中医“治未

发布时间：2018-04-23 02:07

本文选题：中医 + 治未病　；参考：《浙江中医药大学》2017年硕士论文

【摘要】：目的探究与分析中医"治未病"干预1级高血压病的效果。方法选取我院自2014年6月至2016年6月收治的1级高血压病患者180例,对该组患者进行体质辨识后,根据六种体质(平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质)分类,然后采用随机数字表法分为干预组和对照组,每组各90例,对照组在生化指标正常、无器质性病变的前提下,仅给予健康生活方式指导,包括饮食控制、适当锻炼,以及保持足够的睡眠时间等。观察组在对照组基础上实施中医"治未病"干预,给予有效的生活方式干预联合药物干预方案。对比两组治疗前后自我管理能力、证候疗效、血压变化、体质量相关指标、血脂指标变化、日常生活质量及中医体质变化。结果(1)两组患者治疗前相比戒烟戒酒、坚持运动、健康饮食、监测血压患者所占比例无明显差异(P0.05)。两组患者治疗后与治疗前相比戒烟戒酒、坚持运动、健康饮食、监测血压患者所占比例明显升高,观察组治疗后与对照组治疗后相比戒烟戒酒、坚持运动、健康饮食、监测血压患者所占比例升高更加显著,差异具有统计学意义(P0.05)。(2)对照组治疗后证候疗效为76.67%,观察组治疗后证候疗效为92.22%,观察组治疗后证候疗效明显高于对照组治疗后证候疗效,差异具有统计学意义(P0.05)。(3)两组患者治疗前相比收缩压及舒张压无明显差异(P0.05)。对照组治疗1个月后、治疗3个月后与治疗前相比,收缩压及舒张压虽有所降低,但无明显差异(P0.05)。观察组治疗1个月后与治疗前相比收缩压与舒张压均降低,治疗3个月后与治疗1个月后相比收缩压与舒张压均降低,差异具有统计学意义(P0.05)。观察组治疗后1个月后、治疗后3个月的收缩压及舒张压与对照组治疗后1个月后、治疗后3个月分别相比降低更加显著,差异具有统计学意义(P0.05)。(4)两组患者治疗前相比体重、体重指数、腰围、臀围及腰臀比无明显差异(P0.05)。对照组治疗后与治疗前相比体重、体重指数、腰围、臀围及腰臀比虽有所降低,但无明显差异(P0.05)。观察组治疗后与治疗前相比体重、体重指数、腰围、臀围及腰臀比均降低,观察组治疗后与对照组治疗后相比体重、体重指数、腰围、臀围及腰臀比降低更加显著,差异具有统计学意义(P0.05)。(5)两组患者治疗后与治疗前相比TC、TG及LDL-C水平降低,HDL-C水平升高,观察组治疗后与对照组治疗后相比TC、TG及LDL-C水平降低,HDL-C水平升高更加显著,差异具有统计学意义(P0.05)。(6)两组患者治疗前相比健康感觉、躯体感觉、睡眠状态、生活满足感以及认知功能评分无明显差异(P0.05)。两组患者治疗后与治疗前相比健康感觉、躯体感觉、睡眠状态、生活满足感以及认知功能评分均升高,观察组治疗后与对照组治疗后相比健康感觉、躯体感觉、睡眠状态、生活满足感以及认知功能评分升高更加显著,差异具有统计学意义(P0.05)。(7)两组患者治疗前后中医体质量表中平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质得分相比无明显差异(P0.05)。对照组治疗后与治疗前相比中医体质量表中平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质得分无明显差异(P0.05)。观察组治疗后与治疗前相比中医体质量表中平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质得分均降低,观察组治疗后与对照组治疗后相比中医体质量表中平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质得分降低更加显著,差异具有统计学意义(P0.05)。结论中医"治未病"干预1级高血压病的效果突出,不仅可提高患者的自我管理能力,改善血脂指标,提高生活质量,改善中医体质,期间未出现不良反应,安全性较高。
[Abstract]:Objective to explore and analyze the effect of "treating no disease" on the intervention of 1 grade hypertension. Methods 180 cases of 1 grade hypertension patients were selected from June 2014 to June 2016 in our hospital. After physical identification, the group was classified according to six physique (flat and quality, Qi deficiency, yin deficiency, yang deficiency, phlegm wet quality, damp heat quality), and then the random number was used. The method was divided into the intervention group and the control group, with 90 cases in each group. The control group only given the healthy lifestyle guidance, including diet control, proper exercise, and enough sleep time on the premise of normal biochemical indexes and no organic pathological changes. The observation group carried out the intervention of "treating no disease" on the basis of the control group and gave effective life. In the two groups, the self-management ability, the syndrome effect, the blood pressure change, the body mass index, the blood lipid index, the daily life quality and the physique of traditional Chinese medicine were compared before and after the treatment. The results were (1) the proportion of the two groups was less than the smoking and abstinence, the strong exercise, the healthy diet, and the monitoring of the blood pressure. There was significant difference (P0.05). After treatment, the two groups were compared with before treatment to quit smoking and abstinence, adhere to exercise, healthy diet, and monitor blood pressure, the proportion of patients in the observation group was significantly higher than that of the control group after treatment. The proportion of patients who were kept exercise, healthy diet and monitoring blood pressure increased significantly, and the difference was statistically significant. (P0.05) (2) the effect of the syndrome after treatment was 76.67% in the control group and 92.22% in the observation group after treatment. The curative effect of the observation group was significantly higher than that of the control group after treatment. The difference was statistically significant (P0.05). (3) there was no significant difference in systolic pressure and diastolic pressure in the two groups before treatment (P0.05). After 1 months of treatment, the control group was treated, After 3 months of treatment, the systolic pressure and diastolic pressure decreased, but there was no significant difference (P0.05). The systolic and diastolic pressure of the observation group decreased after 1 months of treatment, and the systolic pressure and diastolic pressure decreased after 3 months of treatment and 1 months after treatment. The difference was statistically significant (P0.05). 1 after treatment, the observation group was 1 after treatment. After 3 months after treatment, the systolic pressure and diastolic pressure of the 3 months after treatment were significantly higher than that of the control group after 1 months after treatment. The difference was statistically significant (P0.05). (4) there was no significant difference in body weight, body mass index, waist circumference, hip circumference and waist hip ratio before treatment (P0.05). The control group was compared with before treatment. Body weight, body mass index, waist circumference, hip circumference and waist to hip ratio were lower, but there was no significant difference (P0.05). The body weight, body mass index, waist circumference, hip circumference and waist hip ratio decreased after treatment. The body weight index, waist circumference, hip circumference and waist to hip ratio decreased more significantly after treatment. Statistical significance (P0.05) (5) two groups of patients after treatment compared with before treatment TC, TG and LDL-C level decreased, HDL-C level increased, the observation group after treatment compared with the control group TC, TG and LDL-C level decreased, the level of HDL-C increased more significantly, the difference was statistically significant (P0.05). (6) two groups of patients compared to healthy feeling, somatosensory before treatment. There was no significant difference in sleep state, life satisfaction and cognitive function score (P0.05). The two groups of patients with healthy feeling, somatosensory, sleep state, life satisfaction and cognitive function score increased after treatment. The observation group was compared with the control group after treatment of healthy feeling, somatosensory, sleep state, and full life. The score of foot and cognitive function increased significantly (P0.05). (7) there was no significant difference between the two groups of patients before and after the treatment of the body mass scale, Qi deficiency, yin deficiency, yin deficiency, Yang deficiency, phlegm wet quality and humid heat (P0.05). Quality, yin deficiency, Yang deficiency, phlegm, wet heat and heat quality had no significant difference (P0.05). After treatment, the observation group was compared with the quality of body mass, Qi deficiency, yin deficiency, yin deficiency, Yang deficiency, phlegm wet quality and damp heat quality. After treatment, the observation group was compared with the control group in the middle level of the body mass, Qi deficiency and yin deficiency. The score of Yang deficiency, phlegm, wet heat and heat quality decreased more significantly, and the difference was statistically significant (P0.05). Conclusion the effect of "treatment without disease" in the intervention of grade 1 hypertension is prominent. It can not only improve the self management ability of the patients, improve the blood lipid index, improve the quality of life, improve the physique of traditional Chinese medicine, but have no adverse reaction and high safety during the period.

【学位授予单位】：浙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

【参考文献】