首页|年轻高血压伴发睡眠障碍患者建立中西医综合管理模式的临床效果观察

年轻高血压伴发睡眠障碍患者建立中西医综合管理模式的临床效果观察

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目的 观察年轻高血压伴发睡眠障碍患者建立中西医综合管理模式的临床效果.方法 将高血压伴发睡眠障碍年轻患者80 例进行预先分组,以干预手段为依据,使用随机摸球方式分入2 组.对照组40 例予以西医综合管理;观察组40 例予以中西医综合管理模式.干预前后评价匹兹堡睡眠指数(PSQI)、血压控制效果及中医证候积分,对比两组管理满意度.结果 干预后2 组PSQI评分及收缩压、舒张压低于干预前(P<0.05);干预后观察组PSQI评分及收缩压、舒张压低于对照组(P<0.05).干预后 2 组中医证候(眩晕、头痛、急躁易怒、五心烦热)积分低于干预前(P<0.05);干预后观察组中医证候(眩晕、头痛、急躁易怒、五心烦热)积分低于对照组(P<0.05).对照组总满意率85.00%低于观察组100.00%,有统计意义(P<0.05).结论 年轻高血压伴发睡眠障碍患者建立中西医综合管理模式,可以进一步提高血压控制效果及睡眠质量,并且改善中医证候,患者满意度高.
Clinical effect of the management mode of integrative medicine on young hypertensive patients with sleep disorders
Objective To analyze the clinical effect of the management mode of integrative medicine on young hyperten-sive patients with sleep disorders.Methods This was a clinical controlled study.Eighty young hypertensive patients with sleep disorders treated in our hospital were assigned to control group(n=40,routine Western medicine)or observation group(n=40,integrative medicine)by touching random ball method.The aim was to compare Pittsburgh Sleep Quality Index(PSQI),blood pressure control effect,traditional Chinese medicine(TCM)syndrome score,and satisfaction between groups before and after the intervention.Results After intervention,the PSQI scores,systolic blood pressure(SBP)and diastolic blood pressure(DBP)in both groups were significantly lower than those before intervention(P<0.05),which were significantly lower in the observation group than in the control group(P<0.05).After intervention,TCM symptom(vertigo,headache,irritability,five center heat)scores in groups were significantly decreased(P<0.05),which decreased notably in the observation group compared with the control group(P<0.05).The satisfaction rate in the control group was significantly lower than that of the observation group(85.00%vs 100.00%,P<0.05).Conclusion The management mode of integrative medicine can further improve blood pres-sure control and sleep quality,improve TCM symptoms in young hypertensive patients with sleep disorders,it has a high satisfac-tion.

HypertensiveSleep disordersmanagement mode of integrative medicineClinical effect

张欣、王蕊、田赛

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北京积水潭医院心内科,北京 100096

高血压 睡眠障碍 中西医综合管理模式 临床效果

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(7)
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