时辰穴位贴敷对初诊肝阳上亢型高血压病患者血压水平和中医证候的影响  

Effect of hour acupoint application on blood pressure and TCM syndrome in the initial diagnosis patients with hypertension with syndrome of upper hyperactivity of liver yang

作　　者：张雪芳[1] 张敏[2] 陈绍月[2] 陆舒婷 赵元媛[2] 顾宁[2] ZHANG Xuefang ZHANG Min CHEN Shaoyue LU Shuting ZHAO Yuanyuan GU Ning(Department of Nursing, the Third Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210001, China Department of Cardiovascular Disease, the Third Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province, Nanjing 210001, China School of Nursing, Nanjing University of Chinese Medicine, Jiangsu Province, Naujing 210023, China)

机构地区：[1]南京中医药大学第三附属医院护理部,江苏南京210001 [2]南京中医药大学第三附属医院心血管病科,江苏南京210001 [3]南京中医药大学护理学院,江苏南京210023

出　　处：《中国医药导报》2017年第13期92-95,共4页China Medical Herald

基　　金：江苏省南京市医学科技发展项目(YKK14139)

摘　　要：目的探讨时辰穴位贴敷对初诊肝阳上亢型高血压病患者血压水平和中医证候的影响。方法选取2015年6~12月在南京中医药大学第三附属医院心血管病科初诊为肝阳上亢型的高血压病患者60例,按随机数字表法将其分为试验组和对照组,各30例。对照组给予生活方式干预,试验组在对照组的基础上采用时辰穴位贴敷。比较两组患者血压水平和中医证候差异。结果干预4周后,试验组收缩压和舒张压均较干预前下降,且明显低于对照组,差异有统计学意义(P<0.05)。试验组降压总有效率(83.3%)明显高于对照组(3.3%),差异有统计学意义(P<0.05)。干预后,试验组头晕、头部跳痛、心烦易怒、失眠多梦评分和中医症状总积分均较干预前显著下降(P<0.05),且试验组头晕、失眠多梦评分和中医症状总积分均明显低于对照组,差异有统计学意义(P<0.05)。试验组中医证候疗效的总有效率(90.0%)明显高于对照组(3.3%),差异有统计学意义(P<0.05)。结论时辰穴位贴敷能有效降低肝阳上亢型高血压病患者的血压水平,改善其临床证候,可作为肝阳上亢型高血压病患者的非药物治疗方法之一。Objective To investigate the effect of hour acupoint application on blood pressure and traditional Chinese medicine （TCM） syndrome in the initial diagnosis patients with hypertension with syndrome of upper hyperactivity of liver yang. Methods Sixty patients first diagnosed as hypertension with syndrome of upper hyperactivity of liver yang in Department of Cardiovascular Disease, the Third Affiliated Hospital of Nanjing University of Chinese Medicine from June to December 2015 were recruited in this study, they were divided into experimental group and control group ac- cording to the random number table method, with 30 cases in each group. The control group was treated with lifestyle intervention, the experimental group was treated with hour acupoint application based on the control group. The differ- ences of blood pressure and TCM syndromes between the two groups were compared. Results Four weeks after inter- vention, the systolic blood pressure and diastolic blood pressure in experimental group were lower than those pre-inter- vention and those in the control group, the differences were statistically significant （P 〈 0.05）. The total antihyperten- sire effective rate in experimental group was 83.30/0, which was higher than that in control group （3.3%）, there was a significant difference （P 〈 0.05）. After intervention, the scores of dizziness, headache, upset irritability, insomnia and dreaminess, and total TCM syndrome scores in experimental group were lower than those pre-intervention, the differ- ences were statistically significant （P 〈 0.05）, and the scores of dizziness, insomnia and dreaminess, and total TCM syn- drome scores were significantly lower than those of control group, the differences were statistically significant （P 〈0.05）. The total effective rate of TCM syndrome in ex- perimental group was 90.0%, which was obviously high-er than that of control group （3.3%）, there was a significant difference （P 〈 0.05）. Conclusion Hour acupoint applica- tion can redu

关 键 词：时辰穴位贴敷 高血压病 肝阳上亢证 血压 中医证候 

分 类 号：R544.1[医药卫生—心血管疾病]