腹宫推拿联合饮食运动干预治疗高血压临床对照观察
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摘要
目的:观察腹宫推拿联合饮食运动干预对原发性高血压患者的血压值、临床症状以及生存质量的临床疗效。方法:采用随机、对照的试验设计方法,将40例高血压患者随机分为两组:腹宫推拿联合饮食运动干预组(简称治疗组) 20例,单纯饮食运动干预组(简称对照组) 20例。治疗组接受腹宫推拿治疗,隔日1次,联合饮食运动干预。对照组仅行饮食运动干预。疗程为1个月,所有患者于治疗前后观察两组患者的腰围、血压值、中医症状体征积分以及SF-36量表积分。结果:两组腰围、中医症状与生活质量均有改善,但治疗组改善与总有效率优于对照组,差异具有显著性(P<0.05)。结论:腹宫推拿联合饮食运动干预对高血压患者有良好的干预作用。
Objective:To investigate the clinical efficacy of abdominal massage combined with exercise and dietary intervention on essential hypertension(EH)patients. Methods:Forty patients with hypertension were randomly divided into treatment group(20 cases),and control group(20 cases). The treatment group was treated by abdominal massage therapy combined with exercise and dietary intervention for every other day,while control group only received the exercise and dietary intervention. All the patients were assessed with blood pressure,waist circumference,symptoms and signs of TCM integral and SF-36 scale scores before and after treatment. Results:The blood pressure,waist circumference,the TCM symptoms score and SF-36 scale scores were significantly different in the treatment group and control group(P<0.05). The total effective rate was 85% in the treatment group,the control group was 45%,and difference was significant. Conclusion:Abdominal massage combined exercise and dietary intervention has a better antihypertensive effect than using diet intervention individually.
Objective:To investigate the clinical efficacy of abdominal massage combined with exercise and dietary intervention on essential hypertension(EH)patients. Methods:Forty patients with hypertension were randomly divided into treatment group(20 cases),and control group(20 cases). The treatment group was treated by abdominal massage therapy combined with exercise and dietary intervention for every other day,while control group only received the exercise and dietary intervention. All the patients were assessed with blood pressure,waist circumference,symptoms and signs of TCM integral and SF-36 scale scores before and after treatment. Results:The blood pressure,waist circumference,the TCM symptoms score and SF-36 scale scores were significantly different in the treatment group and control group(P<0.05). The total effective rate was 85% in the treatment group,the control group was 45%,and difference was significant. Conclusion:Abdominal massage combined exercise and dietary intervention has a better antihypertensive effect than using diet intervention individually.
引文
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[16]彭德忠,赵征宇,曾文斌,等.荡腹推脊法治疗慢传输型便秘81例临床观察[J].辽宁中医杂志,2010,37(10):2024.
[17]程艳彬,房敏,朱清广,等.推拿相关感受器转导与传入机制初探[J].中华中医药杂志,2014,29(7):2133-2136.
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[20]蔡婷,黄晓玲,曾雁冰,等.中国居民高血压的危险因素Meta分析[J].现代预防医学,2015,42(5):831-836.
[21]金楠,李革,李会,等.中国大陆地区成年人高血压前期发生率及危险因素的meta分析[J].南方医科大学学报,2013,33(12):701-742.
[22]董彩霞,荫士安.营养干预在高血压病治疗中的作用[J].卫生研究,2010,39(1):316-323.
[23]陈杏云.高脂饮食和燕麦β-葡聚糖对菌群人源化小鼠生理及肠道菌群的影响[D].咸阳:西北农林科技大学,2013.
[24]Pedro A. J&R. Dominic gut microbiota in hypertension[J].Curr Opin Nephrol Hypertens,2015,24(5):403-409.
[2]PEREIR A M,LUNET N,AZEVEDO A,et al. Differences in prevalence,awareness,treatment and control of hypertension between developing and developed countries[J].J Hypertens,2009,27(5):963-975.
[3]European society of hypertension,European society of cardiology.2013 ESH/ESC Guidelines for the management of arterial hypertension[J].J Hypertens,2013,31(7):1281-1357.
[4]安雅莉.生活方式干预对糖耐量低减人群预防糖尿病的影响及推迟糖尿病发病对心脑血管疾病的影响[D].北京:中国协和医科大学,2009.
[5]刘力生.中国高血压防治指南2010[J].中华高血压杂志.2011,19(8):701-743.
[6]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:233-235.
[7]McHorney CA,Ware JE,Raczek AE. The MOS 36-Item ShortForm Health Survey(SF-36):II. Psychometric and clinical tests of validity in measuring physical and mental health constructs[J].Med Care,1993,31(3):247-263.
[8]王丽娟.β-受体阻滞剂临床应用及常见副作用[J].中国中医药现代远程教育,2010(9):229.
[9]杨国文,彭桂强.钙拮抗剂不良反应123例报告[J].医学文选,2005(1):35-36.
[10]邢海宁,李琛,王玲.利尿药在高血压病治疗中的应用[J].世界最新医学信息文摘,2016(15):13-14.
[11]姜绮霞,袁洪.血管紧张素Ⅱ受体拮抗剂临床不良反应的评价[J].中国医师杂志,2006(7):1004-1005
[12]康智,范志,勇古宬,等.中医推拿治疗高血压病概况[J].中医外治杂志,2014,23(5):51-52.
[13]杨丽睿,张慧敏.肥胖高血压发病机制研究现状[J].心血管病学进展,2013,34(2):182-185.
[14]XU H,HU X,ZHANG Q,et al. The association of hypertension with obesity and metabolic abnormalities among Chinese children[J]. Int J Hypertens,2011,2011:987159.
[15]Takeoka A,Tayama J,Yamasaki H,et al. Intra-abdominal fat accumulation is a hypertension risk factor in young adulthood:Across-sectional study[J].Medicine(Baltimore),2016,95(45):e5361
[16]彭德忠,赵征宇,曾文斌,等.荡腹推脊法治疗慢传输型便秘81例临床观察[J].辽宁中医杂志,2010,37(10):2024.
[17]程艳彬,房敏,朱清广,等.推拿相关感受器转导与传入机制初探[J].中华中医药杂志,2014,29(7):2133-2136.
[18]薄智云.腹针疗法[M].北京:中国科学技术出版社,1999.
[19]黎小华.腹针治疗高血压病对肾素-血管紧张素-醛固酮系统的影响[D].广州:广州中医药大学,2012.
[20]蔡婷,黄晓玲,曾雁冰,等.中国居民高血压的危险因素Meta分析[J].现代预防医学,2015,42(5):831-836.
[21]金楠,李革,李会,等.中国大陆地区成年人高血压前期发生率及危险因素的meta分析[J].南方医科大学学报,2013,33(12):701-742.
[22]董彩霞,荫士安.营养干预在高血压病治疗中的作用[J].卫生研究,2010,39(1):316-323.
[23]陈杏云.高脂饮食和燕麦β-葡聚糖对菌群人源化小鼠生理及肠道菌群的影响[D].咸阳:西北农林科技大学,2013.
[24]Pedro A. J&R. Dominic gut microbiota in hypertension[J].Curr Opin Nephrol Hypertens,2015,24(5):403-409.