中医药防治社区高血压临床研究

Clinical Research on Traditional Chinese Medicine in the Prevention and Treatment of Community Hypertension

目的:探讨社区居民高血压患者实施的中医药综合治疗的疗效。方法:将社区98例高血压患者随机分为对照组49例和治疗组49例,对照组根据患者病情,采用西药降压治疗,同时进行社区护理及健康教育。治疗组在对照组的基础上给予中医药综合干预。①采用中医保健干预疗法包括情志治疗、饮食治疗、运动保健、针灸治疗、按摩治疗等;②采用中医体质、情志、饮食等理论对患者进行中医养生保健及心理指导;③采用辨证论治及方药加减治疗。结果:治疗组有效率达93.88%,对照组有效率83.67%,治疗组与对照组比较,差异有统计学意义(P<0.05)。结论:社区高血压病患者采用中医预防及治疗可以明显改善症状,疗效显著。

Objective： To investigate the curative effects of traditional Chinese medicine in the prevention and treatment of community hypertension patients. Methods ：98 cases of community-hypertension patients were randomly divided into the control group and treatment group. The control group was given western medicine antihypertensive treatment according to the patient＇s condition and community care and health education were given at the same time. The treatment group was given Chinese medicine intervention treatment based on the treatment given to the control group. （1）Chinese health-intervention principle：including emotional treatment, diet therapy, exercise care, acupuncture, massage etc. ;（2）The theories of TCM such as TCM constitution, life cultivation, emotions, and diet were used to conduct the TCM health care and psychological guidance for patients;（3）Chinese medicine treatment techniques：Chinese herbal medicine syn- drome differentiation and treatment, typing and prescription modification treatment were adopted. Results ： The effective rate of the treat- ment group was 93.88% while the rate was 83.67% in the control group. Comparison of the results between the treatment group and the control group showed that the difference was statistically significant （ P 〈 0.05 ）. Conclusion： Community hypertension patients can use Chinese medicine for prevention and treatment, which can significantly improve their symptoms and achieve a significant curative effect.