高血压患者中医体质综合干预效果分析

目的]评价高血压患者中医体质综合干预效果。方法]在中医体质辨识的基础上,依据9种体质各自特点,从情志、起居、运动、饮食和经络5个方面,对74名高血压患者进行为期6个月的中医体质综合干预,观察干预前后研究对象中医体质得分及血压值的变化情况。结果]与干预前相比,干预6个月后,研究对象平和质得分显著提高(P0.05),阴虚质(P0.05)、痰湿质(P0.01)、血瘀质(P0.01)得分显著降低;收缩压平均降低14.26 mm Hg(1 mm Hg=0.133 k Pa),舒张压平均降低6.87 mm Hg,经检验,收缩压和舒张压均值的降低具有统计学意义(P0.01)。结论]中医体质综合干预可以改善高血压患者的体质偏颇状况,降低患者血压,对健康具有一定的促进作用。

Study on intervention of hypertension patients by comprehensive methods about constitution of traditional Chinese medicine

Objective] To assess the effects of the comprehensive intervention for hypertension patients in constitution of traditional Chinese medicine (TCM) theories. Methods] In this quasi-experiment study, 74 hypertension patients received comprehensive intervention about constitutional of TCM, which based on the identification of constitutional types, for 6 months. The changes about constitutional type scores of TCM and blood pressures were observed and analyzed. Results] After the intervention for 6 months, gentleness type scores have been increased significantly (P<0.05), yin-deficiency type (P<0.01), phlegm-wetness type (P<0.01), and blood-stasis type (P<0.01) scores have been decreased significantly. Systolic blood pressure and diastolic blood pressure have been dropped 14.26 mmHg(1 mmHg=0.133 kPa) and 6.87 mmHg on average respectively (P<0.01). Conclusion] The comprehensive intervention about constitutional of TCM had a positive effect in hypertension patients by improving the conditions of biased constitutions and reducing the blood pressures.