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耳穴贴压对不同体质高血压前期患者血压水平的影响

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目的:观察耳穴贴压对不同体质高血压前期患者的影响.方法:选取2022 年1 月至2023 年6 月河南省中医院治疗的高血压前期患者118 例,按照随机数字表法分为对照组、研究组,每组各59 例.对照组和研究组均剔除平和质患者6 例,两组实际观察例数均为53 例.对照组患者给予常规对症治疗,根据患者情况分别给予硝苯地平缓释片或非洛地平缓释片治疗,举办健康讲座传播高血压预防的相关知识,增强患者预防该病的意识,为患者宣讲治未病理念.研究组在对照组治疗的基础上给予耳穴贴压疗法治疗.观察两组患者治疗前后体质辨识类型、临床症状、血压、血脂指标[三酰甘油(three acyl glycerin,TG)、血清总胆固醇(total cholesterol,TC)、高密度脂蛋白胆固醇(high density lipoprotein cholesterol,HDL-C)]、生活质量评分、疾病认知水平评分变化情况以及满意度.结果:对照组和研究组患者痰湿质占比分别为 30.50%、32.20%,湿热质占比均为20.33%,气郁质占比分别为11.86%、13.55%.两组患者体质类型比较,无统计学差异(P>0.05);研究组治疗后头痛、头晕发生情况低于对照组,差异有统计学意义(P<0.05);研究组治疗后血压水平低于对照组,差异有统计学意义(P<0.05);研究组治疗后TG、TC水平低于对照组,差异有统计学意义(P<0.05),研究组治疗后HDL-C水平高于对照组,但差异无统计学意义(P>0.05);研究组治疗后生活质量评分、疾病认知水平评分高于对照组,差异有统计学意义(P<0.05);研究组满意度为94.90%,对照组满意度为84.74%,研究组满意度高于对照组,差异有统计学意义(P<0.05).结论:耳穴贴压能降低不同体质高血压前期患者血压水平,改善患者生活质量,患者满意度高.
The Effects of Auricular Point Pressing on Pre-Hypertension Patients with Different Traditional Chinese Medicine Constitutions
Objective:To observe the effects of auricular point pressing on pre-hypertension patients with different TCM constitutions.Methods:A total of 118 pre-hypertension patients treated at Henan Province Hospital of TCM from January 2022 to June 2023 were se-lected and randomly divided into the control group and the study group,with 59 cases in each group.After excluding 6 cases with bal-anced constitution in both groups,53 patients were observed in each group.The control group received routine symptomatic treatment,including Nifedipine Sustained-Release Tablets or Felodipine Sustained-Release Tablets,based on the patient's condition,along with hy-pertension prevention education to raise awareness of disease prevention.The study group received auricular point pressing therapy in addition to the treatment given to the control group,based on the patient's TCM constitution.The changes in constitution identification,clinical symptoms,blood pressure,blood lipid levels[including triglycerides(TG),total cholesterol(TC),high-density lipoprotein cho-lesterol(HDL-C)],quality of life scores,disease awareness scores,and satisfaction before and after treatment were compared between the two groups.Results:The proportion of patients with phlegm-dampness constitution was 30.50%in the control group and 32.20%in the study group,while those with dampness-heat constitution accounted for 20.33%in both groups,and those with qi-stagnation consti-tution made up 11.86%and 13.55%respectively.There was no statistically significant difference in constitution types between the two groups(P>0.05).After treatment,the study group had fewer cases of headache and dizziness than the control group,with statistically significant differences(P<0.05).Blood pressure levels,as well as TG and TC levels,were lower in the study group than in the control group,with significant differences(P<0.05),although HDL-C level in the study group was higher than that in the study group without a statistical significance(P>0.05).The study group also scored higher in quality of life and disease awareness,and their satisfaction rate was 94.90%,compared to 84.74%in the control group,with a significant difference(P<0.05).Conclusion:Auricular point pressing can lower blood pressure in pre-hypertension patients with different constitutions,improve their quality of life,and achieve high patient satisfaction.

pre-hypertensionauricular point pressingTCM constitution identificationphlegm-dampness constitutiondampness-heat constitutionqi-stagnation constitution

胡旻、赵广森、程宁宁、从人愿、管孝贤、郭凤玲

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河南省中医院,河南中医药大学第二附属医院,河南 郑州 450002

高血压前期 耳穴贴压 中医体质辨识 痰湿质 湿热质 气郁质

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(10)