中西医结合治疗与护理干预妊娠期高血压阴虚阳亢证临床观察
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R714.24+6; R248.3

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Clinical Observation of Integrated Chinese and Western Medicine Therapy Combined with Nursing Intervening Gestational Hypertension with Syndrome of Hyperactivity of Yang due to Yin Deficiency
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    摘要:

    目的:观察中西医结合治疗与护理干预妊娠期高血压阴虚阳亢证的临床效果。方法:选取本院收治的88例妊娠期高血压患者,按随机数字表法分为对照组和治疗组各44例。2组均予常规治疗、护理与非药物措施干预,对照组服用硝苯地平缓释片,治疗组在对照组基础上加用吴茱萸贴敷涌泉穴及相关护理干预措施。2组均连续治疗4周。观察2组治疗前后24 h平均舒张压(24hDBP)和24 h平均收缩压(24hSBP)、阴虚阳亢证症状的变化及临床疗效,记录2组1 min新生儿Apgar评分和新生儿出生体质量。结果:治疗后,治疗组总有效率为100%,高于对照组的86.36%,差异有统计学意义(P<0.05)。2组24hSBP和24hDBP均较治疗前下降(P<0.01);2组24hSBP和24hDBP比较,差异均无统计学意义(P>0.05)。2组阴虚阳亢证症状(眩晕、五心烦热、耳鸣、腰酸膝软)评分均较治疗前减少(P<0.01);治疗组4项症状评分均低于对照组(P<0.01)。治疗组的1 min新生儿Apgar评分和新生儿出生体质量值均高于对照组(P<0.01)。结论:在常规西医治疗和护理措施基础上加用吴茱萸贴敷涌泉穴及相关护理干预妊娠期高血压阴虚阳亢证患者,降压效果明显,可促进症状和妊娠结局的改善,提高临床疗效。

    Abstract:

    Objective:To observe the clinical effect of integrated Chinese and western medicine therapy combined with nursing intervening gestational hypertension with syndrome of hyperactivity of yang due to yin deficiency.Methods:Selected 88 cases of patients with gestational hypertension who were admitted and treated in our hospital,and divided them into the control group and the treatment group randomly, 44 cases in each group.Both groups received the routine treatment,nursing and non-drug measures for intervention;the control group received the oral administration of nifedipine sustained-release tablets,while the treatment group additionally received external application of Evodia rutatecarpa at Yongquan acupoint combined with relevant nursing measures.The treatment for both groups lasted for 4 weeks.Observed the clinical effect and the changes of 24 h mean diastolic blood pressure(24hDBP),24 h mean systolic blood pressure(24hSBP)and symptoms of syndrome of hyperactivity of yang due to yin deficiency in both groups before and after treatment,and recorded the 1 min neonatal Apgar scores and birth body mass of both groups.Results:After treatment,the total effective rate was 100%in the treatment,being higher than 86.36%in the control group,difference being significant(P<0.05).The 24hSBP and 24hDBP in both groups were lower than those before treatment(P<0.01);comparing the 24hSBP and 24hDBP in both groups,there were no significant differences being found(P> 0.05).The symptom scores of syndrome of hyperactivity of yang due to yin deficiency(vertigo,dysphoria with feverish sensation in chest,palms and soles,tinnitus,soreness and weakness of waist and knees)in both groups were lower than those before treatment(P<0.01);each symptom score in the treatment group was lower than that in the control group(P<0.01).The 1 min neonatal Apgar scores and birth body mass in the treatment group were higher than those in the control group(P<0.01).Conclusion:The additional application of external application of Evodia rutatecarpa at Yongquan acupoint combined with relevant nursing measures based on the routine western medicine therapy and nursing measures has significant antihypertensive effect in intervening patients with gestational hypertension with syndrome of hyperactivity of yang due to yin deficiency,which can promote the improvements of symptoms and pregnancy outcome,thus to enhance the clinical effect.

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兰晓红,郭学齐,刘仙,陈雅,闫贵贞.中西医结合治疗与护理干预妊娠期高血压阴虚阳亢证临床观察[J].新中医,2018,50(12):242-245

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  • 在线发布日期: 2018-12-09
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