首页|引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果评价

引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果评价

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目的:分析引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果.方法:选取2021年10月~2022年11月本院收治血液透析伴肾性高血压患者202例为研究对象.根据治疗方案不同分为对照组(耳尖放血疗法+常规治疗)98例和观察组(对照组基础上予以加用引火归元贴)104例.对比两组临床疗效、即时降压情况、血压水平、高血压中医症状积分及安全性.结果:观察组临床疗效高于对照组,差异具有统计学差异(P<0.05).两组均随着时间增长收缩压、舒张压血压差值均显著上升,且观察组首次治疗后5min、15min、30min、60min收缩压、舒张压血压差值均大于对照组(P<0.05).两组治疗后收缩压、舒张压水平均显著下降(P<0.05);两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05).两组治疗后1周、治疗后1月高血压中医症状积分均显著下降,且观察组治疗后1周高血压中医症状积分下降幅度大于对照组(P<0.05).两组均未出现严重的不良反应.结论:引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中即时及近期血压下降效果良好,可显著改善高血压中医症候积分.
Application effect evaluation of Yinhuo Guiyuan paste combined with ear tip bloodletting therapy in hemodialysis patients with renal hypertension
Objective To analyze the application effect of Yinhuoguiyuan paste combined with ear tip bloodletting therapy in hemodialysis patients with renal hypertension.Methods 202patients with hemodialysis and renal hypertension admitted to our hos-pital from October 2021to November 2022were selected as the research objects.According to different treatment plans,they were divided into the control group(ear tip bloodletting therapy+conventional treatment)of 98cases and the observation group(on the basis of the control group,Yinghuoguiyuan paste was added)of 104cases.The clinical curative effect,immediate antihypertensive situation,blood pressure level,hypertensive TCM symptom score and safety were compared between the two groups.Results The clinical curative effect of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The differences in systolic and diastolic blood pressures in the two groups increased significantly over time,and the differences in systolic and diastolic blood pressures in the observation group at 5minutes,15minutes,30minutes,and 60minutes after the first treatment were greater than those in the control group(P<0.05).After treatment,the systolic and diastolic blood pressure levels in the two groups decreased significantly(P<0.05);and there was no significant difference in the systolic and di-astolic blood pressure levels between the two groups(P>0.05).One week after treatment and one month after treatment,the scores of TCM symptoms of hypertension in the two groups decreased significantly,and the decline rate of TCM symptom scores of hypertension in the observation group was greater than that in the control group(P<0.05).There were no serious adverse reac-tions in both groups.Conclusion Yinhuoguiyuan paste combined with ear tip bloodletting therapy has good immediate and short-term blood pressure reduction effects in hemodialysis patients with renal hypertension,and can significantly improve the TCM syn-drome score of hypertension.

Yinghuoguiyuan pasteear tip bloodletting therapyhemodialysisrenal hypertensionapplication effect

周红艳、卫德强、蒋敏、黄瑾华、顾明协、史淋峰、宗丽敏

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宜兴市中医医院肾病科,江苏宜兴 214200

宜兴市中医医院药剂科,江苏宜兴 214200

引火归元贴 耳尖放血疗法 血液透析 肾性高血压 应用效果

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(1)
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