耳穴压豆辅助治疗慢性肾脏病3～4期伴1～2级高血压患者的降压疗效观察

发布时间：2018-01-29 06:15

  本文关键词： 耳穴压豆 慢性肾脏病 高血压　出处：《山东中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的观察耳穴压豆辅助治疗慢性肾脏病3~4期伴有1~2级高血压患者的降压疗效及其依从性,为耳穴压豆辅助降压提供客观依据。方法根据研究对象纳入标准选择山东中医药大学附属医院肾内科病房和门诊慢性肾脏病3~4期伴有1~2级高血压患者60例,采用分层随机化的方法,根据患者的肾功能、伴有高血压级别随机分为试验组和对照组,每组各30例。两组均给予常规降压药物,高血压1级者:氨氯地平5mg日一次;高血压2级者:氨氯地平5mg日二次。对照组在给予常规降压药物的基础上给予耳穴贴布,依照选穴原则统一选取目前降压最常用的七个穴位(心、肝、肾、神门、降压沟、交感、皮质下),同时给予心理暗示提示贴布有药效作用,完全不需要按压。而试验组在给予常规降压药物的基础上给予,加用王不留行籽耳穴压豆治疗,选取同样七个穴位(心、肝、肾、神门、降压沟、交感、皮质下),分别观察两组患者压豆前,压豆后3天,10天,28天血压变化情况。结果1.试验组平均均动脉压(治疗后3天vs治疗前:108.88±11.69 vs 118.77±11.56)、收缩压(治疗后3天vs治疗前:150.87±11.99 vs 173.56±12.01)、舒张压(治疗后3天vs治疗前:88.16±10.07 vs 94.97±10.97)均下降(P0.05),有统计学差异。试验组平均均动脉压(治疗后10天vs治疗前:104.83±11.27 vs118.77±11.56)、收缩压(治疗后10天vs治疗前:140.55±11.78 vs 173.56±12.01)、舒张压(治疗后10天vs治疗前:84.98±10.89 vs 94.97±10.97)均下降(P0.05),有统计学差异。试验组平均均动脉压(治疗后28天vs治疗前:100.98±12.12 vs 118.77±11.56)、收缩压(治疗后28天vs治疗前:134.26±12.08 vs 173.56±12.01)均下降(P0.01),有显著统计学差异;舒张压(治疗后28天vs治疗前:83.02.±10.76 vs 94.97±10.97)下降(P0.05),有统计学差异。试验组治疗后3天达到理想的降压效果,且收缩压的降压幅度大于舒张压,治疗后28天内血压保持在较稳定的水平。2.试验组与对照组相比较,治疗后3天平均动脉压(试验组vs对照组:108.88±11.69vs112.30±11.97)、收缩压(试验组vs对照组:150.87±11.99 vs 158.76±12.33)均下降(P0.05),有统计学差异;舒张压(试验组vs对照组:88.16±10.07 vs 90.58±11.56)无明显下降(P(29)0.05),无统计学差异。试验组与对照组相比较,治疗后10天平均动脉压(试验组vs对照组:104.83±11.27vs 108.54±11.56)、收缩压(试验组vs对照组:140.55±11.78 vs 149.09±12.18)均下降显著(P0.05),有统计学差异;舒张压(试验组vs对照组:84.98±10.89 vs 87.27.±12.01)无明显下降(P(29)0.05),无统计学差异。试验组与对照组相比较,治疗后28天平均动脉压(试验组vs对照组:100.98±12.12vs 105.48±12.01)、收缩压(试验组vs对照组:134.26±12.08 vs 141.72±12.26)均下降(P0.05),有统计学差异;舒张压(试验组vs对照组:83.02.±10.76 vs 85.37±11.52)无明显下降(P(29)0.05),无统计学差异。3.慢性肾脏病3~4期伴有1~2级高血压患者,在常规降压的基础上,加用耳穴压豆治疗能更有效地降低患者血压,且治疗效果随着时间延长呈增强趋势。结论耳穴压豆对慢性肾脏病3~4期伴有1~2级高血压的患者有一定的辅助降压作用,可在治疗后3天达到理想的降压效果,且收缩压的降压幅度大于舒张压,并在治疗后28天内血压维持在较稳定的水平。
[Abstract]:Objective To observe the antihypertensive efficacy and compliance of auricular plaster therapy in adjuvant treatment of stage 3~4 chronic kidney disease with 1~2 in patients with hypertension, for auricular pressure auxiliary blood pressure provides the objective basis. Methods included 60 cases of Affiliated Hospital of Shandong University of Traditional Chinese Medicine 3~4 renal medical ward and outpatient chronic renal disease with grade 1~2 patients with hypertension according to the research object, using the method stratified randomization, according to the patient's renal function, hypertension grade were randomly divided into experimental group and control group, 30 cases in each group. The two groups were given conventional antihypertensive drugs, grade 1 hypertension: Amlodipine 5mg once a day; grade 2 hypertension: Amlodipine 5mg two times a day. The control group in addition to the routine antihypertensive drugs given auricular acupoint selection in accordance with the principle of unity of cloth, selects the seven most commonly used acupoints (heart, liver, kidney and blood pressure, Shenmen, jinagyagou, sympathetic, subcortical), at the same time to 浜堝績鐞嗘殫绀烘彁绀鸿创甯冩湁鑽�鏁堜綔鐢�,瀹屽叏涓嶉渶瑕佹寜鍘，

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