Compound Chinese medicine multi-acupoint sticking with antihypertensive drugs can more effectively reduce blood pressure in patients with hyperthyroidism and improve TCM syndromes; reduce the level of urine microalbuminuria.
  [Key words] Antihypertensive acupoint sticking; Hyperactivity of liver-yang hypertension; Treatment; Efficacy
  高血壓是腦卒中和冠心病的主要危險因素,我國患病率為29.6%,治療后血壓達標率為27.4%[1]。中醫(yī)療法在改善癥狀和生活質量,持續(xù)時間,療效平穩(wěn)性等方面獨具優(yōu)勢,該研究通過觀察該院2016年9月—2017年5月收治的60例肝陽上亢型高血壓病患者,探討復方中藥多穴位貼敷治療肝陽上亢型高血壓病的安全性、降壓療效、癥狀療效,為中藥貼敷療法提供切實的臨床證據(jù)。報道如下。
  1 資料與方法
  1.1 一般資料
  該試驗為前瞻性隨機對照研究,方便選擇該院收治的60例肝陽上亢型高血壓病患者,隨機分為觀察組和治療組,每組30例。對比兩組患者性別、年齡、病情等一般臨床資料的差異無統(tǒng)計學意義(P>0.05),具有對比性。
  1.2 診斷與納入標準
  1.2.1 診斷標準 根據(jù)2010年修訂的《中國高血壓防治指南》及《中藥新藥臨床研究指導原則》,在未用降壓藥物的情況下,非同日3次測量血壓,收縮壓≥140 mmHg和/或舒張壓≥90 mmHg,同時有中醫(yī)主要癥狀及≥4個次要癥狀,結合舌象、脈象,診斷為肝陽上亢證。
  主要癥狀:眩暈,頭痛、急躁易怒。
  次要癥狀:面紅、目赤、口干、口苦、便秘、溲赤、五心煩熱、耳鳴、失眠健忘、腰膝酸軟。

相關熱詞搜索:降壓 高血壓 穴位 療效 探討

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