穴位按摩对痰热内扰型高血压伴失眠的积极影响  

The Positive Effect of Acupoint Massage on Hypertension with Insomnia of Phlegm-heat Attacking Internally

作　　者：吴腊梅[1] 吕红梅 WU Lamei;LYU Hongmei(Department of Internal Medicine,Hongdu Hospital of Traditional Chinese Medicine,Jiangxi Province,Nanchang 330000,China)

机构地区：[1]南昌市洪都中医院内三科,江西南昌330000

出　　处：《中国中医药现代远程教育》2020年第13期102-103,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨穴位按摩对痰热内扰型高血压伴失眠患者的积极影响。方法选取2018年1月—2018年12月,60例痰热内扰型高血压伴失眠患者纳入本组研究,按照随机数字表法随机分组,各组为30例,对照组采取常规治疗方法,观察组在常规治疗的前提下进行穴位按摩。比较2组患者的中医证候改善效果、匹兹堡睡眠指数(PSQI)、生活质量、焦虑量表评分(HAMA)。结果和治疗前对比,观察组治疗后匹兹堡睡眠指数明显降低,P <0.05;和对照组治疗后对比,观察组治疗后匹兹堡睡眠指数更低,P <0.05;观察组治疗后生活质量评分明显高于对照组,P <0.05;观察组治疗后生活质量评分明显高于治疗前,P <0.05;和治疗前对比,观察组治疗后焦虑量表评分明显降低,P <0.05;和对照组治疗后对比,观察组治疗后焦虑量表评分更低,P <0.05。结论穴位按摩治疗痰热内扰型高血压伴失眠能够更有效地改善患者的失眠状态,有利于改善生活质量。Objective To explore the positive effect of acupoint massage on hypertension with insomnia of phlegm-heat attacking internally.Methods From January 2018 to December 2018,60 cases of hypertension with insomnia of phlegm-heat attacking internally were included in this study,and were randomly divided into two groups according to the random number table method,30 cases in each group.The control group received conventional treatment,and the observation group received acupoint massage under the premise of conventional treatment.The improvement effect of TCM symptoms,Pittsburgh sleep index(PSQI),quality of life and HAMA of anxiety scale were compared between the two groups.Results Compared with before treatment,Pittsburgh sleep index was significantly reduced in the observation group after treatment(P<0.05).Compared with the control group,Pittsburgh sleep index was lower in the observation group after treatment(P<0.05).The quality of life score in the observation group was significantly higher than that in the control group(P<0.05).The quality of life score of observation group was significantly higher after treatment than before treatment(P<0.05).Compared with before treatment,the anxiety scale score of the observation group was significantly reduced after treatment(P<0.05).Compared with the control group after treatment,the observation group had lower anxiety scale score after treatment(P<0.05).Conclusion Acupoint massage can effectively improve the hypertension with insomnia of phlegm-heat attacking internally,and is beneficial to improve the quality of life.

关 键 词：穴位按摩 痰热内扰 高血压 失眠 睡眠质量 负面情绪 生活质量 

分 类 号：R244.1[医药卫生—针灸推拿学]