化痰祛瘀法协同综合护理对高血压患者血压、血脂的影响

Effect of phlegm-transforming stasis-resolving method combined with comprehensive nursing on blood pressure and blood lipid in patients with hypertension

目的探讨化痰祛瘀法协同综合护理提高治疗高血压患者血压、血脂的临床疗效。方法收集我院内科收治的高血压患者84例,随机分为治疗组和对照组,各42例。对照组予以传统护理、常规治疗,培哚普利片8 mg口服,1次/d,苯磺酸氨氯地平片5 mg口服,1次/d。2级高血压患者予以吲达帕胺片2.5 mg口服,1次/d。治疗组在对照组基础上予以综合护理、中药汤剂治疗,采用化痰祛瘀法,1剂/d。均治疗12周。比较2组血压、血脂水平、高血压知晓率、治疗率及控制率变化、生活质量、日常生活能力、认知能力、心血管事件发生情况。结果治疗后,与治疗前相比2组收缩压、舒张压均降低(P<0.05);TC、LDL-C、TG水平降低,HDL-C升高(P<0.05);高血压知晓率、治疗率及控制率均升高(P<0.05);生活质量、日常生活能力以及认知能力评分均升高(P<0.05);与对照组相比,治疗组收缩压、舒张压较低(P<0.05);TC、LDL-C、TG水平较低,HDL-C较高(P<0.05);高血压知晓率、治疗率及控制率较高(P<0.05);生活质量、日常生活能力以及认知能力评分较高(P<0.05);心血管事件总发生率较低(P<0.05)。结论化痰祛瘀法协同综合护理能够显著改善高血压患者血压、血脂,改善患者生存质量,降低心血管事件发生率。

Objective To explore the clinical effect of phlegm-transforming stasis-resolving method combined with comprehensive nursing on blood pressure and blood lipid in patients with hypertension.Methods 84 patients with hypertension admitted in our hospital were randomly divided into the experimental group and the control group,42 cases in each group.The control group was given traditional nursing,conventional treatment,oral Perindopril tablets 8 mg,1 time/d,oral amlodipine besylate 5 mg,1 time/d.The treatment group was given comprehensive nursing and herbal decoction treatment on the basis of the control group,using phlegm-transforming stasis-resolving method,1 dose/d.Both groups were treated for 12 weeks.The changes of blood pressure,blood lipid level,awareness rate of hypertension,treatment rate and control rate,quality of life,daily living ability,cognitive ability and cardiovascular events were compared between 2 groups.Results After treatment,compared with before treatment,2 groups of systolic blood pressure and diastolic blood pressure decreased（P〈0.05）;TC,LDL-C,TG decreased,HDL-C increased（P〈0.05）;The awareness rate,treatment rate and control rate increased（P〈0.05）;The scores of quality of life,daily life ability and cognitive ability were all increased（P〈0.05）.Compared with the control group,the systolic blood pressure and diastolic blood pressure in the experimental group were lower（P〈0.05）;The levels of TC,LDL-C and TG were lower,and the HDL-C was higher（P〈0.05）;The awareness rate,cure rate and control rate was higher（P〈0.05）;Quality of life,daily life ability and cognitive ability scores were higher（P〈0.05）;Total incidence of cardiovascular events was lower（P〈0.05）.Conclusion Phlegm-transforming stasis-resolving method combined with comprehensive nursing can significantly improve the blood pressure,blood lipid,improve the quality of life and reduce the incidence of cardiovascular events in patients with hypertension.