高血压患者中医体质综合干预效果分析
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摘要
目的分析高血压患者中医体质综合干预效果。方法选取我院在2017年3月—2018年1月所收治的高血压患者500例作为研究对象。根据中医辨识总结高血压的9种体质,并且对500例高血压患者进行6个月的中医体质综合干预,评价干预前后患者的相关情况。结果与干预前比较,干预6个月后9种体质类型患者的体质指数均得到改善,差异具有统计学意义(P <0.05)。所有患者治疗后的收缩压为(128.5±6.2)mmHg,舒张压为(84.2±3.2)mmHg,与治疗前的(158.6±10.2)mmHg与(98.6±8.4)mmHg进行比较,差异具有统计学意义(t=56.39,P=0.00;t=35.82,P=0.00)。结论高血压患者进行中医体质综合干预能够帮助患者改善患者的中医体质类型,缓解患者的血压水平。
Objective To analyze the effect of comprehensive intervention on TCM Constitution in patients with hypertension. Methods 500 hypertensive patients admitted to our hospital from March 2017 to January 2018 were selected as the research objects. According to TCM identification, 9 constitutions of hypertension were summarized, and 500 patients with hypertension were given comprehensive intervention of TCM constitution for 6 months to evaluate the related situation of patients before and after intervention. Results Compared with those before intervention,BMI of 9 types of patients improved after 6 months of intervention, and the difference was statistically significant(P < 0.05). The systolic pressure and diastolic pressure of all patients after treatment were(128.5±6.2) mmHg and(84.2±3.2) mmHg, which were significantly different from those before treatment(158.6±10.2) mmHg and(98.6±8.4) mmHg(t=56.39, P=0.00;t=35.82, P=0.00). Conclusion Comprehensive intervention of TCM constitution in patients with hypertension can help patients to improve their TCM constitution type and relieve their blood pressure level.
Objective To analyze the effect of comprehensive intervention on TCM Constitution in patients with hypertension. Methods 500 hypertensive patients admitted to our hospital from March 2017 to January 2018 were selected as the research objects. According to TCM identification, 9 constitutions of hypertension were summarized, and 500 patients with hypertension were given comprehensive intervention of TCM constitution for 6 months to evaluate the related situation of patients before and after intervention. Results Compared with those before intervention,BMI of 9 types of patients improved after 6 months of intervention, and the difference was statistically significant(P < 0.05). The systolic pressure and diastolic pressure of all patients after treatment were(128.5±6.2) mmHg and(84.2±3.2) mmHg, which were significantly different from those before treatment(158.6±10.2) mmHg and(98.6±8.4) mmHg(t=56.39, P=0.00;t=35.82, P=0.00). Conclusion Comprehensive intervention of TCM constitution in patients with hypertension can help patients to improve their TCM constitution type and relieve their blood pressure level.
引文
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[15]项建明,邵锦霞,吴凤娟,等.高血压社区健康管理行为干预效果评价[J].浙江预防医学,2014,26(12):1279-1280.
[2]张松兴,张聪,马新.社区低、中危高血压病患者中医体质辨识及干预研究[J].中华中医药学刊,2015,23(1):110-112.
[3]虞晓含,朱燕波,王琦,等.高血压患者中医体质综合干预效果分析[J].天津中医药,2015,32(8):455-458.
[4]左文英,丁宏娟,浦斌红.上海某社区高血压人群中医体质辨识[J].吉林中医药,2017,37(1):36-41.
[5]尉敏琦,诸光花,周热娜,等.上海某区老年高血压患者生存质量与中医体质相关分析[J].中国中医药信息杂志,2016,23(3):27-31.
[6]王华楠,周维,毛兵,等.慢性阻塞性肺疾病稳定期中医证候与BODE指数、生活质量相关性研究[J].四川大学学报:医学版,2015,46(4):581-585.
[7]刘力生.中国高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-708.
[8]中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009:1-7.
[9]朱燕波,王琦,折笠秀树.中医体质量表的信度和效度评价[J].中华行为医学与脑科学杂志,2007,16(7):651-654.
[10]陈明霞,荆朝霞,王瑞莉,等.高血压病患者中医体质与生存质量的相关性研究[J].中华全科医学,2014,12(10):1657-1658,1661.
[11]田欢,张莉,林洪,等.乳腺癌患者中医体质特征与证候规律的相关性研究[J].世界中医药,2015,10(7):1108-1111.
[12]郭刚,吕雅郁,鄭燕飞,等.中医体质学原理的复杂性解读[J].北京中医药大学学报,2015,14(7):437-440.
[13]郑曙琴,梁茂新.《中医体质分类和判定》标准质疑[J].世界科学技术:中医药现代化,2015,33(6):1305-1309.
[14]赵金平.高血压社区管理和综合干预对高血压患者的控制效果观察[J].中国卫生产业,2015,13(3):188.
[15]项建明,邵锦霞,吴凤娟,等.高血压社区健康管理行为干预效果评价[J].浙江预防医学,2014,26(12):1279-1280.