耳穴压豆联合西药治疗原发性高血压伴抑郁症疗效观察

Observation on treating primary hypertension and depression by auricular point pressing and western medicine

目的:研究中医药特色"耳穴压豆"对原发性高血压伴抑郁症的治疗疗效。方法:将云浮市中医院内科2016年2月-2017年7月收治的120例高血压病伴抑郁症患者按数字表法随机分为观察组与对照组,每组各60例。两组均给予常规西药进行降血压及抗抑郁治疗,同时指导患者按健康生活方式生活,观察组用王不留行籽为药豆的耳穴压豆干预治疗。比较两组患者干预第4周、8周、12周时收缩压和舒张压水平和抑郁症HAMD评分情况。结果:两组干预治疗4周时收缩压和舒张压比较差异并不明显(P>0.05),第8周、12周时收缩压、舒张压均下降,观察组优于对照组(P<0.05)。第4周和第8周时观察组抑郁症HAMD评分与对照组比较差异并不明显(P>0.05),第12周时两组比较,观察组优于对照组(P<0.05)。结论:用王不留行籽为药豆的耳穴压豆治疗能够显著降低原发性高血压伴抑郁症患者的收缩压和舒张压,降压效果更好,同时能改善抑郁症相关症状,操作方便,疗效确切,无明显的副作用,值得临床推广应用。

Objective： To study the effect of TCM medicine on primary hypertension and depression. Methods： 120 cases were randomly divided into the observation group and the control group, 60 cases in each group. Two groups were treated with conventional western medicine for lowering blood pressure and anti-depression with healthy lifestyle guidance. The observation group was given auricular point pressing. The systolic, diastolic pressure levels and the HAMD score of depression were compared between two groups at 4, 8 and 12 weeks. Results： There was no significant difference in systolic blood pressure and diastolic blood pressure between two groups at 4 weeks after intervention（P〉0.05）. The systolic blood pressure and diastolic blood pressure were decreased at 8 weeks, 12 weeks between two groups; and those in the observation group was better than the control group（P〈0.05）. The HAMD score of depression was no significant difference between group at 4 weeks, 8 weeks（P〉0.05）, and that in the observation group was better than the control group at 12 weeks（P〈0.05）. Conclusion： Auricular point pressing can significantly decrease systolic and diastolic blood pressure, with a better hypotensive effect and convenient operation, also can improve the related symptoms of depression, no obvious side effects, and is worthy of clinical application.