基于中医“治未

发布时间：2018-03-31 14:02

本文选题：治未病　切入点：社卫中心　出处：《中医临床研究》2017年04期

【摘要】：目的:应用中医"治未病"理念进行社区老年高血压健康管理,对其可行性和运用模式进行探讨。方法:抽取本社区符合高血压诊断标准的老年患者360名,获得知情同意后采用中医"治未病"理念进行健康管理;以年龄、性别、血压、受教育程度等配对,选择360名老年高血压患者作为对照组,仅维持常规降压药物治疗,管理6个月评价效果。结果:健康管理6个月后,观察组收缩压、舒张压较入组时明显降低(P0.05),对照组无明显变化(P0.05);健康管理后两组间血压比较差异有统计学意义(P0.05)。健康管理后观察组患者头晕头痛、眼花耳鸣和失眠发生率分别为12.5%、9.17%、4.17%,明显低于入组时(P0.05)。健康管理后两组症状发生率比较差异有统计学意义(P0.05)。健康管理期间观察组患者因高血压相关疾病就诊率为6.67%,对照组为18.33%(x~2=4.882,P0.05)。结论:中医"治未病"以"未病防患,已病防恶,康后防复"理念为指导,对提高血压控制率,减轻症状具有显著的作用。
[Abstract]:Objective: to study the feasibility and application of traditional Chinese medicine (TCM) in the management of elderly hypertension in the community. Methods: 360 elderly patients who met the criteria of hypertension diagnosis in our community were selected. After obtaining informed consent, health management was carried out with the concept of "cure without disease" in traditional Chinese medicine. 360 elderly patients with hypertension were selected as control group with age, sex, blood pressure and education level as matched pairs, and only routine antihypertensive drug therapy was maintained. Results: after 6 months of health management, systolic blood pressure was observed in the observation group. Diastolic blood pressure (DBP) was significantly lower than that in the control group (P 0.05), but there was no significant change in the control group (P 0.05). There was a significant difference in blood pressure between the two groups after health management (P 0.05), and there was dizziness and headache in the observation group after health management. The incidence of tinnitus and insomnia were 12.59.17 and 4.17, respectively, which was significantly lower than that of P0.05 when entering the group. There was a significant difference in the incidence of symptoms between the two groups after health management (P 0.05). During the period of health management, the rate of seeing a doctor for hypertension in the observation group was 6.67. The radiation group was 18.33 and the control group was 18.33. Conclusion: the traditional Chinese medicine "treating the disease without disease" and "preventing the disease without disease", Under the guidance of the concept of prevention and cure of illness and evil, it can improve the blood pressure control rate and alleviate the symptoms.
【作者单位】：广州市花都区天贵社区卫生服务中心;
【分类号】：R259

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