摘要
目的 探讨对于肝阳上亢型高血压伴失眠患者应用自拟安神方结合耳针疗法治疗的临床效果.方法 80 例肝阳上亢型高血压伴失眠患者,按照随机数字表法分成试验组与对照组,每组 40 例.对照组采取常规治疗和健康教育,试验组患者在对照组的基础上采取自拟安神方结合耳针疗法.比较两组患者治疗前后血压(收缩压、舒张压)水平、匹兹堡睡眠质量指数量表(PSQI)评分、中医证候积分以及治疗效果、不良反应(恶心呕吐、腹痛、头晕)发生情况.结果 治疗后,两组患者收缩压、舒张压均低于治疗前,且试验组收缩压(122.25±12.04)mm Hg(1 mm Hg=0.133 kPa)、舒张压(82.25±8.41)mm Hg均低于对照组的(134.41±13.56)、(89.21±9.11)mm Hg(P<0.05).两组患者治疗 1、3 个月的PSQI评分均低于治疗前,且试验组PSQI评分(7.12±1.14)、(5.02±0.74)分均低于同期对照组的(9.25±1.34)、(7.22±1.07)分(P<0.05).治疗后,两组患者失眠、眩晕、头痛、胸闷、五心烦热评分均低于治疗前,且试验组患者失眠评分(1.42±0.42)分、眩晕评分(1.62±0.41)分、头痛评分(1.55±0.38)分、胸闷评分(1.59±0.39)分、五心烦热评分(1.47±0.34)分低于对照组的(2.15±0.48)、(2.33±0.45)、(2.34±0.43)、(2.41±0.45)、(2.18±0.39)分(P<0.05).试验组治疗总有效率 95.00%高于对照组的 75.00%(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论自拟安神方联合耳针疗法治疗肝阳上亢型高血压伴失眠效果满意,可有效控制血压及改善睡眠质量.
Abstract
Objective To investigate the clinical effect of self-made Anshen formula combined with auricular acupuncture in treating patients with hypertension of liver-yang hyperactivity type and insomnia.Methods A total of 80 patients with hypertension of liver-yang hyperactivity type and insomnia were divided into a test group and a control group according to random number table method,with 40 cases in each group.The control group received conventional treatment and health education,and the test group received self-made Anshen formula combined with auricular acupuncture on the basis of the control group.Both groups were compared in terms of blood pressure(systolic blood pressure,diastolic blood pressure),Pittsburgh sleep quality index(PSQI)score,traditional Chinese medicine syndrome score before and after treatment,treatment effect and adverse reactions(nausea and vomiting,abdominal pain,dizziness).Results After treatment,the systolic blood pressure and diastolic blood pressure in both groups were lower than those before treatment;the systolic blood pressure of(122.25±12.04)mm Hg(1 mm Hg= 0.133 kPa)and diastolic blood pressure of(82.25±8.41)mm Hg in the test group were lower than(134.41±13.56)and(89.21±9.11)mm Hg in the control group(P<0.05).After 1 and 3 months of treatment,PSQI scores in both groups were lower than those before treatment;PSQI scores in the test group were(7.12±1.14)and(5.02±0.74)points,which were lower than(9.25±1.34)and(7.22±1.07)points in the control group(P<0.05).After treatment,the scores of insomnia,vertigo,headache,chest tightness and dysphoria in chestpalms-soles in both groups were lower than those before treatment;the scores of insomnia,vertigo,headache,chest tightness and dysphoria in chestpalms-soles were(1.42±0.42),(1.62±0.41),(1.55±0.38),(1.59±0.39)and(1.47±0.34)points in the test group,which were lower than(2.15±0.48),(2.33±0.45),(2.34±0.43),(2.41±0.45)and(2.18±0.39)points in the control group(P<0.05).The total effective rate of 95.00%in the test group was higher than 75.00%in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of self-made Anshen formula combined with auricular acupuncture has a satisfactory effect on patients with hypertension of liver-yang hyperactivity type and insomnia,which can effectively control blood pressure and improve sleep quality.
维普
万方数据