首页|太极拳功法在老年原发性高血压患者临床治疗中的应用研究

太极拳功法在老年原发性高血压患者临床治疗中的应用研究

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目的 观察太极拳功法对老年原发性高血压患者临床治疗效果.方法 选取2021 年9 月至2023 年1 月收治的80 例老年原发性高血压患者,按随机数字表法分为2 组,对照组40 例予马来酸左旋氨氯地平片治疗,治疗组40 例在对照组基础上联合太极拳功法干预.2 组均治疗3 个月.比较2 组治疗前后血压(包括舒张压及收缩压)、睡眠质量[采用匹兹堡睡眠质量指数(PSQI)评分评价,包括睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物及日间功能障碍]、心理状态[采用凯斯勒心理困扰量表(K10)及广泛性焦虑量表(GAD-7)进行评价]及生活质量[采用健康调查简表(SF-36)进行评价,包括生理机能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康8 个维度]变化情况.结果 与本组治疗前比较,2 组治疗后收缩压及舒张压水平均降低(P<0.05),且治疗组治疗后收缩压及舒张压水平均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后PSQI睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分均降低(P<0.05),且治疗组治疗后PSQI各项评分均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后K10 评分及GAD-7 评分均降低(P<0.05),且治疗组治疗后K10 评分及GAD-7 评分均低于对照组(P<0.05).与本组治疗前比较,2 组治疗后SF-36 生理机能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康评分均升高(P<0.05),且治疗组治疗后SF-36 各项评分均高于对照组(P<0.05).结论 太极拳功法干预老年原发性高血压患者疗效显著,可有效提高血压控制水平,改善患者睡眠质量,改善心理状态,提高生活质量.
Clinical efficacy of Taichi Boxing on elderly patients with primary hypertension
Objective To observe the clinical efficacy of Taichi Boxing on elderly patients with primary hypertension.Methods From September 2021 to January 2023,a total of 80 elderly patients with primary hypertension were randomly as-signed into the treatment group(n =40)and the control group(n =40).All patients were managed by levamlodipine maleate tablets,and those in the treatment group were additionally treated with Taichi Boxing.Treated for 3 months,the aim was to com-pare blood pressure(diastolic blood pressures[DBP],systolic blood pressures[SBP]),Pittsburgh Sleep Quality Index(PSQI)scores(sleep quality,time before falling asleep,sleep time,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunc-tion),Kessler Psychological Distress Scale(K10)and Generalized Anxiety Disorder Scale(GAD-7),36-Item Short-Form Health Survey(SF-36)(physiological function,physiological role,bodily pain,general health,vitality,social function,emo-tional function,mental health).The curative effect was assessed.Results After treatment,DBP and SBP in the both groups were significantly decreased(P<0.05),which decreased notably in the treatment group compared with the control group(P<0.05).PSQI(sleep quality,time before falling asleep,sleep time,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunction)scores in the both groups were significantly decreased(P<0.05),which were significantly lower in the treatment group than in the control group(P<0.05).K10 and GAD-7 scores in the both groups were significantly decreased(P<0.05),the reduction in the treatment group was more common than the control group(P<0.05).SF-36(physiological function,physio-logical role,bodily pain,general health,vitality,social function,emotional function,mental health)scores in the both groups were significantly increased(P<0.05),the increase in the treatment group was more prevalent compared with the control group(P<0.05).Conclusion For elderly patients with primary hypertension,Taichi Boxing has significant effect,which can effec-tively improve blood pressure control level,sleep quality,mental state,quality of life.

Primary hypertensionTaichi BoxingQuality of lifeSleep qualityMental rehabilitation

曹亚美、穆荣、周旭燕、王巧燕、王菲、王竞竞、郭世孟、罗艳丽、张姝媛

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河北省石家庄市中医院东院区脑病科,河北 石家庄 050000

河北省石家庄市中医院东院区心病科,河北 石家庄 050000

河北省石家庄市中医院东院区ICU,河北 石家庄 050000

河北省石家庄市中医院东院区脑病一科,河北 石家庄 050000

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原发性高血压 太极拳 生活质量 睡眠障碍 心理康复

2022年度河北省中医药管理局科研计划项目

2022475

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(1)
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