杞菊地黄汤加减沐足治疗老年高血压合并失眠  

Clinical Study on Treatment of Senile Hypertension with Insomnia by Qijudihuang Decoction and Modified Foot Massage

作　　者：张秋玲[1] 宋青[1] ZHANG Qiu-ling;SONG Qing(Guizhou Provincial People＇s Hospital Guizhou Guiyang 55000)

机构地区：[1]贵州省人民医院,贵州贵阳550002

出　　处：《深圳中西医结合杂志》2018年第19期53-55,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:探讨杞菊地黄汤加减沐足治疗老年高血压合并失眠的临床疗效。方法:将贵州省人民医院2010年2月至2017年7月收治的76例老年高血压合并失眠患者随机分为两组。对照组给予常规治疗,观察组在常规治疗的基础上给予杞菊地黄汤加减沐足治疗。结果:观察组患者治疗总有效率高于对照组,差异具有统计学意义(P <0.05);两组患者治疗前中医症状积分、匹兹堡睡眠质量指数量表(PSQI)评分比较,差异无统计学意义(P> 0.05);治疗后,观察组中医症状积分、PSQI评分均低于对照组,差异具有统计学意义(P <0.05)。结论:老年高血压合并失眠患者采用杞菊地黄汤加减沐足治疗具有养阴、平肝潜阳之功效,能有效改善患者临床体征,缓解病情,提高患者睡眠质量。Objective To explore the clinical efficacy of Qijudihuang Decoction in the treatment of hypertension and insomnia in the elderly. Methods 76 elderly patients with hypertension and insomnia admitted to Guizhou provincial people＇s hospital from February 2010 to July 2017 were randomly divided into two groups. The control group was given conventional treatment, and the observation group was given Qijudihuang decoction on the basis of conventional treatment. Results Treatment group total effectiveness is higher than the control group（P〈0.05）; the two groups before treatment of traditional Chinese medicine symptom integral, PSQI score comparison differences had no statistical significance（P〈0.05）; after treatment, TCM symptoms integral, PSQI score observation group were lower than the control group（P〈0.05）. Conclusion Elderly patients with hypertension and insomnia treated with Qijudihuang decoction and modified foot massage have the effect of nourishing Yin and calming liver and Yang. It can effectively improve the clinical signs, relieve the condition and improve the sleep quality of patients.

关 键 词：高血压 失眠 杞菊地黄汤 老年人 

分 类 号：R544.1[医药卫生—心血管疾病]