穴位降压操对中青年高血压患者生命质量的影响

Effect of acupuncture decompression operation on the quality of life of patients with mild to moderate hypertension

目的：探讨穴位降压操对中青年原发性高血压患者生命质量的影响。方法将74例中青年轻中度原发性高血压患者按随机数字表法分为试验组与对照组，研究中共失访4例，最终纳入并进行数据分析的患者共70例。对照组35例进行常规遵医嘱服药和健康指导，试验组35例在此基础上增加穴位降压操治疗。2组患者均于干预前、干预后测量血压，并使用世界卫生组织编制的生命质量量表（WHOQOL-BREF）进行生命质量评测，进行数据分析。结果干预后,试验组的生理、心理领域评分分别为（15.23±2.66）、（16.68±2.23）分，对照组分别为（13.98±2.18）、（15.25±2.52）分，2组比较差异有统计学意义（t=2.305、2.522，均P＜0.05）；试验组的社会关系、环境领域评分分别为（13.70±2.24）、（14.16±1.24）分，对照组分别为（13.29±2.30）、（13.56±1.36）分，2组比较差异无统计学意义（t=0.770、3.063，均P＞0.05）；试验组收缩压、舒张压分别为（121.43±6.43）、（71.74±3.88）mmHg（1 mmHg=0.133 kPa），对照组分别为（128.34±5.72），（76.06±4.43）mmHg，2组比较差异有统计学意义（t=-4.753、-4.210，均P＜0.05）。结论穴位降压操可以改善中青年原发性高血压患者血压水平，提高生命质量。

Objective To investigate the effect of acupuncture decompression operation on the quality of life of patients with mild to moderate essential hypertension. Methods 74 cases of mild to moderate essential hypertension were divided into experimental group and control group by random number table, 4 cases were lost. Finally, a total of 70 patients were included in the data analysis. In the control group, 35 cases were given routine drug taking and health guidance, the experimental group of 35 patients increase the treatment of acupuncture decompression operation points on this basis. The two groups of patients were measured with blood pressure before and after intervention, and World Health Organization Quality of Life (WHOQOL-BREF) was used to evaluate the quality of life, and the data were analyzed. Results The scores of physiological and psychological fields in the experimental group were (15.23 ± 2.66) points and (16.68 ± 2.23) points while the control group were (13.98 ± 2.18) points, (15.25 ± 2.52) points, the difference was statistically significant (t=2.305, 2.522, P<0.05). The experimental group of social relations, environmental score were respectively (1.37 ± 2.24) points, (14.16 ± 1.24) points, while the control group were (13.29 ± 2.30) points, (13.56 ± 1.36) points, 2 groups were not statistically significant (t=0.770, 3.063, P > 0.05). The experimental group systolic blood pressure, diastolic blood pressure were (121.43 ± 6.43) mmHg (1 mmHg=0.133 kPa), (71.74 ± 3.88) mmHg, compared with the control group were (128.34±5.72) mmHg, (76.06±4.43) mmHg. The difference was statistically significant (t=-4.753,-4.210, P<0.05). Conclusions acupuncture decompression operation can improve blood&nbsp;pressure in young and middle-aged patients with hypertension, improve the quality of life.