中药菊花枕联合手操对肝阳上亢型原发性高血压伴失眠患者的干预研究  

Intervention study of Chinese herb chrysanthemum pillow combined hand exercise for patients with liver Yang hyperactivity typed primary hypertension with insomnia

作　　者：戴卉[1] 刘健[1] 李晓露[1] 张凤琴[1] 

机构地区：[1]江苏省中医院心内科,江苏南京210029

出　　处：《中西医结合护理（中英文）》2017年第10期83-86,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中药菊花枕联合手操对肝阳上亢型原发性高血压伴失眠患者的干预研究。方法选取68例肝阳上亢型原发性高血压伴失眠患者,分为观察组和对照组,各34例。对照组给予常规治疗护理,观察组在对照组基础上给予中药菊花枕联合八邪手操干预4个疗程。分别在干预前和干预后28 d,采用匹兹堡睡眠质量指数量表(PSQI)总分及7个因子评分对2组疗效进行效果评价。结果干预后,2组患者PSQI总分均低于干预前,且观察组较对照组下降明显(P<0.05)。PSQI量表中主观睡眠质量、睡眠潜伏期、使用睡眠药物、日间功能紊乱4因子差值比较,观察组明显低于对照组(P<0.01)。结论中药菊花枕联合八邪手操能够有效改善肝阳上亢型原发性高血压患者睡眠质量,纠正睡眠障碍,缓解症状。Objective To investigate the intervention effect o f Chinese herb chrysanthemumpi l low combined with hand exercise on l iv e r Yang hyperactivity typed primary hypertension with insomnia. Methods T otally 68 cases o f primary hypertension w ith insomnia were divided intoobservation group and control group,w ith 34 cases in each group. The control group was given routine treatment and nursing,and the observation group was given traditional Cchrysanthemum pi l low combined w ith eight e v i l hand exercises on the basis o f the control groupfor 4 courses. Patients were investigated by Pittsburgh sleep quality index scale （PSQI） beforeand 28 days after intervention. Results A fte r the intervention,the total score o f PSQI in 2 groups was lower than that before the intervention, and the observation group was lower than that of the control group （P〈0.05）. Patients in the observation had a more significant decrease infactors of PSQI including subjective sleep q u a l ity,sleep latency,sleep medication use,daytimedysfunction （P〈0.01）. Conclusion Chinese herb chrysanthemum p i l low combined w ith handexercises can effectively improve the sleep quality o f patients w ith l iv e r yang hyperactivity typedprimary hypertension.

关 键 词：肝阳上亢型 原发性高血压 失眠 中药菊花枕 手操 匹兹堡睡眠质量指数量表 中西医结合护理 

分 类 号：R544.1[医药卫生—心血管疾病]