摘要
目的探讨吴茱萸穴位贴敷联合耳穴压豆对高血压伴失眠患者血压水平与睡眠质量的影响。方法选取2019年6月至2022年6月接受治疗的120例高血压伴失眠患者,通过随机数字表法将其分为对照组和观察组,每组60例。对照组在常规护理基础上展开耳穴压豆干预,观察组于常规护理基础上展开吴茱萸穴位贴敷联合耳穴压豆干预。比较两组的炎性因子与血管内皮功能指标、血压水平、睡眠质量、抑郁状态与生活质量。结果护理后,观察组的血管内皮素-1(ET-1)、5-羟色胺(5-HT)水平低于对照组,降钙素基因相关肽(CGRP)、多巴胺(DA)水平高于对照组(P<0.05)。护理后,观察组的舒张压、收缩压低于对照组(P<0.05)。护理后,观察组的匹兹堡睡眠质量指数问卷(PSQI)各维度评分低于对照组(P<0.05)。护理后,观察组的抑郁自评量表(SDS)评分低于对照组,杜氏高血压患者生活质量量表评分高于对照组(P<0.05)。结论吴茱萸穴位贴敷联合耳穴压豆应用于高血压伴失眠患者中可有效改善其炎性因子与血管内皮功能,降低血压水平,并进一步改善其睡眠质量,减轻抑郁状态,提高生活质量。
Objective To explore the effects of evodia rutaecarpa acupoint application combined with auricular point pressing beans on blood pressure level and sleep quality in patients with hypertension and insomnia.Methods A total of 120 patients with hypertension and insomnia who were treated from June 2019 to June 2022 were selected and divided into control group and observation group by random number table method,with 60 cases in each group.The control group was intervened by auricular point pressing beans on the basis of routine nursing,and the observation group was intervened by evodia rutaecarpa acupoint application combined with auricular point pressing beans on the basis of routine nursing.The inflammatory factors and vascular endothelial function indexes,blood pressure level,sleep quality,depression status and quality of life were compared between the two groups.Results After nursing,the levels of endothelin-1(ET-1)and 5-hydroxy tryptamine(5-HT)in the observation group were lower than those in the control group,and the levels of calcitonin gene related peptide(CGRP)and dopamine(DA)were higher than those in the control group(P<0.05).After nursing,the diastolic blood pressure and systolic blood pressure in the observation group were lower than those in the control group(P<0.05).After nursing,the scores of each dimension of Pittsburgh Sleep Quality Index(PSQI)in the observation group were lower than those in the control group(P<0.05).After nursing,the score of Self-Rating Depression Scale(SDS)in the observation group was lower than that in the control group,and the score of quality of life scale in patients with Duchenne hypertension was higher than that in the control group(P<0.05).Conclusion The evodia rutaecarpa acupoint application combined with auricular point pressing beans applied in patients with hypertension and insomnia can effectively improve their inflammatory factors and vascular endothelial function,reduce blood pressure levels,and further improve their sleep quality,decline depression and increase qual
作者
王真
樊雅欣
陈复娜
李明艳
WANG Zhen;FAN Yaxin;CHEN Funa;LI Mingyan(Encephalopathy Department,Xi'an Hospital of Traditional Chinese Medicine,Xi'an 710021;General Medicine Department,Tuberculosis Hospital of Shaanxi Province,Xi'an 710100,China)
出处
《临床医学研究与实践》
2024年第22期158-161,178,共5页
Clinical Research and Practice
基金
陕西省重点研发计划项目(No.S2020-YF-YBSF-0191)。
关键词
吴茱萸
耳穴压豆
穴位贴敷
高血压
失眠
血压
睡眠质量
evodiarutaecarpa
auricularpointpressingbeans
acupointapplication
hypertension
insom-nia
bloodpressure
sleepquality
