2. Anhui Maternal and Child Health Hospital,Hefei 230012 China"],"fundList_cn":["安徽中医药大学科研自然重点项目(2019zrzd09);安徽省质量工程项目(2017kfk048)。"],"affList_cn":["1.安徽中医药大学,安徽 合肥 230012;
2.安徽省妇幼保健院,安徽 合肥 230000"],"article":{"keywordList_cn":["妊娠期高血压","痰湿体质","中医食疗","生活质量","血压","疗效"],"juan":"42","zhaiyao_cn":"目的 探讨耳穴贴压联合中医食疗对痰湿体质妊娠期高血压患者的疗效及预后的影响。方法 选取安徽省中医院2018年1月—2019年5月收治的痰湿体质妊娠期高血压患者92例。采用随机数表法分为常规组(n=46)和联合组(n=46)。常规组患者采取中医食疗联合适当运动及辅助性药物治疗,联合组在常规组的基础上联合耳穴贴压治疗。比较两组患者治疗前后的生活质量、血压及血脂水平、痰湿体质情况变化。结果 治疗后,联合组患者的情绪角色、健康程度、躯体功能、心理卫生评分分别为[(80.97±5.10)分、(78.31±6.37)分、(76.25±7.57)分、(73.48±6.23)分],均明显高于常规组的[(74.55±5.09)分、(70.92±6.34)分、(65.38±7.52)分、(65.79±6.22)分],差异有统计学意义(P<0.05);联合组患者的收缩压、舒张压、甘油三酯、总胆固醇水平分别为[(101.40±6.80)mmHg、(60.90±7.42)mmHg、(1.75±0.22)mmol/L、(5.01±0.26)mmol/L],均明显低于常规组的[(108.20±7.70)mmHg、(67.65±7.43)mmHg、(2.01±0.23)mmol/L、(5.39±0.27)mmol/L],差异有统计学意义(P<0.05);联合组患者治疗1周后的痰湿体质评分[(20.05±3.77)分、(16.76±3.61)分、(9.52±3.11)分]均明显低于常规组[(24.92±3.78)分、(19.80±3.62)分、(13.86±3.12)分],差异有统计学意义(P<0.05)。结论 耳穴贴压联合中医食疗能有效提高痰湿体质妊娠期高血压患者的生活质量,促使其血压、血脂水平降低,改善患者的痰湿症状,值得临床推广使用。","endNoteUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=EndNote&id=6","reference":"[1] 路志术,曾江琴,余芳.加味温胆汤联合氨氯地平片对痰湿体质高血压患者体质和血管内皮生长因子的影响[J].中国中医药信息杂志, 2017,15(7):2150-2152.
[2] Thorley K J,Mcainsh J,Cruickshank J M.Atenolol in the treatment of pregnancy-induced hypertension.[J].British Journal of Clinical Pharmacology,2016,12(5):725-730.
[3] 李八统,文莺颖,杨年华.中医食疗对调理高血压患者痰湿体质、控制血压、提高生存质量和降低血脂作用的分析[J].西部中医药,2016,26(10):5-8.
[4] Wu S X,Dong Z Y.Diverse combination therapies of Chinese Medicine in treating Hypertension[J]. Current Vascular Pharmacology,2018,13(4):5-6.
[5] 李晓萍.耳穴贴压对高血压阴虚体质患者生活质量的影响[J].解放军护理杂志,2017,30(13):32-34.
[6] 中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009:3.
[7] De Swiet M,Ellis C,Lewis P,et al.Treament of pregnancy hypertension with prostacyclin[J].The Lancet,2017,316(8184):31-32.
[8] 冯永亮,彭婷婷,王芳.妊娠期高血压疾病对出生结局的影响及相关因素[J].中华疾病控制杂志,2016,18(2):131-134.
[9] Xiong X,Wang P ,Li X,et al.The effect of Chinese herbal medicine Jian Ling Decoction for the treatment of essential hypertension: a systematic review[J].BMJ Open,2016, 5(2):6502.
[10] 张薏,周晨,潘晓芳.妊娠期高血压疾病与中医体质的关系[J].中华中医药学刊, 2018,32(07):110-113.
[11] Rubin P,Clark D M,Sumner R A,et al.Treatment of pregnancy-associated hypertension with atenolol[J].Clinical Cardiology,2019,6(7):357-358.
[12] 郁丘婷,胡春蕊,赵外荣.耳穴贴压联合西药治疗社区原发性高血压的临床观察[J].上海中医药杂志,2018,52(12):50-53.
[13] 章苡丹,蔡海荣,林良才.耳穴针刺联合压豆治疗痰湿质原发性高血压的临床疗效观察[J].中西医结合心脑血管病杂志,2018,16(16):25-27.
[14] 黄沁,孔燕莹,孙世宁.中医体质干预对痰湿体质高血压病患者的影响[J].中医药导报, 2016,7(10):30-32.
[15] 张静,方晓红.妊娠恶阻患者中医体质与临床证型及耳穴埋豆的干预分析[J].中国妇幼保健, 2019,34(03):14-16.
[16] 沈翠珍,孙秋华,沈勤.中医食疗对高血压病人痰湿体质作用的研究[J].护理研究,2017, 25(7):582-584.
[17] 刘腾腾.中药穴位敷贴对痰湿壅盛型高血压患者血压及中医证候的影响[J].护理学杂志, 2016,04(1):11-16.
[18] 孙静,吴寿岭,黄玉艳.妊娠高血压综合征对远期血压水平的影响[J].中华心血管病杂志,2017, 38(1):11-14.","bibtexUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=BibTeX&id=6","abstractUrl_en":"http://xuebao.sdfmu.edu.cn/EN/10.3969/j.issn.2097-0005.2021.06.006","qi":"6","id":6,"nian":2021,"bianHao":"1629870989380-496340279","zuoZheEn_L":"Rong Yan, Xia Zheyuan, Shen Peijun","juanUrl_en":"http://xuebao.sdfmu.edu.cn/EN/Y2021","clcIndexList_en":[{"code":"R714","text":""}],"shouCiFaBuRiQi":"2021-08-25","qiShiYe":"423","received":"2020-12-12","qiUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/Y2021/V42/I6","lanMu_cn":"临床研究","pdfSize":"3598","zuoZhe_CN":"荣燕1, 夏哲远1, 沈佩君2","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=6","title_cn":"耳穴贴压联合中医食疗对痰湿体质妊娠期高血压患者的疗效及预后的影响","doi":"10.3969/j.issn.2097-0005.2021.06.006","jieShuYe":"426","keywordList_en":["pregnancy hypertension","phlegm dampness constitution","Traditional Chinese Medicine diet","quality of life","blood pressure","curative effect"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=6","zhaiyao_en":"Objective: To explore the effect of auricular point sticking combined with Traditional Chinese medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution, and to provide a theoretical basis for the clinical diagnosis and treatment of patients. Methods: Ninety-to cases of hypertensive patients with phlegm-dampness constitution during pregnancy admitted to our hospital from January 2018 to May 2019 were selected.The random number table method was used to divide into the conventional group (n=46) and the combined group (n=46).The patients in the routine group were treated with Traditional Chinese medicine combined with appropriate exercise and auxiliary drugs, and the combined group was treated with auricular point sticking on the basis of the conventional group.The quality of life, blood pressure, blood lipid level, and phlegm-dampness constitution of the two groups were compared before and after treatment. Results: After treatment, the emotional role, mental health, physical function, and mental health scores of patients in the combined group were [(80.97±5.10) points, (78.31±6.37) points, (76.25±7.57) points, and (73.48±6.23) points] , which were significantly higher than the conventional group [(74.55±5.09) points, (70.92±6.34) points, (65.38±7.52) points, and (65.79±6.22) points], and the difference was statistically significant (P<0.05); the systolic blood pressure, diastolic blood pressure, triglyceride and total cholesterol levels of patients in the combination group were [(101.40±6.80)mmHg, (60.90±7.42)mmHg, (1.75±0.22)mmol/L, and (5.01±0.26)mmol/ L], which were all significantly lower than[(108.20±7.70)mmHg, (67.65±7.43)mmHg, (2.01±0.23)mmol/L, and (5.39±0.27)mmol/L] in the conventional group and the difference was statistically significant (P<0.05); the sputum physique scores after 1 week of treatment in the combined group were [(20.05±3.77) points, (16.76±3.61) points, and (9.52±3.11) points], which were significantly lower than[(24.92±3.78) points, (19.80 ±3.62) points, and (13.86±3.12) points]in the conventional group, and the difference was statistically significant (P<0.05). Conclusion: Auricular point sticking combined with traditional Chinese medicine food therapy can effectively improve the quality of life of hypertensive patients with phlegm-dampness constitution during pregnancy, reduce their blood pressure and blood lipid levels, and improve their phlegm-dampness symptoms, which is worthy of clinical promotion.","bibtexUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=BibTeX&id=6","abstractUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/10.3969/j.issn.2097-0005.2021.06.006","zuoZheCn_L":"荣燕, 夏哲远, 沈佩君","juanUrl_cn":"http://xuebao.sdfmu.edu.cn/CN/Y2021","lanMu_en":"Clinical Researches","clcIndexList_cn":[{"code":"R714","text":""}],"qiUrl_en":"//www.pitakata.com/xuebao/EN/Y2021/V42/I6","zuoZhe_EN":"Rong Yan, Xia Zheyuan, Shen Peijun","risUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=Ris&id=6","title_en":"The effect of auricular point sticking combined withTraditional Chinese Medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution","hasPdf":"true"},"authorNotes_cn":["荣燕(1982—),女,安徽淮北人,副教授,硕士,主要从事临床护理、护理教育工作。E-mail:409078107@qq.com。"],"authorList_en":[{"deceased":false,"name_cn":"荣燕","name_en":"Rong Yan"},{"deceased":false,"name_cn":" 夏哲远","name_en":" Xia Zheyuan"},{"deceased":false,"name_cn":" 沈佩君","name_en":" Shen Peijun"}]}">

The effect of auricular point sticking combined withTraditional Chinese Medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution

Rong Yan, Xia Zheyuan, Shen Peijun

Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences››2021, Vol. 42››Issue (6): 423-426.

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PDF(3598 KB)
Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences ›› 2021, Vol. 42 ›› Issue (6) : 423-426. DOI: 10.3969/j.issn.2097-0005.2021.06.006
Clinical Researches

The effect of auricular point sticking combined withTraditional Chinese Medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution

  • Rong Yan, Xia Zheyuan, Shen Peijun
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Abstract

Objective: To explore the effect of auricular point sticking combined with Traditional Chinese medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution, and to provide a theoretical basis for the clinical diagnosis and treatment of patients. Methods: Ninety-to cases of hypertensive patients with phlegm-dampness constitution during pregnancy admitted to our hospital from January 2018 to May 2019 were selected.The random number table method was used to divide into the conventional group ( n=46) and the combined group ( n=46).The patients in the routine group were treated with Traditional Chinese medicine combined with appropriate exercise and auxiliary drugs, and the combined group was treated with auricular point sticking on the basis of the conventional group.The quality of life, blood pressure, blood lipid level, and phlegm-dampness constitution of the two groups were compared before and after treatment. Results: After treatment, the emotional role, mental health, physical function, and mental health scores of patients in the combined group were [(80.97±5.10) points, (78.31±6.37) points, (76.25±7.57) points, and (73.48±6.23) points] , which were significantly higher than the conventional group [(74.55±5.09) points, (70.92±6.34) points, (65.38±7.52) points, and (65.79±6.22) points], and the difference was statistically significant ( P<0.05); the systolic blood pressure, diastolic blood pressure, triglyceride and total cholesterol levels of patients in the combination group were [(101.40±6.80)mmHg, (60.90±7.42)mmHg, (1.75±0.22)mmol/L, and (5.01±0.26)mmol/ L], which were all significantly lower than[(108.20±7.70)mmHg, (67.65±7.43)mmHg, (2.01±0.23)mmol/L, and (5.39±0.27)mmol/L] in the conventional group and the difference was statistically significant ( P<0.05); the sputum physique scores after 1 week of treatment in the combined group were [(20.05±3.77) points, (16.76±3.61) points, and (9.52±3.11) points], which were significantly lower than[(24.92±3.78) points, (19.80 ±3.62) points, and (13.86±3.12) points]in the conventional group, and the difference was statistically significant ( P<0.05). Conclusion: Auricular point sticking combined with traditional Chinese medicine food therapy can effectively improve the quality of life of hypertensive patients with phlegm-dampness constitution during pregnancy, reduce their blood pressure and blood lipid levels, and improve their phlegm-dampness symptoms, which is worthy of clinical promotion.

Key words

pregnancy hypertension/phlegm dampness constitution/Traditional Chinese Medicine diet/quality of life/blood pressure/curative effect

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Rong Yan, Xia Zheyuan, Shen Peijun.The effect of auricular point sticking combined withTraditional Chinese Medicine on the curative effect and prognosis of pregnancy hypertension patients with phlegm dampness constitution[J]. Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences. 2021, 42(6): 423-426 https://doi.org/10.3969/j.issn.2097-0005.2021.06.006

References

[1] 路志术,曾江琴,余芳.加味温胆汤联合氨氯地平片对痰湿体质高血压患者体质和血管内皮生长因子的影响[J].中国中医药信息杂志, 2017,15(7):2150-2152.
[2] Thorley K J,Mcainsh J,Cruickshank J M.Atenolol in the treatment of pregnancy-induced hypertension.[J].British Journal of Clinical Pharmacology,2016,12(5):725-730.
[3] 李八统,文莺颖,杨年华.中医食疗对调理高血压患者痰湿体质、控制血压、提高生存质量和降低血脂作用的分析[J].西部中医药,2016,26(10):5-8.
[4] Wu S X,Dong Z Y.Diverse combination therapies of Chinese Medicine in treating Hypertension[J]. Current Vascular Pharmacology,2018,13(4):5-6.
[5] 李晓萍.耳穴贴压对高血压阴虚体质患者生活质量的影响[J].解放军护理杂志,2017,30(13):32-34.
[6] 中华中医药学会.中医体质分类与判定[M].北京:中国中医药出版社,2009:3.
[7] De Swiet M,Ellis C,Lewis P,et al.Treament of pregnancy hypertension with prostacyclin[J].The Lancet,2017,316(8184):31-32.
[8] 冯永亮,彭婷婷,王芳.妊娠期高血压疾病对出生结局的影响及相关因素[J].中华疾病控制杂志,2016,18(2):131-134.
[9] Xiong X,Wang P ,Li X,et al.The effect of Chinese herbal medicine Jian Ling Decoction for the treatment of essential hypertension: a systematic review[J].BMJ Open,2016, 5(2):6502.
[10] 张薏,周晨,潘晓芳.妊娠期高血压疾病与中医体质的关系[J].中华中医药学刊, 2018,32(07):110-113.
[11] Rubin P,Clark D M,Sumner R A,et al.Treatment of pregnancy-associated hypertension with atenolol[J].Clinical Cardiology,2019,6(7):357-358.
[12] 郁丘婷,胡春蕊,赵外荣.耳穴贴压联合西药治疗社区原发性高血压的临床观察[J].上海中医药杂志,2018,52(12):50-53.
[13] 章苡丹,蔡海荣,林良才.耳穴针刺联合压豆治疗痰湿质原发性高血压的临床疗效观察[J].中西医结合心脑血管病杂志,2018,16(16):25-27.
[14] 黄沁,孔燕莹,孙世宁.中医体质干预对痰湿体质高血压病患者的影响[J].中医药导报, 2016,7(10):30-32.
[15] 张静,方晓红.妊娠恶阻患者中医体质与临床证型及耳穴埋豆的干预分析[J].中国妇幼保健, 2019,34(03):14-16.
[16] 沈翠珍,孙秋华,沈勤.中医食疗对高血压病人痰湿体质作用的研究[J].护理研究,2017, 25(7):582-584.
[17] 刘腾腾.中药穴位敷贴对痰湿壅盛型高血压患者血压及中医证候的影响[J].护理学杂志, 2016,04(1):11-16.
[18] 孙静,吴寿岭,黄玉艳.妊娠高血压综合征对远期血压水平的影响[J].中华心血管病杂志,2017, 38(1):11-14.
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