基于时间治疗学理论的穴位按摩联合中药足浴对血压正常高值人群血压的影响  

Effects of acupoint massage based on chronotherapeutics combined with Chinese herbal footbath on blood pressure of people with borderline hypertension

作　　者：苏琳[1] 李芬 SU Lin;LI Fen(Shandong Zaozhuang Municipal Hospital,Zaozhuang 277102,China)

机构地区：[1]山东省枣庄市立医院体检中心,277102

出　　处：《中国实用医药》2023年第16期128-131,共4页China Practical Medicine

摘　　要：目的评价基于时间治疗学理论的穴位按摩联合中药足浴对血压正常高值人群血压的影响。方法160例血压正常高值患者,按照就诊顺序排序,奇数入组为观察组,偶数入组为对照组,各80例。对照组进行生活方式干预,观察组在对照组基础上实施择时穴位按摩联合中药足浴。比较两组在干预前,干预后4、8、12周的收缩压、舒张压和晨峰血压变化情况。结果干预前,两组收缩压和舒张压比较,差异无统计学意义(P>0.05);干预4、8、12周后,观察组收缩压(125.92±5.33)、(125.34±6.05)、(123.48±6.29)mm Hg(1 mm Hg=0.133 kPa)均优于对照组的(132.72±7.17)、(132.46±6.01)、(131.77±5.98)mm Hg,差异有统计学意义(P<0.05);干预8、12周后,观察组舒张压(75.64±4.49)、(73.53±3.58)mm Hg均优于对照组的(81.89±4.81)、(81.09±4.83)mm Hg,差异有统计学意义(P<0.05);干预4周后,两组舒张压比较,差异无统计学意义(P>0.05)。干预后,观察组晨峰血压正常率82.05%高于对照组的66.25%,差异有统计学意义(P<0.05)。结论在生活方式干预的基础上,基于时间治疗学理论的穴位按摩联合中药足浴,可有效降低血压高值人群的收缩压、舒张压和晨峰血压。Objective To evaluate the effects of acupoint massage based on chronotherapeutics combined with Chinese herbal footbath on blood pressure of people with borderline hypertension.Methods A total of 160 patients with borderline hypertension were divided into observation group(odd number)and control group(even number)according to the order of treatment,with 80 cases in each group.The control group received lifestyle intervention,and the observation group received timing acupoint massage combined with Chinese medicine footbath on the basis of the control group.The systolic blood pressure and diastolic blood pressure before intervention,4,8 and 12 weeks after intervention,and changes of morning peak blood pressure were compared between the two groups.Results Before intervention,there was no statistically significant difference in systolic blood pressure and diastolic blood pressure between the two groups(P>0.05).4,8 and 12 weeks after intervention,the systolic blood pressure of the observation group were(125.92±5.33),(125.34±6.05)and(123.48±6.29)mm Hg(1 mm Hg=0.133 kPa),which were better than those of(132.72±7.17),(132.46±6.01)and(131.77±5.98)mm Hg in the control group,and the differences were statistically significant(P<0.05).8 and 12 weeks after intervention,the diastolic blood pressure of the observation group were(75.64±4.49)and(73.53±3.58)mm Hg,which were better than those of(81.89±4.81)and(81.09±4.83)mm Hg in the control group,and the differences were statistically significant(P<0.05).4 weeks after intervention,there was no statistically significant difference in diastolic blood pressure between the two groups(P>0.05).After intervention,the normal rate of morning peak blood pressure in the observation group was 82.05%,which was higher than that of 66.25%in the control group,and the difference was statistically significant(P<0.05).Conclusion Based on lifestyle interventions,acupoint massage based on chronotherapeutics combined with Chinese herbal footbath can effectively reduce systolic blood pressure,di

关 键 词：时间治疗学 血压正常高值 治未病 子午流注 穴位按摩 中药足浴 

分 类 号：R248.1[医药卫生—中医临床基础]