中医综合治疗对高血压病人血压管理效果的影响  

The Influence of the Comprehensive Treatment by Traditional Chinese Medicine on Blood Pressure Management in Patients with Hypertension

作　　者：姚磊[1] 胡盼盼 符德玉[1] 梁莉莉 王燕 严相俊 周训杰[1] 桂明泰[1] 芦波[1] 李建华[1] YAO Lei;HU Panpan;FU Deyu;LIANG Lili;WANG Yan;YAN Xiangjun;ZHOU Xunjie;GUI Mingtai;LU Bo;LI Jianhua(Yueyang Hospital of Integrated Traditional Chinese and Western Medicine,Shanghai University of Traditional Chinese Medicine,Shanghai 200437,China)

机构地区：[1]上海中医药大学附属岳阳中西医结合医院,上海200437 [2]虹口区广中路街道社区卫生服务中心 [3]杨浦区五角场镇社区卫生服务中心 [4]杨浦区大桥社区服务中心

出　　处：《中西医结合心脑血管病杂志》2019年第6期819-822,共4页Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease

基　　金：上海中医药大学预算内项目(No.2015YSN45);上海申康医院发展中心项目(No.SHDC12012318);中西医结合学会项目(No.szxyk_201501)

摘　　要：目的观察中医综合治疗对社区高血压病人血压管理的改善作用。方法纳入120例社区原发性高血压病人,在原治疗方案的基础上进行健康宣教、耳穴贴压、恬淡疏肝调息法以及活血潜阳方,治疗3个月。比较干预前后病人诊室血压、中医证候及生活习惯改善情况等。结果①社区高血压病人多合并1个以上危险因素;②社区高血压病人可干预的危险因素以缺乏运动居多;③治疗后中医症状积分降低(P<0.01);④治疗后收缩压及舒张压下降(P<0.01);⑤治疗后病人血压达标率上升(P<0.01);治疗后病人饮食生活习惯得到一定改善,吸烟率、饮酒率下降,缺乏运动病人减少,病人对自身高血压的知晓率达100.0%;⑦治疗后不同证型病人血压达标率改善情况不同。结论中医综合治疗可提高社区高血压病人对自身血压情况的认识,改善了病人的生活方式、血压情况及中医症状。Objective To observe the effect of comprehensive treatment of traditional Chinese medicine on blood pressure management in patients with hypertension in the community. Methods A total of 120 patients with primary hypertension in the community were enrolled.On the basis of the original treatment plan,health education,auricular acupoint pressing,phlegm and blood stagnation exercise,and Huoxue Qianyang Recipe were used for 3 months.The general information of the patients before and after the intervention,dietary lifestyle,blood pressure in the clinic,TCM syndrome scores and other indicators were compared. Results ①Hypertensive patients in the community combined with more than one risk factor.②The risk factors for intervention in hypertensive patients in the community are mostly lack of exercise.③TCM symptom scores decreased after treatment ( P <0.01).④The systolic blood pressure and diastolic blood pressure decreased after treatment( P <0.01).⑤The patient's blood pressure compliance rate increased after treatment ( P <0.01).⑥After treatment,the dietary habits of the patients were improved,the smoking rate and drinking rate decreased ( P <0.01),and the patients with less exercise decreased ( P <0.01).The patient's awareness rate of self-hypertension reached 100.0%.⑦After treatment,the improvement of blood pressure compliance rate of different syndrome patients was different. Conclusion The comprehensive treatment of traditional Chinese medicine can improve the understanding of the blood pressure of patients with hypertension in the community,and improve the lifestyle,blood pressure and TCM symptom scores of patients.

关 键 词：原发性高血压 活血潜阳方 恬淡疏肝调息法 慢性病管理 综合治疗 血压管理 

分 类 号：R544.1[医药卫生—心血管疾病] R255.3[医药卫生—内科学]