吴茱萸贴敷太冲穴对社区高血压患者血压的影响  

Effect of application of evodia rutaecarpa on taichong point on blood pressure of patients with hypertension in the community

作　　者：姬文慧[1] 华宇[2] 陆军[1] 金辉华[1] 方宁远[3] 王占成[4] JI Wenhui;HUA Yu;LU Jun;JIN Huihua;FANG Ningyuan;WANG Zhancheng(Department of General Practice of Huajing Community Health Service Center of Xuhui District,Shanghai 200231,China;Department of Traditional Chinese Medicine of Huajing Community Health Service Center of Xuhui District,Shanghai 200231,China;Department of Geriatrics of Renji Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200001,China;Department of Cardiovascular of Shanghai Eighth People’s Hospital,Shanghai 200235,China)

机构地区：[1]上海市徐汇区华泾镇社区卫生服务中心全科,上海200231 [2]上海市徐汇区华泾镇社区卫生服务中心中医科,上海200231 [3]上海交通大学附属仁济医院老年科,上海200001 [4]上海市第八人民医院心内科,上海200235

出　　处：《上海医药》2022年第12期26-28,46,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市徐汇区科学技术委员会、上海市徐汇区卫生与健康委员会资助项目(SHXH201733)。

摘　　要：目的:探讨茱萸贴敷双侧太冲穴对高血压患者的降压疗效。方法:选取2018年1月至2021年12月就诊的接受降压治疗的高血压患者273例,随机分为治疗组138例和对照组135例。治疗组在原降压治疗基础上,辅以自制吴茱萸贴于晚间敷贴双侧太冲穴,持续8~10 h,每2日1次;对照组维持原治疗方案,两组均观察4周。用焦虑自评量表(SDS)和抑郁自评量表(SAS)对患者进行焦虑和抑郁评分。结果:4周后,治疗组患者的收缩压(SBP)从(140.6±11.2)mmHg下降至(136.9±10.4)mmHg(P<0.05);DBP从(88.2±9.4)mmHg下降至(86.8±8.0)mmHg(P<0.05)。治疗组SDS和SAS评分也比治疗前明显下降,差异有统计学意义(P<0.05)。对照组的SBP和DBP以及SDS和SAS评分均无明显变化(P<0.05)。结论:辅以吴茱萸敷贴双侧太冲穴,可显著降低高血压患者的SBP和DBP,且操作简单易行,值得在基层医院推广。Objective:To investigate the antihypertensive effect of evodia rutaecarpa sticking on bilateral taichong points on patients with hypertension.Methods:Two hundred and seventy-three patients with hypertension who received antihypertensive treatment from January 2018 to December 2021 were selected,and randomly divided into 138 cases in the treatment group and 135 cases in the control group.On the basis of the original antihypertensive treatment,the treatment group supplemented with self-made evodia rutaecarpa sticks on both sides of taichong points at night for 8-10 hours,once every 2 days;the control group maintained the original treatment regimen,and both groups were observed for 4 weeks.Anxiety and depression were scored using the self-rating anxiety scale(SDS)and the self-rating depression scale(SAS).Results:After 4 weeks,the systolic blood pressure(SBP)in the treatment group decreased from(140.6±11.2)mmHg to(136.9±10.4)mmHg(P<0.05);the diastolic blood pressure(DBP)decreased from(88.2±9.4)mmHg to(86.8±8.0)mmHg(P<0.05).The scores of SDS and SAS in the treatment group were also significantly lower than those before treatment and the difference were statistically significant(P<0.05).There were no significant changes in SBP,DBP,SDS and SAS scores in the control group(P<0.05).Conclusion:Supplemented with evodia dahurica application on bilateral taichong points,it can significantly reduce SBP and DBP in hypertensive patients.The operation is simple and easy,which is worth popularizing in grass-roots hospitals.

关 键 词：高血压 吴茱萸 穴位贴敷 太冲穴 

分 类 号：R285[医药卫生—中药学]