耳穴按摩融合自我管理模式干预高血压病与临床研究.docVIP

耳穴按摩融合自我管理模式干预高血压病的临床研究 赵经营 张广清 林小丽 广州中医药大学第二附属医院广东省中医院，广东 广州510106 [摘要]：目的 客观评价耳穴按摩融合自我管理模式对高血压患者血压和生存质量的影响。方法 将59例高血压患者随机分为试验组29例和对照组各30例，对照组施行常规治疗及健康教育，试验组在常规治疗的基础之上实施耳穴按摩及自我管理模式，疗程8周，以降血压疗效和生存质量量表（SF-36）进行疗效综合评价。结果 试验组经耳穴按摩融合自我管理模式干预治疗后，收缩压和舒张压方面，与对照组比较，差异均有统计学意义(P0.05)；血压疗效方面，总有效率及显效率与对照组比较，差异均有统计学意义（P0.05）；生存质量方面，两组干预前后生存质量八个维度指标差异均有统计学意义（P0.05）；且试验组生存质量各项指标与对照组比较，差异也均有统计学意义（P0.05）。结论 耳穴按摩融合自我管理模式，能降低患者血压，改善患者生理、心理和社会适应性，提高患者生存质量。 [关键词 ]：耳穴按摩；自我管理模式；血压疗效；生存质量 The clinical research of auricular massage integration of self-management model intervention hypertension ZHAO Jing-ying, ZHANG Guang-qing,LIN Xing-li, the second affiliated hospital of Guangzhou university of Chinese medicine, Guangdong province traditional Chinese medical hospital Abstract : Objective：To observe the effect of Auricular Massage integration of self-management mode on hypotensive efficacy and the quality of life parameters of hypertensive patients. Methods：A total of 59 grade hypertensive patients were randomly divided into 2 groups：exercise group(29)，control group(30)： control group received conventional therapy and health education, exercise group was treated with ear massage and sel-management on the basis of conventional therapy for 8 weeks, The antihypertensive efficacy and quality of life were used to assess the effection. Results ：exercise group was intervened and treated by ear massage integration of sel-management after 8 weeks, In respect of systolic and diastolic blood pressure, they had significantly differences between the two groups(P0.05), On the aspect of efficiency in blood pressure, the total efficiency and significant efficiency had significant differences between the two groups(P0.05), On the aspect of quality of life ,comparing with pre-intervention, Two group of eight dimensions of quality of life significantly ascended after 8 weeks(P0.05).Comparison of the changes in those parameters, they all had significant diffe