| 畲医搓痧疗法联合护理干预在高血压性头痛患者中的应用 |
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| 引用本文： | 叶玉珠,潘铨.畲医搓痧疗法联合护理干预在高血压性头痛患者中的应用[J].中华全科医学,2020,18(2):329. |
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| 作者姓名： | 叶玉珠 潘铨 |
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| 作者单位： | 1. 丽水市中医院心内科, 浙江 丽水 323000; |
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| 基金项目： | 浙江省丽水市重点科技创新团队项目(2018cxtd06)浙江省中医药科技计划项目(2016ZB143) |
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| 摘 要： | 目的 探讨畲医搓痧疗法联合护理干预治疗高血压性头痛的临床疗效及对患者生活质量和护理满意度的影响。 方法 将丽水市中医院2017年3月—2019年3月间收治的86例高血压性头痛患者采用随机数字法分为对照组和观察组,各43例。对照组采用常规治疗,观察组在对照组基础上采用畲医搓痧疗法。2组患者均给予综合护理干预。比较2组临床疗效以及治疗前后血压、头痛发作频率、肱动脉血流介导的舒张功能。采用健康状况调查简表(SF-36)评价患者生活质量。 结果 观察组患者治疗总有效率显著高于对照组(95.35%vs.81.40%,χ2=4.074,P<0.05)。观察组治疗后头痛发作频率(1.85±1.02)次/月vs.(2.96±1.36)次/月]、舒张压(76.93±8.66) mm Hg vs.(84.36±7.15) mm Hg]和收缩压(126.18±13.29) mm Hg vs.(132.45±14.45) mm Hg]显著低于对照组,肱动脉血流介导的舒张功能率(6.48±1.25)%vs.(5.32±1.62)%]显著高于对照组(均P<0.05)。观察组治疗后SF-36量表各维度的评分显著高于对照组(均P<0.05)。 结论 畲医搓痧疗法联合护理干预治疗高血压性头痛疗效显著,能显著减少患者头痛频率,改善高血压和血管内皮功能障碍,提高生活质量。
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| 关 键 词： | 高血压性头痛 畲医搓痧疗法 护理 效果 血管内皮功能 |
| 收稿时间： | 2019-07-12 |
Application of phlegm and blood stasis therapy combined with nursing intervention in patients with hypertensive headache |
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| Affiliation: | 1. Department of Cardiology,Lishui City Hospital of Traditional Chinese Medicine,Lishui,Zhejiang 323000,China |
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| Abstract: | Objective To explore the clinical efficacy of phlegm and blood stasis therapy combined with nursing intervention in the treatment of hypertensive headache and its impact on patients' quality of life and nursing satisfaction. Methods Eighty-six patients with hypertensive headache admitted to Lishui Hospital of Traditional Chinese Medicine from March 2017 to March 2019 were randomly divided into control group(n=43) and observation group(n=43). The control group was treated with routine treatment, while the observation group was treated with Sheyi rubbing therapy. Two groups of patients were given comprehensive nursing intervention. The clinical efficacy of the two groups and the blood pressure, the frequency of headache attacks, and the brachial artery blood flow-mediated diastolic function were compared before and after treatment. The health status survey form(SF-36) was used to evaluate the quality of life of patients before and after treatment. Results The total effective rate was significantly higher in the observation group than that in the control group(95.35% vs. 81.40%, χ2=4.074,P<0.05). The frequency of headache attacks after treatment in the observation group (1.85±1.02) times/month vs.(2.96±1.36) times/month], diastolic blood pressure (76.93±8.66) mm Hg vs.(84.36±7.15) mm Hg] and systolic blood pressure (126.18±13.29) mm Hg vs.(132.45±14.45) mm Hg] was significantly lower than that of the control group, and the brachial artery blood flow-mediated diastolic function rate (6.48±1.25)% vs.(5.32±1.62)%] was significant higher than that of the control group(all P<0.05). The scores of the SF-36 scale in the observation group were significantly higher than those in the control group(all P<0.05). Conclusion The combination of phlegm and blood stasis therapy in the treatment of hypertensive headache is effective, which can significantly reduce the headache frequency, improve hypertension and vascular endothelial dysfunction, and improve the quality of life. |
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