中医药联合五音降压操治疗肝阳上亢型高血压的护理探析

Nursing Analysis of Hypertension with Hyperactivity of Liver Yang Treated by Traditional Chinese Medicine Combined with Five Tone Step-Down Exercise

目的:探讨天麻钩藤饮联合五音降压操对肝阳上亢型高血压治疗效果。方法:选择2019年1月至2020年12月收治肝阳上亢型高血压患者病例120例,采用随机对照的科研方法,分为对照组、天麻钩藤饮治疗组、五音降压操组、天麻钩藤饮联合五音降压操组各30例,对照组予在传统治疗法的基础上按高血压病常规护理进行护理;天麻钩藤饮治疗组在对照组的治疗护理的基础上予天麻钩藤饮200 mL,1日1剂,早晚温服;五音降压操组对照组的治疗护的基础上予五音降压操每日2次;天麻钩藤饮联合五音降压操组在对照组的治疗护理的基础上予天麻钩藤饮联合五音降压操。观察时间为14天。观察4组患者治疗前后的血压水平、临床症状、患者的心理状态的改善情况。结果:干预后天麻钩藤饮联合五音降压操组患者的降压水平优于其他三组,差异有统计学意义(P<0.05);干预后四组患者的中医证候积分较干预前均有所下降(P<0.05)干预后联合组患者SDS、SAS评分低于其他组(P<0.05)。结论:天麻钩藤饮联合五音降压操说明天麻钩藤饮联合五音降压操是系统、方便、安全有效的降低肝阳上亢型高血压患者的血压水平的一项中医护理技术。

Objective:To explore the therapeutic effect of Tianma Gouteng decoction combined with five tone step-down exercise on hypertension with hyperactivity of liver Yang.Methods:120 cases of hypertension with hyperactivity of liver Yang from January 2019 to December 2020 were randomly divided into control group,Tianma Gouteng decoction treatment group,five tone step-down exercise group and Tianma Gouteng decoction combined with five tone step-down exercise group,30 cases each.The control group was given routine nursing care for hypertension on the basis of traditional treatment;on the basis of the treatment and nursing of the control group,the Tianma Gouteng decoction treatment group was given 200 mL Tianma Gouteng decoction,one dose a day,warm in the morning and evening;on the basis of the treatment and nursing of the five tone step-down exercise group and the control group,the five tone step-down exercise group was given twice a day;Tianma Gouteng decoction combined with five tone step-down exercise group was given Tianma Gouteng decoction combined with five tone step-down exercise on the basis of the treatment and nursing of the control group.The observation time was 14 days.The blood pressure level,clinical symptoms and the improvement of patients’psychological state were observed before and after treatment.Results:After intervention,the hypotensive level of Tianma Gouteng decoction combined with five tone step-down exercise group was better than the other three groups,the difference was statistically significant(P<0.05);after intervention,TCM syndrome scores of patients in the four groups were decreased compared with those before intervention(P<0.05).after intervention,SDS and SAS scores of patients in the combined group were lower than those in other groups(P<0.05).Conclusion:Tianma Gouteng decoction combined with five-tone step-down exercise indicates that Tianma Gouteng decoction combined with five-tone step-down exercise is a nursing technique of traditional Chinese medicine to reduce blood pressure level of hypertensive patients with hyperactivity of liver Yang systematically,conveniently,safely and effectively.