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耳穴压豆联合中医情志护理治疗高血压合并焦虑(肝郁化火型)的疗效观察 被引量:12

Clinical Effect Observation on Hypertension with Anxiety(Liver Depression Turns Fire Type)by Auricular Points Plaster Therapy Combined with Traditional Chinese Medicine Emotional Nursing
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摘要 目的:观察耳穴压豆联合中医情志护理治疗肝郁化火型高血压合并焦虑患者的临床疗效。方法:收集100例肝郁化火型高血压合并焦虑患者,随机分为对照组和观察组各50例,对照组采用规范的西医降压治疗,观察组在对照组基础上予以耳穴压豆联合中医情志护理干预。比较两组患者中医临床疗效、中医证候积分、血压情况、焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分变化。结果:治疗后,观察组患者白昼、夜间收缩压及舒张压均低于对照组(P<0.05);观察组中医疗效有效率为74.00%(37/50),优于对照组的52.00%(26/50)(P<0.05);治疗后观察组患者中医证候积分、SAS评分及SDS评分均低于对照组(P<0.05)。结论:耳穴压豆联合中医情志护理能有效改善肝郁化火型高血压合并焦虑患者临床症状,值得临床推广应用。 Objective:To observe the clinical effect of auricular points plaster therapy combined with traditional Chinese medicine(TCM)emotional nursing on patients of hypertension combined with anxiety with liver depression and fire syndrome.Methods:Totally 100 cases of liver depression and fire type hypertension patients with anxiety were randomly divided into control and observation groups,50 cases in each group.The control group was treated with Western medicine basic antihypertensive treatment with routine nursing intervention,and the observation group was treated with auricular points plaster therapy combined with TCM emotional nursing intervention on the basis of the control group.TCM clinical efficacy,TCM syndrome score,blood pressure,Self-Rating Anxiety Scale(SAS)and Self-rating depression scale(SDS)were compared between the two groups.Results:After treatment,the observation group showed lower daytime systolic blood pressure and diastolic blood pressure than control group(P<0.05).The effective rate was 74.00%(37/50)in observation group and 52.00%(26/50)in control group,and the observation group showed higher effective rate than control group(P<0.05).The observation group showed lower TCM syndrome score,SAS and SDS scores than control group after treatment(P<0.05).Conclusion:Auricular points plaster therapy combined with TCM emotional nursing can effectively relieve the clinical symptoms of patients with liver depression and fire type hypertension complicated with anxiety,with worthy of clinical application.
作者 唐婕妤 谭军 赵晔 张志业 谷城锋 陈燕 TANG Jieyu;TAN Jun;ZHAO Ye;ZHANG Zhiye;GU Chengfeng;CHEN Yan(Hunan University of Chinese Medicine,Changsha Hunan 410208,China;The Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine,Changsha Hunan 410006,China)
出处 《中医药导报》 2023年第5期112-115,123,共5页 Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金 湖南省哲学社会科学基金项目(18YBA289)。
关键词 高血压合并焦虑 耳穴压豆 中医情志护理 肝郁化火 疗效观察 hypertension with anxiety auricular points plaster therapy TCM emotional nursing liver depression turns fire effect observation
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