拔罐疗法对社区痰湿质老年高血压患者中医体质调理效果研究

Study on the role of cupping therapy on the implementation of the constitution nursing of elderly hypertension patients with phlegm-dampness constitution in the community

目的探究拔罐疗法应用于社区老年高血压患者痰湿体质调理的效果。方法于2019年8—11月在南宁市北湖南棉社区卫生服务中心所辖5个社区选取120例社区痰湿质老年高血压患者,按随机数字表法分为对照组和干预组各60例。对照组予社区常规中医体质护理,干预组在此基础上予拔罐疗法干预,评价2组干预前和干预1、2、3个月后中医痰湿体质量表得分、中医痰湿体质总分减分率、中医痰湿体质转化率、血压、体质量指数和腰围变化。结果干预组51例,对照组57例完成研究。2组中医痰湿体质各维度得分及总分,除腹部肥大外各维度得分及总分均较前降低,差异有统计学意义(F值为3.450~94.995,P<0.05);干预组中医痰湿体质总分减分率0.17±0.10,高于对照组的0.12±0.09,差异有统计学意义(t值为-2.773,P<0.05);中医痰湿体质转化情况2组差异无统计学意义(P>0.05),但干预组中医痰湿体质转化率为47.1%(24/51),高于对照组的33.3%(19/57)。收缩压在干预2个月后,干预组为(135.10±2.64)mmHg(1 mmHg=0.133 kPa),低于对照组的(138.88±2.42)mmHg,差异有统计学意义(F值为6.586,P<0.05);舒张压在干预3个月后,干预组为(80.75±3.03)mmHg,低于对照组的(78.14±3.43)mmHg,差异有统计学意义(F值为6.758,P<0.05)。结论在社区常规中医体质护理基础上增加拔罐疗法干预对降低社区老年高血压患者痰湿体质得分,促进痰湿体质转化,降低血压水平的效果优于单纯社区中医体质护理,值得社区推广。

Objective To explore the effect of cupping therapy on regulating phlegm dampness constitution of elderly patients with hypertension in the community.Methods From August to November in 2019,120 elderly patients with phlegm dampness hypertension were randomly divided into control group and intervention group,60 cases in each.The control group was given traditional Chinese medicine(TCM)health care in the community,and the intervention group was given cupping therapy intervention on this basis,to evaluate the changes of the scores of TCM phlegm wet body mass table,the total score reduction rate of TCM phlegm wet body mass,the conversion rate of TCM phlegm wet body mass,blood pressure,body mass index and waist circumference between the two groups before the intervention,1 month,2 months,3 months after the intervention.Results Finally,there were 51 cases in the intervention group and 57 cases in the control group.The TCM phlegm dampness constitution sub-scale and total scores of the comparison between groups at four different time points showed that except for the dimension of abdominal hypertrophy,the sub-scale and total scores of TCM phlegm-dampness constitution scale in the two groups were lower than before,and the differences were statistically significant(F values were 3.450-94.995,P<0.05).The total score reduction rate of phlegm dampness constitution in the intervention group was 0.17±0.10,higher than that in the control group(0.12±0.09),and the difference was statistically significant(t value was-2.773,P<0.05).The transformation rate of phlegm-dampness constitution was 47.1%(24/51)in the intervention group,which was higher than that in the control group(33.3%,19/57).The value of systolic blood pressure was lower in the intervention group[(135.10±2.64)mmHg,1 mmHg=0.133 kPa]than that in the control group[(138.88±2.42)mmHg]after 2 months of intervention,and the difference was statistically significant(F value was 6.586,P<0.05).The value of diastolic blood pressure was lower in the intervention group[(80.75±3.03)mmHg]than that in the control group[(78.14±3.43)mmHg]after 3 months of intervention,and the difference was statistically significant(F value was 6.758,P<0.05).Conclusions On the basis of TCM physical nursing in the community,the effect of cupping therapy on reducing the score of phlegm and dampness physical fitness of elderly hypertension patients in the community,promoting the transformation of phlegm and dampness physical fitness of elderly hypertension patients in the community,and reducing the blood pressure level of elderly hypertension patients in the community is better than that of TCM physical nursing in the community,which is worth being promoted in the community.