基于中医养生理论的辨证施护对高血压患者血压及中医临床症候的影响

发布时间：2019-01-07 21:00

【摘要】：目的探讨基于中医养生理论的辨证施护对高血压患者血压及中医临床症候的影响,以期提高高血压患者的生活质量。方法选取2015年1—12月在浙江中医药大学附属第二医院心血管科和老年科住院的高血压患者100例,采用随机数字表法将患者分为试验组和对照组,各50例。对照组采用常规护理方法,试验组在常规护理方法基础上采用基于中医养生理论的辨证施护,两组均护理30 d。两组患者在治疗前及治疗10、20、30 d后行24 h动态血压监测(24 h平均收缩压和24 h平均舒张压)和中医症候分级量化评分,并进行比较。结果护理方法与护理时间在24 h平均收缩压、24 h平均舒张压存在交互作用(P0.05);护理时间在24 h平均收缩压、24 h平均舒张压上主效应显著(P0.05);护理方法在24 h平均收缩压、24 h平均舒张压上主效应显著(P0.05)。治疗20、30 d后试验组患者24 h平均收缩压、24 h平均舒张压低于对照组(P0.05)。护理方法与护理时间在中医症候分级量化评分上存在交互作用(P0.05);护理时间在中医症候分级量化评分上主效应显著(P0.05);护理方法在中医症候分级量化评分上主效应显著(P0.05)。治疗10、20、30 d后试验组患者中医症候分级量化评分低于对照组(P0.01)。结论基于中医养生理论的辨证施护可有效改善高血压患者的血压情况,缓解中医临床症候,提高生活质量。
[Abstract]:Objective to explore the effect of syndrome differentiation and nursing based on the theory of traditional Chinese medicine (TCM) on blood pressure and clinical symptoms of hypertension patients in order to improve the quality of life of patients with hypertension. Methods from January to December 2015, 100 patients with hypertension were selected from Cardiovascular Department and Geriatrics Department of the second affiliated Hospital of Zhejiang University of traditional Chinese Medicine. The patients were randomly divided into two groups: experimental group and control group (50 cases each). The control group was treated with routine nursing method, and the experimental group was treated with syndrome differentiation based on the theory of traditional Chinese medicine on the basis of routine nursing method. Both groups were given nursing for 30 days. 24 h ambulatory blood pressure monitoring (24 h mean systolic blood pressure and 24 h mean diastolic blood pressure) and quantitative score of TCM symptom grading were performed before and 30 days after treatment in the two groups. Results there was interaction between nursing method and nursing time in 24 h mean systolic blood pressure (24 h mean diastolic blood pressure) (P0.05), nursing time at 24 h mean systolic blood pressure (24 h), 24 h mean diastolic blood pressure (24 h) had significant main effect (P0.05). The main effect of nursing methods was significant at 24 h mean systolic blood pressure and 24 h mean diastolic blood pressure (P0.05). The mean systolic blood pressure (SBP) and diastolic blood pressure (DBP) in the experimental group were significantly lower than those in the control group (P0.05). There was interaction between nursing method and nursing time on the score of TCM symptom grading (P0.05), and the main effect of nursing time on TCM syndrome grading and quantification score was significant (P0.05). The main effect of nursing method on TCM symptom grading and quantification score was significant (P0.05). After 30 days of treatment, the scores of TCM syndromes in the experimental group were lower than those in the control group (P0.01). Conclusion Dialectic nursing based on the theory of traditional Chinese medicine can effectively improve the blood pressure of patients with hypertension, alleviate the clinical symptoms of traditional Chinese medicine, and improve the quality of life.
【作者单位】：浙江中医药大学附属第二医院;浙江中医药大学护理学院;
【基金】：浙江省医药卫生科技计划项目(2014KYA161)
【分类号】：R248.1

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