中西医结合治疗老年性Ⅱ期高血压患者生活质量分析研究

发布时间：2018-01-02 15:09

本文关键词：中西医结合治疗老年性Ⅱ期高血压患者生活质量分析研究　出处：《福建中医学院》2000年硕士论文　论文类型：学位论文

【摘要】： 背景：治疗法对老年性Ⅱ期高血压患者生活质量有重要影响。目的：为了探讨用中西医结合治疗方法对老年性Ⅱ期高血压病患者生活质量的影响，尤其是与传统中单纯西药治疗对其生活质量的影响之间的比较。资料与方法：按卫生部《中药新药临床指导原则》诊断标准及中医辨证标准、最新西医诊断标准，共调查了400例患者，均确诊高血压并坚持服药在 3个月以上，其中中西结合治疗组与西药组各200例，中西医结合治疗组年龄为62.91±3.28（60～75岁），男性90例，女性110例；职业为干部72例，工人 81例，专业技术人员25例，无业人员8例，其它14例。西药组年龄为63.22±2.61 （60-75岁），男性98例，女性102例；职业为干部71例，工人84例，专业技术人员26例，无业人员6例，，其它13例。采用由美国康涅狄格大学Croog SH博士提出，哈佛大学公卫学院Testa MA博士等进行简化，并经湖北医科大学杜勋明教授结合我国国情构造的高血压病人生活质量量表。结果：1、中西医结合组与西药组之间生活质量比较显示：中西医结合治疗组在生理症状、躯体化症状、睡眠状况、生气或活力、焦虑、压抑、强迫症状、工作状态、敌对等项日上评分商于四药治疗组，二者之间均有非常显著差异（P＜0，OI）；性功能失调与人际关系敏感二个项日评分比较无差异o ＞0．os）。2、中西医结合组中各证型之间生活质量比较：肝火亢盛组优于痰湿堕盛组（P＜0．05）；肝火亢盛组明显优于阴虚阳亢组及阴阳两虚组（P＜0．of）；痰湿塑盛组优于阴虚阳亢组及阴阳两虚组（P＜0，05）；阴虚阳亢组与阴阳两虚组之间无明显差异（R＞＂．05）。3、西药组中各中医证型之间生活质量比较均无明显差异（均P＞0．05）。4、中西医结合组与西药组之间年龄、职业、性别比较均无明显差异（均P＞0．l）。以上可知：中西医结合治疗对老年性＊期高血压患者生活质量的影响优于西医治疗组；在中医各证型中，其生活质量的优劣依次为：肝火亢盛组＞痰湿塑盛组＞阴虚阳亢组一阴阳两虚组。结论：治疗方法对老年性＊期高］血压患者生活质量有重要影响，不同证型对其生活质量的影响不同，为临床用药提供了参考。
[Abstract]:Background: treatment has an important effect on the quality of life of elderly patients with stage II hypertension.
Objective: To explore the life of elderly patients with hypertension by combination of traditional Chinese and Western Medicine
The effect of quality, especially on the effect of traditional western medicine treatment on its quality of life
More.
Data and methods: according to the clinical guidelines of the Ministry of public health, the diagnostic standard of the new medicine and the syndrome differentiation of traditional Chinese Medicine
Standard, the latest diagnostic criteria for western medicine. A total of 400 patients were investigated. All patients were diagnosed with high blood pressure and insisted on taking medicine.
More than 3 months, among them, 200 cases of the combined Chinese and Western medicine group and the western medicine group, the age of the combined Chinese and Western medicine treatment group
It was 62.91 + 3.28 (60~75 years old), 90 men, 110 women, 72 cadres in the profession, and workers.
81 cases, 25 cases of professional and technical personnel, 8 cases of unemployed workers and 14 other cases. The age of Western medicine group is 63.22 + 2.61.
(60-75 years old), 98 men and 102 women, 71 professional cadres, 84 workers, and professional skills.
There were 26 cases of staff, 6 unemployed and 13 others, using Dr. Croog SH from University of Connecticut, USA
It was suggested that Dr. Testa MA of the College of public health, Harvard University, and so on, be simplified, and by Du Xun, Hubei Medical University
Professor Ming combined with the national conditions of our country to construct a quality of life scale for hypertensive patients.
Results: 1, the comparison of the quality of life between the combined Chinese and Western medicine group and the western medicine group showed that the combination of traditional Chinese and Western medicine was treated with the combination of Chinese and Western medicine.
Physical symptoms, somatization, sleep, anger or vitality, anxiety, depression, coercion, and compulsion in the treatment group.
The symptoms, working conditions, etc., were hostile to four treatment groups, between the two were very significant
There were differences (P < 0, OI), and there was no difference between sexual dysfunction and interpersonal sensitivity in two item day scores (o)
> 0.os).2, compared with combination of TCM and Western medicine between each syndrome group in the quality of life: hyperactivity of liver fire group was better than that of phlegm
Fall Sheng group (P < 0.05); overabundant liver fire group was significantly better than that of Yinxuyangkang group and two Yin and yang deficiency group (P < 0.of);
Phlegm dampness group is superior to yin deficiency Yang Hyperactivity group and Yin Yang two deficiency group (P < 0,05), and yin deficiency Yang Hyperactivity group and Yin Yang deficiency two deficiency
There was no significant difference between the groups (R > ".05).3. The quality of life of the TCM Syndrome Types in the western medicine group was all compared.
No significant difference (P > 0.05).4, age, occupation and sex between Western and Western medicine group and Western medicine group.
There was no significant difference (all P > 0.l). It is known that the combination of traditional Chinese and Western medicine is high for the elderly
The quality of life of the patients with blood pressure is better than that of the western medicine treatment group; in each type of TCM syndrome, the quality of life
The merits are: hyperactivity of liver fire group, phlegm Susheng group, yin deficiency and yang hyperactivity group two of yin and yang deficiency group.
Conclusion: the treatment method has an important influence on the quality of life of the elderly patients with high blood pressure.
The effect of the type on the quality of life is different, which provides a reference for the clinical use of drugs.

【学位授予单位】：福建中医学院
【学位级别】：硕士
【学位授予年份】：2000
【分类号】：R259.4

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