滋阴潜阳汤配合耳穴按压对高血压患者左心室舒张功能的影响  

The Influence of Yin-Nourishing and Yang-Subduing Decoction Combined with Auricular Point Pressing on Left Ventricular Diastolic Function in Patients with Hypertension

作　　者：向佳佳 欧阳晓蓉 陈华虎 XIANG Jiajia;OUYANG Xiaorong;CHEN Huahu(Duchang County Hospital of Traditional Chinese Medicine,Duchang,Jiangxi,China,332600)

机构地区：[1]都昌县中医医院,江西都昌332600

出　　处：《河南中医》2024年第3期407-411,共5页Henan Traditional Chinese Medicine

基　　金：江西省卫生健康委员会科技计划项目(20204209)。

摘　　要：目的:观察滋阴潜阳汤配合耳穴按压对高血压患者左心室舒张功能的影响。方法:将90例高血压患者根据随机数字表法分为常规组和研究组,每组各45例。常规组给予耳穴按压治疗,研究组在常规组治疗的基础上联合滋阴潜阳汤治疗。监测两组患者治疗前后24 h血压变化情况,比较两组患者不良反应发生率及治疗前后主动脉内径(aorta,AO)、左心室射血分数(left ventricular ejection fraction,LVEF)、E峰、A峰、E/A、凝血因子Ⅷ、抗凝血酶Ⅲ、组织型纤溶酶原激活物(tissue-type plasminogenactivator,t-PA)等指标变化情况。结果:两组患者治疗后各项血压指标低于本组治疗前,且治疗后研究组低于常规组(P<0.05)。两组患者治疗后AO、LVEF、E峰、A峰及E/A高于本组治疗前,且治疗后研究组高于常规组(P<0.05)。两组患者治疗后凝血因子Ⅷ、抗凝血酶Ⅲ及t-PA等各项凝血纤溶系统指标高于本组治疗前,且治疗后研究组高于常规组(P<0.05)。研究组不良反应发生率低于常规组(P<0.05)。结论:滋阴潜阳汤配合耳穴按压治疗高血压疗效确切,可降低患者血压水平,改善凝血纤溶系统指标及左心室舒张功能,且不良反应较少。Objective:To observe the influence of Yin-Nourishing and Yang-Subduing Decoction combined with auricular point pressing on left ventricular diastolic function in patients with hypertension.Methods:A total of 90 patients with hypertension were divided into the routine group and the study group according to the random number table method,with 45 cases in each group.The routine group was given auricular point pressing treatment,while the study group was given Yin-Nourishing and Yang-Subduing Decoction on the basis of the routine group.The changes of 24-h blood pressure before and after treatment were monitored in the two groups,and the incidence of adverse reactions and the changes in aorta(AO),left ventricular ejection fraction(LVEF),E peak,A peak,E/A,coagulation factor VIII,antithrombin III,tissue-type plasminogen activator(t-PA) and other indexes before and after treatment were compared between the two groups.Results:After treatment,the blood pressure indexes of the two groups were lower than those before treatment,and the blood pressure indexes of the study group were lower than those of the routine group(P<0.05);the AO,LVEF,E peak,A peak and E/A of the two groups were higher than those before treatment,and the above indexes of the study group were higher than those of the routine group(P<0.05);the coagulation and fibrinolysis system indexes of the two groups were higher than those before treatment,and the above indexes of the study group were higher than those of the routine group(P<0.05).The incidence of adverse reactions in the study group was lower than that in the routine group(P<0.05).Conclusion:Yin-Nourishing and Yang-Subduing Decoction combined with auricular point pressing has definite curative effect on hypertension,which can reduce blood pressure,improve indexes of coagulation and fibrinolysis system and left ventricular diastolic function,and has fewer adverse reactions.

关 键 词：高血压 滋阴潜阳汤 耳穴按压疗法 左心室舒张功能 

分 类 号：R259.441[医药卫生—中西医结合]