中药沐足与吴茱萸敷贴涌泉穴联合常规医护措施治疗高血压性眩晕临床研究
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R544.1;R255.3

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Clinical Study on Therapy of Foot Bath with Chinese Herbs and Application of Fructus Evodiae at Yongquan Point Combined with Routine Medical Care for Hypertensive Vertigo
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    摘要:

    目的:观察在常规医护措施基础上加用中药沐足联合吴茱萸敷贴涌泉穴治疗高血压性眩晕的疗效。方法:将 150 例肝阳上亢证患者随机分为观察组和对照组各 75 例。2 组均口服硝苯地平控释片,血压不能达标者加用卡托普利片,给予饮食指导、心理护理等综合护理措施。观察组加予中药沐足联合吴茱萸敷贴涌泉穴。2 组疗程均为 4 周。监测血压水平,记录治疗前、治疗 4 周后的收缩压(SBP)和舒张压(DBP)水平,计算治疗期间血压的达标情况;治疗前后评定眩晕程度评分、自测健康评定量表评分;治疗结束时由患者评价对护理工作的满意度。结果:经过 4 周的治疗,观察组改善血压的疗效优于对照组(P<0.05)。2 组 SBP、DBP 水平均较治疗前降低 (P<0.01),观察组 SBP、DBP 水平均低于对照组 (P<0.05)。观察组偶测血压达标率为56.26%,高于对照组的 46.79%,差异有统计学意义(P<0.01)。2 组眩晕评分均较治疗前下降(P<0.01),自测健康评定量表评分均较治疗前升高(P<0.01)。观察组眩晕评分低于对照组(P<0.01),自测健康评定量表评分高于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规医护措施的基础上加用中药沐足联合吴茱萸敷贴涌泉穴治疗高血压性眩晕,可进一步控制患者的血压水平,提高血压达标率,有效减轻眩晕,改善患者的健康状况,提高患者对护理工作的满意度。

    Abstract:

    Abstract:Objective:To observe the therapeutic effect of the therapy of foot bath with Chinese herbs and application of Fructus Evodiae at Yongquan point(KI 1) based on the routine medical care on hypertensive vertigo. Methods:A total of 150 patients with hypertensive vertigo with the syndrome of ascendant hyperactivity of liver yang were randomly divided into the observation group and the control group, 75 cases in each group. Both groups took nifedipine controlled release tablets orally, and those whose blood pressure could not meet the standard were given captopril tablets, and were given comprehensive nursing such as dietary guidance and psychological nursing. The observation group was given foot bath with Chinese herbs and application of Fructus Evodiae at Yongquan point. Both groups were treated for four weeks. Before treatment and four weeks after treatment,the levels of systolic blood pressure(SBP) and diastolic blood pressure(DBP) were recorded and the rate of blood pressure reaching the standard during treatment were calculated. Before and after treatment, the degree of vertigo and score of Self- Rated Health Measurement Scale were evaluated. At the end of treatment, the patients evaluated the nursing satisfaction. Results: After four weeks of treatment, the therapeutic effect on improving blood pressure in the observation group was better than that in the control group(P<0.05). The levels of SBP and DBP in both groups were decreased when compared with those before treatment(P<0.01),and the above two levels in the observation group were lower than those in the control group(P<0.05). The rate of blood pressure reaching the standard was 56.26% in the observation group,higher than that of 46.79% in the control group,the difference being significant(P<0.01). The vertigo score in both groups was decreased when compared with that before treatment respectively(P<0.01), and the score of SRHMS was increased respectively(P<0.01). The vertigo score in the observation group was lower than that in the control group(P<0.01),and the score of SRHMS was higher(P<0.01). The score of nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:Based on the treatment of the routine medical care,the additional use of foot bath with Chinese herbs and application of Fructus Evodiae at Yongquan point, can further control the blood pressure of the patients and improve the rate of blood pressure reaching the standard to lessen vertigo and improve patients' health and nursing satisfaction.

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郑志,陈广.中药沐足与吴茱萸敷贴涌泉穴联合常规医护措施治疗高血压性眩晕临床研究[J].新中医,2020,52(24):178-181

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  • 在线发布日期: 2020-12-22
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