集束化中医干预对肝气郁结型更年期综合征高血压患者血压的影响

Effect of cluster intervention of TCM on blood pressure of the climacteric syndrome patients with stagnation of liver-QI and hypertension

目的探讨基于集束化中医干预对肝气郁结型更年期综合征高血压患者血压的影响,以期为此类患者提供简单安全的降压方法,缓解中医临床症候,提高患者生活质量。方法选取2016年3月1日—2017年1月31日浙江中医药大学附属第二医院妇产科及心血管科住院的肝气郁结型更年期高血压患者80例,按随机数字表法分为2组,每组40例。对照组采用常规干预方法,试验组在常规干预方法上采用集束化中医干预措施,比较2组患者的24小时平均舒张压(24 h SBP)、24小时平均舒张压(24 h DBP)及中医症候分级量化评分情况。结果组内比较,经过30 d的集束化干预,试验组24 h SBP由(155.8±5.1)mm Hg(1 mm Hg=0.133 k Pa)降为(123.5±3.3)mm Hg,24 h DBP由(92.8±4.4)mm Hg降为(70.8±3.6)mm Hg,中医症候分级量化评分由(8.2±1.3)分降为(1.4±0.5)分;对照组24 h SBP由(155.9±5.1)mm Hg降为(128.2±4.4)mm Hg,24 h DBP由(95.3±5.2)mm Hg降为(76.4±3.7)mm Hg,中医症候分级量化评分由(9.4±1.5)分降为(3.7±1.1)分,2组患者的血压及中医症候分级量化评分下降明显。组间比较,干预20 d后试验组患者24 h SBP、24 h DBP下降明显,干预10 d后试验组中医症候分级量化评分下降显著,差异有统计学意义。结论集束化中医干预可以有效改善肝气郁结型更年期综合征高血压患者的血压,缓解中医临床症候,提高生活质量。

Objective To explore the effects of cluster intervention of TCM on blood pressure of the climacteric syndrome patients with stagnation of liver-QI and hypertension,in order to provide easy,safe and reliable treatment scheme,alleviate clinical symptoms of traditional Chinese medicine,and improve the quality of life. Methods A total of 80 hypertension patients with climacteric syndrome were randomly divided into control group and experimental group with 40 patients in each group. The control group was given routine nursing care while the experimental group was given the cluster TCM interventions. The differences in 24 h SBP,24 h DBP and TCM symptom classifying quantitative score were compared between the two groups after treatment. Results The experimental group ＇s 24 hours average systolic blood pressure（ SBP） reduced from（ 155. 8 ± 5. 1） mm Hg（ 1 mm Hg = 0. 133 k Pa） to（ 123. 5 ± 3. 3） mm Hg,24 hours a day on average diastolic blood pressure（ DBP） reduced from（ 93. 6 ± 6. 9） mm Hg to（ 70. 8 ± 3. 6） mm Hg,TCM symptom classifying quantitative score from（ 8. 2 ± 1. 3） to（ 1. 4 ± 0. 5）; Control group＇SBP reduced from（ 155. 9 ± 5. 1） to（ 128. 2 ± 4. 4）,DBP by（ 95. 3 ± 5. 2） mm Hg to（ 76. 4 ± 3. 7） mm Hg,TCM symptom classifying quantitative score by（ 9. 4 ± 1. 5） to（ 3. 7 ± 1. 1）. Comparison between groups,after twenty days intervention,experimental group＇SBP and DBP drop was obvious; after ten days intervention,experimental group ＇TCM symptom also decreased significantly.Conclusion According to the theory of Chinese medicine keeping in good health cluster change intervention can improve the menopausal liver Yang syndrome blood pressure in patients with high blood pressure,relieve clinical symptoms of traditional Chinese medicine,and improve the quality of life.