目的：观察中药浴足与耳穴贴压联合西药治疗高血压眩晕的效果。方法：选取符合条件的140 例高血压眩晕患者，随机分为对照组和观察组各70例。2组均口服苯磺酸氨氯地平片，血压不能控制者可加用其他降压药，并给予认知宣教、心理护理和饮食护理等常规护理措施。观察组加用耳穴贴压结合中药浴足疗法。2组均观察治疗4周。治疗过程中密切监测2组患者的血压，治疗前后评定眩晕程度评分和生活质量评分。结果：治疗后，观察组改善血压的疗效优于对照组（P＜0.05）。2 组SBP、DBP 均较治疗前下降（P＜0.01），观察组SBP、DBP 均低于对照组（P＜0.05）。2 组眩晕程度评分均较治疗前下降（P＜0.01），观察组眩晕程度评分低于对照组（P＜0.01）。2 组生活质量评分均较治疗前升高（P＜0.01），观察组生活质量评分高于对照组（P＜0.05）。结论：在常规治疗的基础上给予耳穴贴压结合中药浴足干预高血压眩晕患者，可进一步控制血压、减轻眩晕等症状，提高患者的生活质量。
Abstract： Objective： To observe the effect of foot bath with Chinese herbal medicine and auricular point sticking combined with western medicine for hypertensive vertigo. Methods： A total of 140 cases of patients with hypertensive vertigo were randomly divided into the control group and the observation group，70 cases in each group. Both groups were given the oral administration of amlodipine besylate tablets， those whose blood pressure could not be controlled were additionally treated with other antihypertensive drugs，and given routine nursing care. The observation group was additionally given auricular point sticking combined with foot bath with Chinese herbal medicine. Both groups were observed and treated for four weeks. Before and after treatment， blood pressure was measured， and the scores of vertigo and Quality of Life Scale were assessed. Results：After treatment，the curative effect of improving blood pressure in the observation group was better than that in the control group(P＜0.05). Systolic blood pressure(SBP) and diastolic blood pressure(DBP) in the two groups were decreased when compared with those before treatment(P＜0.01)，SBP and DBP in the observation group were lower than those in the control group(P＜0.05). The scores of vertigo in the two groups were decreased when compared with those before treatment(P＜0.01)，and the score in the observation group was lower than that in the control group(P＜0.01). The scores of Quality of Life Scale in the two groups were increased when compared with those before treatment(P＜0.01)， and the score in the observation group was higher than that in the control group(P＜0.05). Conclusion：Based on the routine treatment，the intervention of auricular point sticking with beans combined with foot bath with Chinese herbal medicine for patients with hypertensive vertigo can further control blood pressure，relieve vertigo and other symptoms，and improve their quality of life.