Clinical Observation of Integrated Chinese and Western Medicine Therapy Combined with Nursing Intervening Gestational Hypertension with Syndrome of Hyperactivity of Yang due to Yin Deficiency
Objective:To observe the clinical effect of integrated Chinese and western medicine therapy combined with nursing intervening gestational hypertension with syndrome of hyperactivity of yang due to yin deficiency.Methods:Selected 88 cases of patients with gestational hypertension who were admitted and treated in our hospital,and divided them into the control group and the treatment group randomly, 44 cases in each group.Both groups received the routine treatment,nursing and non-drug measures for intervention;the control group received the oral administration of nifedipine sustained-release tablets,while the treatment group additionally received external application of Evodia rutatecarpa at Yongquan acupoint combined with relevant nursing measures.The treatment for both groups lasted for 4 weeks.Observed the clinical effect and the changes of 24 h mean diastolic blood pressure(24hDBP),24 h mean systolic blood pressure(24hSBP)and symptoms of syndrome of hyperactivity of yang due to yin deficiency in both groups before and after treatment,and recorded the 1 min neonatal Apgar scores and birth body mass of both groups.Results:After treatment,the total effective rate was 100%in the treatment,being higher than 86.36%in the control group,difference being significant(P<0.05).The 24hSBP and 24hDBP in both groups were lower than those before treatment(P<0.01);comparing the 24hSBP and 24hDBP in both groups,there were no significant differences being found(P> 0.05).The symptom scores of syndrome of hyperactivity of yang due to yin deficiency(vertigo,dysphoria with feverish sensation in chest,palms and soles,tinnitus,soreness and weakness of waist and knees)in both groups were lower than those before treatment(P<0.01);each symptom score in the treatment group was lower than that in the control group(P<0.01).The 1 min neonatal Apgar scores and birth body mass in the treatment group were higher than those in the control group(P<0.01).Conclusion:The additional application of external application of Evodia rutatecarpa at Yongquan acupoint combined with relevant nursing measures based on the routine western medicine therapy and nursing measures has significant antihypertensive effect in intervening patients with gestational hypertension with syndrome of hyperactivity of yang due to yin deficiency,which can promote the improvements of symptoms and pregnancy outcome,thus to enhance the clinical effect.