降压方穴位贴敷治疗肝阳上亢型高血压病的疗效探讨

秦春美　杨永华　黄春艳

[摘要] 目的 探讨复方中药贴敷多穴位治疗肝阳上亢型高血压病的疗效。方法 方便选择2016年9月—2017年5月入住该院的肝阳上亢型高血压病患者随机分治疗组和对照组，各30例每组。对照组行规范化西医治疗。治疗组在对照组治疗基础上行降压方穴位贴敷。结果 治疗组血压下降总有效率为100.0%（且中医证候有效率如下：眩晕100.0%；头痛100.0%；口干口苦便秘87.5%；溲赤100.0%；五心烦热100.0%；耳鸣100.0%；急躁易怒100.0%；失眠健忘94.7%；腰膝酸软91.7%，总有效率为97.1%）。尿微量蛋白减少总有效率为73.3%。患者总体疗效总有效率为94.0%。结论 复方中药多穴位贴敷联合降压药能更有效地降低肝阳上亢型高血压病患者的血压；改善中医证候；降低患者尿微量白蛋白水平。

[关键词] 降压方穴位贴敷；肝阳上亢型高血压；治疗；疗效

[中图分类号] R246.1 [文献标识码] A [文章编号] 1674-0742（2018）01（c）-0162-03

[Abstract] Objective This paper tries to investigate the curative effect of compound Chinese medicine sticking multiple acupoints on hyperthyroidism with liver-yang syndrome with Jiangya recipe. Methods 60 patients who admitted to the hospital from September 2016 to May 2017 were convenient selected and divided into the treatment group and the control group by random， 30 cases in each group. The control group was given regularly western medicine； the treatment group received the jiangya recipe acupoint sticking therapy on pionts on the basis of the regularly western medicine. Results In the treatment group， the total effective rate of blood pressure decreased was 100.0%（and TCM syndromes were as follows： vertigo 100.0%；headache 100.0%；mouth dry and bitter， constipation 87.5%；scanty dark urine 100.0%； dysphoria in chestpalms-soles 100.0%； tinnitus 100.0%， irritability 100.0%； insomnia amnesia 94.7%； soreness and weakness of waist and knees 91.7%， the total effective rate was 97.1%）. The total effective rate of urinary microalbumin reduction was 73.3%. The total effective rate of overall treatment was 94.0%. Conclusion Compound Chinese medicine multi-acupoint sticking with antihypertensive drugs can more effectively reduce blood pressure in patients with hyperthyroidism and improve TCM syndromes； reduce the level of urine microalbuminuria.

[Key words] Antihypertensive acupoint sticking； Hyperactivity of liver-yang hypertension； Treatment； Efficacy

高血压是脑卒中和冠心病的主要危险因素，我国患病率为29.6%，治疗后血压达标率为27.4%[1]。中医疗法在改善症状和生活质量，持续时间，疗效平稳性等方面独具优势，该研究通过观察该院2016年9月—2017年5月收治的60例肝阳上亢型高血壓病患者，探讨复方中药多穴位贴敷治疗肝阳上亢型高血压病的安全性、降压疗效、症状疗效，为中药贴敷疗法提供切实的临床证据。报道如下。

1 资料与方法

1.1 一般资料

该试验为前瞻性随机对照研究，方便选择该院收治的60例肝阳上亢型高血压病患者，随机分为观察组和治疗组，每组30例。对比两组患者性别、年龄、病情等一般临床资料的差异无统计学意义（P>0.05），具有对比性。……