中药巴布剂穴位贴敷对老年阴虚阳亢型1级原发性高血压的干预研究  

Intervention in Grade 1 Essential Hypertension of Yin Deficiency and Yang Excess Type in Elderly Patients by Point Application of Traditional Chinese Medicine Cataplasm

作　　者：魏思宁 彭伟[1] 刘杨[1] 郭栋 魏建梁 李豫晓 杨伟伟 李娜娜 孙忠义[1] WEI Sining;PENG Wei;LIU Yang;GUO Dong;WEI Jianliang;LI Yuxiao;YANG Weiwei;LI Nana;SUN Zhongyi(The Affilited Hospital of Shandong University of Traditional Chinese Medicine,Jinan 250014,China;Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学附属医院

出　　处：《山东中医杂志》2019年第11期1042-1045,共4页Shandong Journal of Traditional Chinese Medicine

基　　金：国家中医临床研究基地业务建设科研专项(编号:JDZX2015105);山东省中医药科技发展计划项目(编号:2015-088)

摘　　要：目的:探索中药巴布剂穴位贴敷对老年阴虚阳亢型1级原发性高血压的干预效果。方法:选取60例符合纳入标准的原发性高血压患者,按随机数字表法分为对照组和贴敷组各30例。两组均保持原有治疗不变,均进行健康教育。对照组在此基础上予无药巴布剂贴敷,贴敷组予交泰丸加味制备的巴布剂贴敷。两组每周均贴敷6 d、休息1 d,共干预4周。比较两组干预后的血压和中医症状积分、疗效。结果:干预后,贴敷组舒张压下降不明显,与本组干预前及对照组干预后比较,差异无统计学意义(P> 0.05);但收缩压下降明显,与本组干预前及对照组干预后比较,差异均有统计学意义(P<0.05)。干预后,贴敷组中医症状积分低于对照组,差异有统计学意义(P=0. 037)。贴敷组中医症状改善总有效率53.33%,对照组总有效率6.67%,两组比较,差异有统计学意义(P<0.05)。结论:对老年阴虚阳亢型1级原发性高血压患者进行中药巴布剂穴位贴敷,有助于降低患者收缩压,并能改善患者的临床症状。Objective:To observe the intervention efficacy of point application of traditional Chinese medicine(TCM) cataplasm on grade-1 essential hypertension of yin deficiency and yang excess type in elderly patients. Methods:A total of 60 patients with essential hypertension who met the inclusion criteria were divided into control group and point application group by the random number table method,with 30 cases in each group. Patients in the two groups all maintained their former treatments and received health education. In Addition,the control group received point application of non-medicine cataplasm and the treatment group received point application of TCM cataplasm which was made of modified Jiaotai Pill. The point application was given to the two groups continuously 6 times a week and the intervention lasted for 4 weeks. Before and after the intervention,the blood pressure and clinical symptoms of the two groups were compared. Results:After intervention,the diastolic pressure of the point application group was not obviously lowered. Compared with that of the same group before intervention and of the control group after intervention,the differences were not statistically significant(P> 0.05). However,the systolic pressure of the point application group was obviously lowered after intervention. Compared with that of the same group before intervention and of the control group after intervention,the differences were statistically significant(P<0.05). After intervention,the symptom score of the point application group was lower than that of the control group,and the difference was statistically significant(P= 0.037). The total effective rate of TCM symptoms in the point application group was 53.33% and in the control group was 6.67%. The difference of the total effective rate of TCM symptoms between the two groups was statistically significant(P> 0.05). Conclusions:For elderly patients with grade-1 essential hypertension of yin deficiency and yang excess type,point application of TCM cataplasm can lower the blood pressur

关 键 词：中药巴布剂 穴位贴敷 原发性高血压 社区 老年 阴虚阳亢 症状改善 

分 类 号：R259[医药卫生—中西医结合]