降压按摩操干预高血压的临床疗效研究

Clinical effect of antihypertensive massage exercise for hypertension

目的探讨降压按摩操对原发性高血压患者的临床症状、血压及生活质量的影响。方法选取符合纳入标准的原发性高血压患者160例,随机分为治疗组和对照组,每组各80例。对照组维持原有抗高血压药治疗,治疗组在原有抗高血压药治疗的基础上加做降压按摩操,记录两组干预前及后30 d、60 d血压值(收缩压和舒张压),评价降压疗效;记录两组干预前及后60 d中医临床症状评分,评价中医临床症状的疗效;以杜氏高血压生活质量量表评价两组患者生活质量改变情况。结果与干预前比较,干预后30 d治疗组血压明显下降(P<0.01),对照组无明显变化(P>0.05);干预后60 d两组血压均显著下降(P<0.01);干预后60 d的降压总有效率,治疗组(78.75%)高于对照组(17.50%,P<0.01)。干预后60 d两组中医临床症状积分较干预前均显著下降(P<0.01);干预后60 d的中医临床症状总有效率,治疗组(85.00%)高于对照组(51.25%,P<0.01)。干预后60 d的生活质量评分中生理症状、躯体化症状,治疗组较干预前有改善(P<0.05),而对照组干预前后生活质量评分各方面差异均无统计学意义(P>0.05)。结论降压按摩操对高血压患者的预防、治疗和康复效果明确,坚持有规律地进行有助于控制血压、改善症状,并在一定程度上提高患者的生活质量,适宜在社区及各级医疗机构进行推广。

Objective To explore the effect of antihypertensive massage exercise on clinical symptoms, blood pressure and life quality in the patients with primary hypertension. Methods A total of 160 patients with primary hypertension, who met the inclusion criteria were selected and randomly divided into treatment group and control group as 80 caseseach group. The control group maintained the original antihypertensive drugs, and the treatment group additionally took the antihypertensive massage exercise on the basis of original antihypertensive therapy. The blood pressure（systolic and diastolic pressure） before intervention and after 30 d and 60 d intervention and the clinical symptom score before intervention and after 60 d intervention of two groups were recorded. The antihypertensive effect and the effect of improving traditional Chinese medicine clinical symptom were evaluated. The life quality in two groups was evaluated through hypertension quality of life scale. Results The blood pressure of treatment group after 30 d intervention was lower than that before intervention（P〈0.01）, and the blood pressure of the control group had no significant change（P〉0.05）; the blood pressure after 60 d intervention was lower than before intervention in two groups（P〈0.01）; the total effective rate of antihypertensive therapy in the treatment group（78.75%） was higher than that of the control group（17.50%, P〈0.01）. After 60 d intervention, the clinical symptom scores of two groups were lower than those before intervention（P〈0.01）, and the total effective rate（85.00%） of the clinical symptom of treatment group was higher than that of the control group（51.25%, P〈0.01）. The physiological symptoms and somatization symptoms after 60 d intervention in the treatment group were improved than before intervention（P〈0.05）, but there was no significant difference in the quality of life of the control group before and after intervention（P〉0.05）. Conclusion The antihypertensive massage exercise is effective on the prevention, treatment and rehabilitation of hypertensive patients.