引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果评价  

Application effect evaluation of Yinhuo Guiyuan paste combined with ear tip bloodletting therapy in hemodialysis patients with renal hypertension

作　　者：周红艳 卫德强 蒋敏 黄瑾华 顾明协 史淋峰 宗丽敏 ZHOU Hongyan;WEI Deqiang;JIANG Min(Department of Nephrology,Yixing Hospital of Traditional Chinese Medicine,Yixing Jiangsu 214200,China)

机构地区：[1]宜兴市中医医院肾病科,江苏宜兴214200 [2]宜兴市中医医院药剂科,江苏宜兴214200

出　　处：《四川中医》2024年第1期202-205,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:分析引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中的应用效果。方法:选取2021年10月~2022年11月本院收治血液透析伴肾性高血压患者202例为研究对象。根据治疗方案不同分为对照组(耳尖放血疗法+常规治疗)98例和观察组(对照组基础上予以加用引火归元贴)104例。对比两组临床疗效、即时降压情况、血压水平、高血压中医症状积分及安全性。结果:观察组临床疗效高于对照组,差异具有统计学差异(P<0.05)。两组均随着时间增长收缩压、舒张压血压差值均显著上升,且观察组首次治疗后5min、15min、30min、60min收缩压、舒张压血压差值均大于对照组(P<0.05)。两组治疗后收缩压、舒张压水平均显著下降(P<0.05);两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05)。两组治疗后1周、治疗后1月高血压中医症状积分均显著下降,且观察组治疗后1周高血压中医症状积分下降幅度大于对照组(P<0.05)。两组均未出现严重的不良反应。结论:引火归元贴联合耳尖放血疗法在血液透析伴肾性高血压患者中即时及近期血压下降效果良好,可显著改善高血压中医症候积分。Objective To analyze the application effect of Yinhuoguiyuan paste combined with ear tip bloodletting therapy in hemodialysis patients with renal hypertension.Methods 202patients with hemodialysis and renal hypertension admitted to our hospital from October 2021to November 2022were selected as the research objects.According to different treatment plans,they were divided into the control group(ear tip bloodletting therapy+conventional treatment)of 98cases and the observation group(on the basis of the control group,Yinghuoguiyuan paste was added)of 104cases.The clinical curative effect,immediate antihypertensive situation,blood pressure level,hypertensive TCM symptom score and safety were compared between the two groups.Results The clinical curative effect of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).The differences in systolic and diastolic blood pressures in the two groups increased significantly over time,and the differences in systolic and diastolic blood pressures in the observation group at 5minutes,15minutes,30minutes,and 60minutes after the first treatment were greater than those in the control group(P<0.05).After treatment,the systolic and diastolic blood pressure levels in the two groups decreased significantly(P<0.05);and there was no significant difference in the systolic and diastolic blood pressure levels between the two groups(P>0.05).One week after treatment and one month after treatment,the scores of TCM symptoms of hypertension in the two groups decreased significantly,and the decline rate of TCM symptom scores of hypertension in the observation group was greater than that in the control group(P<0.05).There were no serious adverse reactions in both groups.Conclusion Yinhuoguiyuan paste combined with ear tip bloodletting therapy has good immediate and shortterm blood pressure reduction effects in hemodialysis patients with renal hypertension,and can significantly improve the TCM syndrome score of hypertension.

关 键 词：引火归元贴 耳尖放血疗法 血液透析 肾性高血压 应用效果 

分 类 号：R248.2[医药卫生—中医临床基础]