穴位按摩结合五音降压操对提高高血压患者生活质量的效果研究

Study on the effect of acupoint massage combined with five-element music antihypertensive exercises on improving the quality of life of patients with hypertension

目的探讨穴位按摩结合五音降压操对提高高血压患者生活质量的效果。方法选取2019年10月至2021年5月南华大学附属第二医院收治的高血压患者134例,根据随机数表法分为联合组(n=67)和参照组(n=67),所有患者均给予降压治疗,参照组给予五音降压操干预,联合组在此基础上给予穴位按摩治疗,比较两组患者治疗疗效、治疗前后血压水平、焦虑抑郁情绪和中医证候积分、生活质量评分。结果联合组治疗总有效率(94.03%)明显高于参照组(82.09%),差异有统计学意义(P<0.05)。治疗后联合组收缩压和舒张压水平均低于参照组,差异有统计学意义(P<0.05)。联合组生理功能、躯体功能、社会功能和物质生活评分明显高于参照组,差异有统计学意义(P<0.05)。治疗后联合组汉密尔顿焦虑评分量表(HAMA)评分和汉密尔顿抑郁评分量表(HAMD)评分低于参照组,差异有统计学意义(P<0.05)。治疗后联合组眩晕、头痛和腰酸评分均低于参照组,差异有统计学意义(P<0.05)。结论穴位按摩结合五音降压操可提高高血压患者临床疗效,降低者血压水平,改善患者生活质量,缓解患者焦虑情绪,值得临床进一步推广应用。

Objective To explore the effect of acupoint massage combined with five-element music antihypertensive exercises on improving the quality of life of hypertensive patients.Methods A total of 134 patients with hypertension treated in the Second Affiliated Hospital of University of South China from October 2019 to May 2021 were selected.By the random number table method,they were divided into the combination group(n=67)and the reference group(n=67).All patients were given antihypertensive treatment.The reference group was given the intervention of five-element music antihypertensive exercises.On this basis,the combination group was given acupoint massage treatment.The treatment efficacy,the blood pressure levels,anxiety and depression and traditional Chinese medicine(TCM)syndrome score before and after treatment,and the quality of life score were compared between the two groups.Results The total effective rate of the combination group(94.03%)was significantly higher than that of the reference group(82.09%),and the difference was statistically significant(P<0.05).After treatment,the systolic blood pressure and diastolic blood pressure in the combination group were both lower than those in the reference group,and the differences were statistically significant(P<0.05).The scores of physiological function,physical function,social function and material life in the combination group were significantly higher than those in the reference group,and the differences were statistically significant(P<0.05).After treatment,the Hamilton Anxiety Rating Scale(HAMA)score and the Hamilton Depression Rating Scale(HAMD)score of the combination group were lower than those of the reference group,and the differences were statistically significant(P<0.05).After treatment,the scores of dizziness,headache and waist soreness in the combination group were lower than those in the reference group,and the differences were statistically significant(P<0.05).Conclusion Acupoint massage combined with five-element music antihypertensive exercises can improve the clinical effect of patients with hypertension,reduce their blood pressure,promote their quality of life,and alleviate their anxiety,which is worthy of further clinical application.