温胆汤加减配合沐足治疗老年高血压合并失眠的效果观察

Clinical effect of modified Wendan Decoction Combined with foot massage in the treatment of senile hypertension complicated with insomnia

目的探讨温胆汤加减配合沐足治疗老年高血压合并失眠的临床效果。方法择选2019年4月~2021年4月我院确诊的高血压合并失眠的老年患者128例,按随机数字表法分为对照组和观察组,每组64例。对照组给予西药治疗,观察组同时予以温胆汤加减配合沐足治疗,观察比较两组的血压水平、睡眠时间、临床效果以及满意度情况。结果两组患者治疗后的血压(SBP、DBP)值均较治疗前明显下降,而且观察组下降幅度明显优于对照组,差异均有统计学意义(均P<0.05)。两组患者的睡眠时间比较,观察组为(7.10±1.55)h长于对照组的(5.87±1.62)h,差异具有统计学意义(P<0.05)。治疗总有效率比较,观察组为96.88%高于对照组的82.81%,组间比较差异有统计学意义(P<0.05)。两组的满意度比较,观察组为92.19%高于对照组的79.69%,差异有统计学意义(P<0.05)。结论温胆汤加减配合沐足治疗老年高血压合并失眠患者的效果明显,能改善患者的临床症状,增加睡眠时间,值得临床应用。

Objective To explore and observe the clinical effect and application of Wendan Decoction Combined with foot massage in elderly patients with hypertension and insomnia.Methods 128 elderly patients were randomly selected as the research object and treated in internal medicine.They were diagnosed as hypertension with insomnia from April 2019 to April 2021.Grouping by digital table method:the routine group was treated with routine western medicine,and the intervention group was treated with Wendan Decoction Combined with foot massage.The blood pressure level,sleep time,clinical effect and satisfaction of the two groups were counted and compared.Results After treatment,blood pressure(SBP,DBP)decreased significantly in both groups,and the intervention group was lower than the routine group(P<0.05 for each);In terms of sleep time,the intervention group(7.10±1.55 h)was longer than the routine group(5.87±1.62 h)(P<0.05);In terms of clinical total effective rate,the intervention group(96.88%)was higher than the routine group(82.81%)(P<0.05);In terms of satisfaction,the intervention group(92.19%)was higher than the routine group(79.69%)(P<0.05).Conclusion The elderly patients with hypertension and insomnia treated with Wendan Decoction Combined with foot bathing can effectively increase the sleep time,improve the clinical symptoms and improve the treatment effectwith high clinical application value.