摘要
目的探讨刮痧疗法对初诊肝阳上亢型高血压病患者24h动态血压的影响,为高血压病患者寻求无毒副作用的中医特色护理技术提供依据。方法将符合纳入标准的60例高血压病患者随机分为观察组和对照组各30例,对照组予生活方式干预,观察组在此基础上行刮痧治疗,连续干预5周,比较观察组和对照组组内、组间24h动态血压(ABPM)数值及血压昼夜节律变化。结果观察组自身对照24h平均收缩压(SBP)和舒张压(DBP)、日间平均收缩压(SBP)和舒张压(DBP)、夜间平均收缩压(SBP)和舒张压(DBP)差异均有统计学意义(P<0.05);与对照组比较,24h、日间和夜间平均收缩压(SBP)差异有统计学意义(P<0.05);观察组杓型血压由14例增至18例,与对照组比较差异虽无统计学意义(P>0.05),但有改善趋势。结论刮痧疗法能降低肝阳上亢型高血压病患者的血压水平,可作为高血压病患者重要的非药物干预手段。
Objective To study the effect on 24 hours ambulatory blood pressure for patients firstly diagnosed with liver yang hyperactivity type hypertension by applying the scrapping therapy, and to provide the basis for see- king non-toxic side effective traditional Chinese medicine nursing technique for patients with hypertension. Methods 60 patients with hypertension conformed to the standard were randomly divided into observation group and control group, 30 cases for each group. The patients in the control group were given the lifestyle intervention, the patients in observation group were given scrapping therapy based on lifestyle intervention continuously for five weeks. 24 hours ambulatory blood pressure and Circadian rhythm changes of blood pressure within and between the two groups was compared. Results The self-comparison of 24 h average systolic blood pressure （SBP） and diastolic blood pres- sure （DBP）, daytime average systolic blood pressure （SBP） and diastolic blood pressure （DBP）, night average sys- tolic blood pressure （SBP） and diastolic blood pressure （DBP） were statistical significantly difference （P（0.05）. Compared with the control group, The comparison of 24： h, daytime and night average systolic blood pressure （SBP） were significantly different（P^0.05）. The number of Scoop type blood pressure increased from 14 cases to 18 ca- ses, compared with the control group, There were no significant difference（P〉0.05）, but there are signs of im- provement. Conclusion Scrapping therapy can reduce blood pressure level for patients with liver yang hyperactivity type hypertension. It can be used as an important non-drug intervention for the patients with a hypertension.
出处
《护士进修杂志》
2016年第3期195-198,共4页
Journal of Nurses Training
基金
江苏省中医药局科技项目(编号:LZ13107)
关键词
肝阳上亢
高血压
刮痧
24H动态血压
护理
Liver yang hyperactivity
Hypertension
Scrapping
24 hours ambulatory blood pressureNursing
