摘要
目的探讨中医体质辨识对正常高值血压的干预效果。方法200例体检者采取随机方式分为对照组及观察组,各100例。至试验结束时,观察组97例,对照组99例。对照组给予一般生活方式干预,观察组在对照组基础上给予中医体质辨识治疗。比较两组治疗前后收缩压(SBP)、舒张压(DBP)、踝臂脉搏波传导速度(baPWV)、踝臂指数(ABI)、体质量指数(BMI)、总胆固醇(TC)、甘油三酯(TG)以及平和质和偏颇体质变化情况。结果治疗前,观察组平和质、偏颇体质占比体质分别为27.8%、72.2%,对照组平和质、偏颇体质占比体质分别为28.3%、71.7%;治疗后,观察组平和质、偏颇体质占比体质分别为47.4%、52.6%,对照组平和质、偏颇体质占比体质分别为33.3%、66.7%。观察组治疗后平和质占比高于治疗前,偏颇体质占比低于治疗前,差异具有统计学意义(P<0.05);对照组治疗后平和质与偏颇体质占比与治疗前比较,差异无统计学意义(P>0.05)。观察组治疗后平和质占比高于对照组,偏颇体质占比低于对照组,差异具有统计学意义(P<0.05)。对照组治疗后SBP、DBP低于本组治疗前,差异有统计学意义(P<0.05);对照组治疗前后BMI、TC、TG及左右baPWV、ABI比较差异无统计学意义(P>0.05)。观察组治疗后SBP、DBP、TC及左右baPWV均低于本组治疗前,差异有统计学意义(P<0.05);观察组治疗前后BMI、TG及左右ABI比较差异无统计学意义(P>0.05)。观察组治疗后SBP、TC及左右baPWV低于对照组,差异有统计学意义(P<0.05);两组治疗后DBP、BMI、TG及左右ABI比较差异无统计学意义(P>0.05)。结论通过中医体质辨识对正常高值血压人群进行干预,可及时控制患者血压水平,降低TC,改善baPWV,可对动脉硬化及高血压的防治起到良好的作用。
Objective To discuss the intervention effect of traditional Chinese medicine constitution identification on persons with normal high blood pressure.Methods A total of 200 outpatient and physical examinees were selected and randomly divided into control group and observation group,with 100 cases in each group.By the end of the experiment,there were 97 cases left in the observation group and 99 cases in the control group.The control group was treated with general lifestyle intervention,and the observation group was treated with traditional Chinese medicine constitution identification treatment on the basis of the control group.Both groups were compared in terms of systolic blood pressure(SBP),diastolic blood pressure(DBP),brachial-ankle pulse wave velocity(baPWV),ankle-brachial index(ABI),body mass index(BMI),total cholesterol(TC),triglyceride(TG)before and after treatment and changes in peaceful and biased constitutions.Results Before treatment,the proportions of peaceful and biased constitution in the observation group were 27.8% and 72.2%,respectively,and the proportions of peaceful and biased constitution in the control group were 28.3% and 71.7%,respectively.After treatment,the proportions of peaceful and biased constitutions in the observation group were 47.4% and 52.6%,respectively,and the proportions of peaceful and biased constitutions in the control group were 33.3% and 66.7%,respectively.After treatment,the proportion of peaceful constitution in the observation group was higher than that before treatment in this group,and the proportion of biased constitution was lower than that before treatment in this group.All the differences were statistically significant(P<0.05).In the control group,there was no statistically significant difference in the proportion of peaceful and biased constitution before and after treatment(P>0.05).After treatment,the proportion of peaceful constitution in the observation group was higher than that in the control group,and the proportion of biased constitution was lower than tha
作者
王晓筱
吴琰
冯剑
陈国华
WANG Xiao-xiao;WUYan;FENG Jian(Weifang People's Hospital Health Management Center,Weifang 261041,China)
出处
《中国现代药物应用》
2022年第12期153-156,共4页
Chinese Journal of Modern Drug Application
基金
潍坊市中医药发展计划2019年(第4类)第090号。
关键词
中医体质辨识
正常高值血压
踝臂脉搏波传导速
踝臂指数
Traditional Chinese medicine constitution identification
Normal high blood pressure
Ankle-brachial pulse wave velocity
Ankle-brachial index
