李文华+沈文博+储珏

摘 要 目的：探索中药药枕应用于社区高血压病的干预效果。方法：2013年10月至2014年9月将200例社区高血压病患者随机分成干预组和对照组各100例。干预组根据辨证论治，在西药治疗基础上分别予以不同证型的中药药枕，对照组在西药治疗基础上予以空白药枕，观察使用药枕后的血压值及中医证候积分的变化。结果：干预后，干预组的中医证候积分从（14.03±5.43）分下降为（6.45±2.83）分，明显优于对照组的（9.65±3.80）分，差异有统计学意义（P<0.01）；干预组干预前后的收缩压差值为（-14.17±7.36）mmHg，舒张压差值为（-7.75±5.13）mmHg，对照组分别为（1.10±6.42）mmHg和（-6.02±5.44）mmHg，干预组优于对照组。结论：中药药枕能降低血压并改善症状，中药药枕联合西药治疗效果优于单纯西药治疗。

关键词 高血压病 中药药枕 辨证论治

中图分类号：R5 4 4 . 1 文献标识码：A 文章编号：1006-1533（2016）02-0035-03

Observation of the effect of the traditional Chinese medicine pillow in the treatment of 100 cases of hypertension in the community

LI Wenhua， SHEN Wenbo， CHU Yu

（Beizhan Community Health Service Centre of Zhabei District， Shanghai 200071， China）

ABSTRACT Objective： To explore the effect of the traditional Chinese medicine pillow in the intervention of hypertension in the community. Methods： From Oct. 2013 to Sept. 2014， 200 cases of the community hypertension were randomly divided into an intervention group and a control one with 100 cases each. On the basis of the Western medicine treatment， the Chinese medicine pillows were given to the patients with the different syndromes in the intervention group according to the syndrome differentiation and the blank pillows were given to the patients in the control one. The changes of the blood pressure values and the TCM syndrome scores were observed after using the pillows. Results： After the intervention， the TCM syndrome score decreased from 14.03±5.43 to 6.45±2.83 in the intervention group， which was obviously better than the score of 9.65±3.80 in the control one and the difference had the statistical significance （P<0.01）. The differences of the systolic blood pressure and diastolic blood pressure were -14.17±7.36 mmHg and -7.75±5.13 mmHg in the intervention group and 1.10±6.42）mmHg and（-6.02±5.44）mmHg in the control group after the intervention， and the intervention group was better than the control one. Conclusion： The traditional Chinese medicine pillow can reduce the blood pressure and improve the syndrome. The treatment effect of the traditional Chinese medicine pillow combined with Western medicine is better than that of the Western medicine alone.

KEY WORDS hypertension； traditional Chinese medicine pillow； syndrome differentiation

高血压是以体循环动脉压增高为主要特点的临床综合征，动脉压的持续升高可导致靶器官如心、脑、肾、和视网膜等脏器损害[1]。当前我国高血压发病率以每10年增加25%的速度递增[2]，因此，高血压病的治疗显得尤为重要。本中心采用中药药枕结合辨证论治防治社区高血压病取得较好效果，现报道如下。

1 资料与方法

1.1 一般资料

选择2013年10月至2014年9月上海市北站街道社区卫生服务中心就诊的高血压病患者200例，均符合《中国高血压防治指南》（2010年版）[3]诊断标准中的1级高血压病，肝阳上亢型的中医证候诊断参考《中药新药临床研究指导原则》（2002版本）[4]标准。将患者分为干预组和对照组各100例。干预组中男性36例，女性64例，年龄45～80岁，平均63.90岁，病程1～41年，平均9.73年；对照组中男性27例，女性73例，年龄44～78岁，平均62.61岁，病程3～18年，平均10.37年。两组一般资料差异无统计学意义（P>0.05）。排除40岁以下或80岁以上者、妊娠或哺乳期妇女、继发性高血压者，合并心、脑、肝、肾和造血系统等严重原发疾病、精神病患者，以及过敏体质或对多种药物过敏者。……