邱丽珍 张征宇

[摘要] 目的 探討高血压合并冠心病患者使用中药足浴后，对睡眠障碍及血压水平的改善情况。 方法 选取2019年11月至2020年3月于本院高血压门诊就诊的高血压合并冠心病患者108例进行研究，按照随机数字表法分为观察组和对照组，每组各54例。对照组高血压合并冠心病患者实施常规的药物治疗，观察组患者在前者基础上展开中药足浴治疗，比较两组患者的睡眠情况和血压水平。 结果 观察组患者的入睡所需时间、睡眠期间醒来时间明显短于对照组，睡眠总时间明显长于对照组，差异有统计学意义（P<0.05）。观察组睡眠效率高达96.30%（52/54），明显高于对照组的79.63%（43/54），差异有统计学意义（P<0.05）。观察组患者的收缩压为（126.41±3.52）mmHg，舒张压为（81.37±2.98）mmHg，明显低于对照组的（152.32±4.29）mmHg、（91.25±3.86）mmHg，差异有统计学意义（P<0.05）。观察组患者治疗总有效率为92.00%（52/54），明显高于对照组的77.78%（42/54），差异有统计学意义（P<0.05）。 结论 中药足浴联合常规治疗可有效改善高血压合并冠心病患者的睡眠质量和睡眠效率，改善整体血压水平，值得临床广泛推广运用。

[关键词] 中药足浴;高血压;冠心病;睡眠障碍;血压水平

[中图分类号] R244.9          [文献标识码] A          [文章编号] 1673-9701（2021）28-0018-04

The effect of traditional Chinese medicine foot bath on sleep disorder and blood pressure level in patients with hypertension and coronary heart disease

QIU Lizhen1   ZHANG Zhengyu2

1.Department of Cardiology， Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province， Lishui   323000， China; 2.Department of Endocrinology， Lishui Hospital of Traditional Chinese Medicine in Zhejiang Province， Lishui 323000， China

[Abstract] Objective To study the effect of traditional Chinese medicine （TCM） foot bath on sleep disorder and blood pressure level in patients with hypertension and coronary heart disease（CHD）. Methods A total of 108 patients with hypertension and CHD admitted to the cardiology department of our hospital from November 2019 to March 2020 were selected as the research objects， and they were randomly divided into the control group（n=54） and the observation group（n=54） with equal cases. Patients in the control group with hypertension and CHD were treated with conventional medicine， and the patients in the observation group were treated with TCM foot bath on the basis of the control group. Then the sleep conditions and blood pressure levels of the two groups were compared. Results The time to fall asleep， waking time during sleep in the observation group were shorter than those in the control group， and the total sleep time was longer than that in the control group， with statistically significant difference（P<0.05）.The sleep efficiency in the observation group was 96.30%（52/54）， which was higher than that of 79.63%（43/54）in the control group， with statistically significant difference（P<0.05）.The systolic blood pressure and diastolic blood pressure was（126.41±3.52）mmHg，（81.37±2.98）mmHg in the observation group，which were lower than those of（152.32±4.29）mmHg，（91.25±3.86）mmHg in the control group， with statistically significant difference（P<0.05）. The total effect rate in the observation group was 92.00%（52/54）， which was higher than that of 77.78%（42/54） in the control group， with statistically significant difference（P<0.05）. Conclusion For a large number of patients with hypertension and CHD who come to the hospital for treatment， scientific and effective TCM foot bath based on conventional treatment can effectively improve their sleep quality and efficiency. It can also improve the overall blood pressure level. It is worthy of being widely used in clinic.

[Key words] Traditional Chinese medicine foot bath; Hypertension; Coronary heart disease; Sleep disorder; Blood pressure level

高血壓合并冠心病是心内科的常见疾病之一，发病群体以中老年人居多。患者在患病后由于长期处于焦虑、抑郁的复性情绪中，进而导致失眠多梦、难以入睡。然而长时间的睡眠障碍会使得交感-肾上腺髓质系统处于异常状态，进而使得血压上升，出现恶性循环[1]。因此，保证良好的睡眠质量和充足的睡眠时间也是治疗高血压合并冠心病的关键之一。以往临床上多采用口服西药的方式对高血压合并冠心病进行治疗，虽然降血压的效果立竿见影，但在改善头昏头痛及促进睡眠等方面却不尽人意。随着中医学理论的飞速发展和日益成熟，中药足浴这一新兴方案开始广泛运用于临床治疗，其不仅可以缓解疲劳、补肾壮阳，还能够有效促进睡眠、活血散瘀以及祛除风湿。……