摘要
目的:观察运用微针刀与耳尖放血疗法联合马来酸依那普利叶酸片治疗颈源性老年H型高血压的疗效。方法:纳入102例颈源性老年H型高血压患者,利用随机数字表法分为治疗组和对照组各51例。2组患者均口服马来酸依那普利叶酸片,治疗组加用微针刀疗法和耳尖放血疗法,2组治疗时间均为4周,随访6个月。观察治疗前、治疗4周后,2组患者血压值、同型半胱氨酸(Hcy)值及生活质量(SF-36生活质量调查量表评分)的变化情况。比较2组的临床疗效与随访6个月的复发率。结果:治疗4周后,治疗组临床疗效总有效率98.04%,对照组总有效率84.31%,2组比较,差异有统计学意义(P<0.05)。2组Hcy值与治疗前比较均有不同程度下降(P<0.05),治疗组Hcy值低于对照组(P<0.05)。对照组SF-36量表的躯体疼痛、情感职能评分与治疗前比较均升高(P<0.05),治疗组生理功能、生理职能、躯体疼痛、活力、情感职能评分与治疗前比较均升高(P<0.05);治疗组生理职能、活力、情感职能评分均高于对照组(P<0.05)。随访6个月,治疗组复发率16.67%,对照组复发率71.43%,2组比较,差异有统计学意义(P<0.01)。结论:运用微针刀与耳尖放血方法联合马来酸依那普利叶酸片治疗颈源性老年H型高血压防治作用显著,能明显降低血压和Hcy水平,同时能提高患者的生活质量。
Objective: To observe the curative effect of micro needle-knife, bloodletting on ear apex combined with enalapril maleate tablets for cervicogenic H-type hypertension of senile patients. Methods:A total of 102 cases of senile patients with cervicogenic H-type hypertension were included and divided into the treatment group and the control group according to the random number table method, 51 cases in each group. Both groups were given oral administration of enalapril maleate tablets,and the treatment group was additionally treated with micro needle-knife and bloodletting on ear apex. There were four-week treatment and six-week follow-up in the two groups. Before and after four-week treatment,changes in blood pressure,homocysteine(Hcy) and quality of life [36-item Short Form Health Survey(SF-36)] were observed in the two groups. Clinical effect and the recurrence rate during six-month follow-up were compared between the two groups. Results: After four-week treatment, the total clinical effective rate was 98.04% in the treatment group, and84.31% in the control group,the difference being significant(P<0.05). Values of Hcy in the two groups were decreased to varying degrees when compared with those before treatment(P<0.05),and Hcy value in the treatment group was lower than that in the control group(P<0.05). Scores of bodily pain and role emotional of SF-36 in the control group were increased when compared with those before treatment(P<0.05);scores of physical functioning,role physical,bodily pain,vitality,and role emotional in the treatment group were increased when compared with those before treatment(P<0.05);scores of role physical,vitality,and role emotional in the treatment group were higher than those in the control group(P<0.05). During sixmonth follow-up,the recurrence rate was 16.67% in the treatment group,and 71.43% in the control group,the difference being significant(P<0.01). Conclusion:The therapy of micro needle-knife,bloodletting on ear apex combined with enalapril maleate tablets has a significant effe
作者
张焕军
吴昌建
徐永亦
陈虹颖
陈松鹤
ZHANG Huanjun;WU Changjian;XU Yongyi;CHEN Hongying;CHEN Songhe
出处
《新中医》
CAS
2021年第20期114-118,共5页
New Chinese Medicine
基金
宁波市医学科技计划项目(2018A55)
宁波市科技计划公益项目(2019C50067)。
关键词
H型高血压
颈源性
微针刀
耳尖放血
同型半胱氨酸
生活质量
H-type hypertension
Cervicogenic
Micro needle-knife
Bloodletting on ear apex
Homocysteine
Quality of life
