首页|中药穴位贴敷联合耳穴压豆对阴虚阳亢型老年高血压合并衰弱的临床观察

中药穴位贴敷联合耳穴压豆对阴虚阳亢型老年高血压合并衰弱的临床观察

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目的 探讨中药穴位贴敷联合耳穴压豆对阴虚阳亢型老年高血压合并衰弱的临床效果,为老年高血压合并衰弱患者的防治提供借鉴.方法 选取2023年3-11月医院收治的60例阴虚阳亢型老年高血压合并衰弱患者作为研究对象,按照组间基线资料具有可比性的原则分为对照组和观察组,各30例.对照组给予常规降血压护理和健康教育,宣教2周,每周1次,共宣教2次;观察组在对照组基础上采用中药穴位贴敷联合耳穴压豆治疗,每天1次,1周为1疗程,共干预2周.2周结束后,比较两组患者干预后的临床效果.干预前、干预2周后采用电子血压计、中医证候积分量表、老年人衰弱评估量表评估两组患者的收缩压(SBP)、舒张压(DBP)、中医证候积分及老年衰弱评分的改善程度.结果 干预前,两组患者血压、中医证候积分、老年衰弱评分比较,差异无统计学意义(P>0.05);干预后,观察组患者在血压、中医证候积分、老年衰弱评分均低于对照组,差异具有统计学意义(P<0.05).干预后,观察组降压效果优于对照组,两组间比较差异有统计学意义(P<0.05).结论 对阴虚阳亢型老年高血压合并衰弱患者进行中药穴位贴敷和耳穴压豆,根据其证型选穴贴压肝、肾、交感、神门、降压沟、皮质下、胆、心八大穴位,其效果良好,操作简便,无不良反应发生,可有效改善患者血压、中医证候及衰弱症状,促进患者康复.
Clinical observation of traditional Chinese medicine acupoint application combined with ear acupuncture bean pressing on hypertension and weakness in the elderly with yin deficiency and yang hyperactivity
Objective To explore the clinical effect of traditional Chinese medicine acupoint application combined with auricular point pressing beans on hypertension complicated with weakness in the elderly with yin deficiency and yang hyperactivity,and to provide reference for the prevention and treatment of elderly patients with hypertension complicated with weakness.Methods Sixty elderly patients with hypertension complicated with hyperactivity due to Yin deficiency and Yang hyperactivity who were admitted to the hospital from March to November 2023 were selected as the study objects,and were divided into a control group and an observation group according to the principle that the baseline information between the groups was comparable,with 30 cases in each group.The control group was given routine blood pressure lowering care and health education,the propaganda and education is 2 weeks,once a week a total of 2 times of education,the observation group was treated with traditional Chinese medicine acupoint application combined with auricular point pressure bean treatment on the basis of the control group,once a day,1 week for 1 course of treatment,a total of 2 weeks of intervention.At the end of 2 weeks,the clinical effects of the two groups of patients after the intervention were compared;before the intervention and 2 weeks after the intervention,the improvement degree of systolic blood pressure(SBP),diastolic blood pressure(DBP),TCM syndrome score and senile weakness score in the two groups was evaluated by using an electronic sphygmomanometer,TCM syndrome score scale,and elderly weakness assessment scale.Results Before intervention,the blood pressure,TCM syndrome score,and senile debilitation score of the two groups were compared,and the difference was not statistically significant(P>0.05).After intervention,the blood pressure,TCM syndrome score of elder,and debilitation score of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).After intervention,the antihypertensive effect of the observation group was better than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion For the elderly patients with yin deficiency and yang hyperactivity type of hypertension complicated with weakness,traditional Chinese medicine acupoint sticking and ear acupoint pressing beans are applied.According to their syndrome type,eight acupoints of liver,kidney,sympathetic,Shenmen,antihypertensive groove,subcortical,gallbladder,and heart are selected and applied.The effect is good,the operation is simple,no adverse reactions occur,can effectively improve the blood pressure,TCM syndromes and weakness symptoms of patients,and promote the recovery of patients.

Elderly hypertensionWeaknessYin deficiency and yang hyperactivity typeTCM Syndrome integralChinese medicine acupoint applicationAuricular point pressure bean

冯静、黄沂、彭霞、黄兰怡、梁锦波、代炜

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广西中医药大学护理学院(广西壮族自治区南宁市,530000)

广西中医药大学第一附属医院(广西壮族自治区南宁市,530000)

老年高血压 衰弱 阴虚阳亢型 中医证候积分 中药穴位贴敷 耳穴压豆

国家自然科学基金广西中医药局中医药适宜技术开发与推广项目

72164003GZSY21-20

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
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