耳穴貼壓配合降壓藥物治療1級高血壓病的臨床效果

董巧稚+李巖+蔡玲玲

[摘要] 目的 觀察耳穴貼壓配合降壓藥物治療1級高血壓病的臨床效果。 方法 選擇2014年10月～2015年12月在北京中醫藥大學東方醫院心血管科門診就診80例高血壓病1級患者作為研究對象，按隨機數字表法將其分為治療組和對照組。治療組服用氨氯地平5 mg，1次/d，清晨口服，同時給予耳穴貼壓治療，共4周。對照組給予氨氯地平，連服4周。觀察兩組患者血壓變化、降壓療效及中醫證候療效。 結果 ①兩組患者治療后收縮壓均較治療前顯著下降（P < 0.05），治療組治療后舒張壓顯著低于治療前（P < 0.05），而對照組治療前后舒張壓水平比較差異無統計學意義（P > 0.05）；治療組治療后舒張壓明顯低于對照組（P < 0.05），而兩組治療后收縮壓比較差異無統計學意義（P > 0.05）。②治療組降壓總有效率為82.5%，對照組為67.5%，差異有統計學意義（P < 0.05）。③治療組中醫證候療效總有效率為87.5%，對照組為62.5%，差異有統計學意義（P < 0.05）。 結論 耳穴貼壓配合降壓藥物的降壓療法不僅可明顯改善1級高血壓病患者的臨床癥狀，提高患者的生活質量，還有較好的降壓效果。

[關鍵詞] 耳穴貼壓；高血壓病；中醫證候；療效

[中圖分類號] R544.1 [文獻標識碼] A [文章編號] 1673-7210（2017）01（a）-0094-04

[Abstract] Objective To observe the clinical effects of auricular-plaster therapy cooperated with antihypertensive drugs in the treatment of grade 1 hypertension disease. Methods Eighty patients with grade 1 hypertension disease treated in the Outpatient Department of Cardiology， Dongfang Hospital of Beijing University of Chinese Medicine from October 2014 to December 2015 were selected as research objects， and they were randomly divided into treatment group and control group by random number table method. The treatment group was given Amlodipine 5 mg orally in the morning， once a day， and auricular-plaster therapy was given to the treatment group， total for 4 weeks. While the control group was just treated with Amlodipine， for 4 weeks. The changes of blood pressure， the antihypertensive effect and curative effect of TCM syndrome in the two groups were observed. Results ①The systolic blood pressure of the two groups after treatment were all significantly lower than those before treatment （P < 0.05）， the diastolic blood pressure in the treatment group after treatment was significantly lower than that before treatment （P < 0.05）， but there was no significant difference of diastolic blood pressure of the control group before and after treatment （P > 0.05）. The diastolic blood pressure of the treatment group after treatment was significantly lower than that of control group （P < 0.05）， while there was no statistically significant difference of systolic blood pressure after treatment between the two groups （P > 0.05）. ②The total effective rate of antihypertension in the treatment group was 82.5%， which of the control group was 67.5%， the difference was statistically significant （P < 0.05）. ③The total effective rate of TCM syndrome in the treatment group was 87.5%， which of the control group was 62.5%， the difference was statistically significant （P < 0.05）. Conclusion The antihypertensive therapy of auricular-plaster therapy cooperated with antihypertensive drugs not only can significantly improve the clinical symptoms of patients with grade 1 hypertension， enhance the quality of life， but also has better antihypertensive effects.