| 耳穴贴压联合西药治疗社区原发性高血压的临床观察 |
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| 引用本文： | 郁丘婷,胡春蕊,赵外荣,陈昕琳.耳穴贴压联合西药治疗社区原发性高血压的临床观察[J].上海中医药杂志,2018,52(12):44-47. |
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| 作者姓名： | 郁丘婷 胡春蕊 赵外荣 陈昕琳 |
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| 作者单位： | 上海中医药大学附属龙华医院心内科,上海,200030,上海中医药大学附属龙华医院心内科,上海,200030,上海中医药大学附属龙华医院心内科,上海,200030,上海中医药大学附属龙华医院心内科,上海,200030 |
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| 基金项目： | 上海申康医院发展中心临床科技创新项目任务(SHDC12015313) |
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| 摘 要： | 目的观察耳穴贴压联合西药治疗社区原发性高血压的临床疗效。方法将180例社区原发性高血压患者随机分为治疗组与对照组,每组90例。对照组仅口服单种降压药,治疗组在口服单种降压药基础上加予耳穴贴压治疗。两组疗程均为5个月,观察临床疗效,比较血压相关指标(收缩压、舒张压、脉压差等)的变化情况。结果 (1)最终完成试验者,对照组79例,治疗组87例。(2)治疗组、对照组总有效率分别为85.1%、58.2%;组间临床疗效比较,治疗组明显优于对照组(P0.05)。(3)治疗前后组内比较,治疗组收缩压、舒张压、脉压差的差异均有统计学意义,明显降低(P0.05),对照组收缩压、舒张压、脉压差均有下降的趋势,但差异无统计学意义(P0.05)。组间治疗后比较,治疗组收缩压、舒张压、脉压差明显低于对照组(P0.05)。(4)治疗组痰湿壅盛型患者收缩压降幅大于阴阳两虚型(P0.05),其余各证型间比较差异无统计学意义(P0.05)。肝火亢盛型患者舒张压降幅大于阴虚阳亢型(P0.05),其余各证型间比较差异无统计学意义(P0.05)。治疗后不同证型患者脉压差降幅比较,差异无统计学意义(P0.05)。结论耳穴贴压联合西药治疗社区原发性高血压的疗效满意,相较单纯西药治疗,可更有效地降压(收缩压、舒张压、脉压差),且根据患者中医证候的不同,降压效果存在一定的差异。
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| 关 键 词： | 原发性高血压 社区人群 耳穴 非药物疗法 经络 肝火亢盛证 痰湿壅盛证 |
| 收稿时间： | 2018/5/18 0:00:00 |
Clinical observation on auricular point pressing combined with western medicine in the treatment of essential hypertension in community |
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| YU Qiuting,HU Chunrui,ZHAO Wairong and CHEN Xinlin.Clinical observation on auricular point pressing combined with western medicine in the treatment of essential hypertension in community[J].Shanghai Journal of Traditional Chinese Medicine,2018,52(12):44-47. |
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| Authors: | YU Qiuting HU Chunrui ZHAO Wairong and CHEN Xinlin |
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| Institution: | Cardiovascular Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200300,China,Cardiovascular Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200300,China,Cardiovascular Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200300,China and Cardiovascular Department, Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 200300,China |
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| Abstract: | |
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| Keywords: | essential hypertension community people auricular point non-drug therapy meridians and collaterals syndrome of exuberance of liver fire syndrome of excessive phlegm-dampness |
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