热敏灸联合自我管理计划干预在肝阳上亢型原发性高血压患者中的应用  

Application of heat-sensitive moxibustion combined with a self-management plan in patients with liver-yang hyperactivity-type primary hypertension

作　　者：曾丽梅 全芳 喻小燕 ZENG Limei;QUAN Fang;YU Xiaoyan(School of Nursing,Jiangxi Medical College,Jiangxi Province,Shangrao334000,China;Department of Rehabilitation,the First Affiliated Hospital of Jiangxi Medical College,Jiangxi Province,Shangrao334000,China)

机构地区：[1]江西医学高等专科学校护理学院,江西上饶334000 [2]江西医学高等专科学校第一附属医院康复科,江西上饶334000

出　　处：《中国当代医药》2025年第10期40-45,共6页China Modern Medicine

基　　金：江西省中医药管理局科技计划项目(2023B0864)。

摘　　要：目的评估热敏灸联合自我管理计划在治疗肝阳上亢型原发性高血压患者中的临床效果。方法选取2023年3月至2024年1月江西医学高等专科学校第一附属医院收治的100例肝阳上亢型原发性高血压患者作为研究对象,按照随机数字表法分为试验组(50例)和对照组(50例)。对照组采用常规干预,试验组采用热敏灸和自我管理计划的联合干预。比较两组血压水平、中医证候积分、自我管理行为[高血压病人自我管理行为测评量表(HPSMBRS)评分]、生活质量(杜氏高血压生活质量评分)以及总体疗效。结果治疗3、6个月后,试验组收缩压、舒张压低于对照组,差异有统计学意义(P<0.05);试验组中医证候积分低于对照组,差异有统计学意义(P<0.05);试验组HPSMBRS评分、生活质量评分高于对照组,差异有统计学意义(P<0.05);试验组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论热敏灸联合自我管理计划能有效降低肝阳上亢型原发性高血压患者的血压,改善中医证候,增强自我管理行为,提高生活质量,总体疗效显著。Objective To evaluate the clinical effect of heat-sensitive moxibustion combined with self-management plan in the treatment of primary hypertension patients with liver-yang hyperactivity type.Methods A total of 100 patients with liver-yang hyperactivity type primary hypertension were enrolled from March 2023 to January 2024 at the First Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine as the study objects and randomly divided into the control group(50 patients)and athe experimental group(50 patients)using random number table method.The control group received conventional interventions,while the experimental group received combined interventions of Heat-sensitive moxibustion and self-management plan.Blood pressure level,traditional Chinese medicine symptom score,self-management behavior([hypertension patient self-management behavior rating scale,HPSMBRS]score),quality of life(Duchenne hypertension quality of life score)and overall efficacy were compared between the two groups.Results After 3 and 6 months of treatment,systolic blood pressure and diastolic pressure in experimental groups were lower than those in control group,and the differences were statistically significant(P<0.05).The score of traditional Chinese medicine symptoms in experimental groups were lower than those in control group,and the difference was statistically significant(P<0.05).HPSMBRS scores and quality of life scores in experimental groups were higher than those in control group,and the differences were statistically significant(P<0.05).The total effective rate of experimental group was higher than that of control group,the difference was statistically significant(P<0.05).Conclusion Heat-sensitive moxibustion combined with self-management plan effectively lower blood pressure,improve traditional Chinese medicine syndrome scores,enhance self-management behaviors,and improve quality of life in patients with liver-yang hyperactivity type primary hypertension demonstrating significant overall effectiveness.

关 键 词：热敏灸 自我管理计划 肝阳上亢型原发性高血压 血压控制 中医证候积分 生活质量 

分 类 号：R544.1[医药卫生—心血管疾病]