社区低中危高血压病患者的体质辨识及中医药干预的临床疗效及满意度分析

Constitution identification for patients with low to moderate risk hypertension in communities and the clinical efficacy and satisfaction analysis of traditional Chinese medicine intervention

目的通过体质辨识的诊查手段,分析研究社区低中危高血压病患者的体质情况,探讨运用西药降压及中医药干预的临床疗效及满意度。方法选取2020年1—6月中山大学附属第八医院接治的社区低中危高血压病患者开展研究,共收入100例,采取分别抽样法分组,即采用中医药干预的对照组(n=50)和采用体质辨识及中医药干预的观察组(n=50),对比两组治疗效果、血压水平、血脂水平、社区服务满意度、生活质量。结果观察组治疗有效率(98.00%)高于对照组(86.00%),差异有统计学意义(P<0.05)。治疗前,两组血压、血脂情况比较差异无统计学意义(P>0.05);治疗后,观察组血压、血脂改善情况均优于对照组,差异有统计学意义(P<0.05)。观察组社区服务满意度(98.00%)高于对照组(82.00%),差异有统计学意义(P<0.05)。治疗前,两组生活质量评分比较,差异无统计学意义(P>0.05);治疗后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论实施体质辨识的诊查手段以及运用西药降压药和中医药干预的治疗方案,对社区低中危高血压病患者控制血压、减少西药使用量、改善用药量减少后血压反复升高方面有明显效果,患者对社区服务的满意度较高,较大程度上提高了治疗水平,在临床中值得应用和推广。

Objective To analyze and study the constitutional condition of patients with low to moderate risk hypertension in the communities through the constitution identification means,and analyze the clinical efficacy and satisfaction of western medicine antihypertensive drugs and traditional Chinese medicine(TCM)intervention.Methods A total of 100 patients with low to moderate risk hypertension in the communities treated in the Eighth Affiliated Hospital of Sun Yat-sen University from January to June 2020 were selected for the study.They were divided into the control group(n=50)who received TCM intervention and the observation group(n=50)who received constitution identification treatment and TCM intervention by separate sampling method.The treatment effect,blood pressure level,blood lipid level,satisfaction with community services and quality of life were compared between the two groups.Results The treatment effect was better in the observation group(98.00%)than that in the control group(86.00%),with statistically significant difference(P<0.05).Before treatment,there were no statistical differences in terms of blood pressure and blood lipid between the two groups(P>0.05).After treatment,the improvements of blood pressure and blood lipid in the observation group were better than those in the control group,with statistically significant differences(P<0.05).The satisfaction with community services was higher in the observation group(98.00%)than that in the control group(82.00%),with statisti cally significant difference(P<0.05).Before treatment,there was no statistically significant difference in terms of quality of life scores between the two groups(P>0.05).After treatment,the quality of life scores were higher in the observation group than that in the control group,with statistically significant differences(P<0.05).Conclusion By means of the constitution identification and the treatment plan of western m edicine antihypertensive drugs and TCM intervention, the effect is significant in controlling blood pressure, reducing the use amount of western drugs and improving recurrent elevation of blood pressure after lowering medication dosage in patients with low to medium risk hypertension in communities, which greatly improves the treatment level with a relatively high satisfaction with community services in patients. Therefore, it is worthy of clinical application and promotion.