朱良春足浴方干预高血压前期和1级高血压疗效观察.docxVIP

辽宁中医杂志 2015 年第 42 卷第 4 期·761·DOI∶10． 13192 / j． issn． 1000-1719． 2015． 04． 037朱良春足浴方干预高血压前期和 1 级高血压疗效观察黄瑶，张振贤，蔡之幸( 上海中医药大学附属岳阳中西医结合医院中医内科，上海 200437)摘 要: 目的: 观察朱良春足浴方治疗高血压前期和 1 级高血压的临床疗效。方法: 将 152 例高血压前期和 1 级高 血压患者随机分为治疗组 84 例与对照组 68 例，治疗组采用健康生活方式干预联合朱良春足浴方治疗，对照组采用健康生活方式干预，疗程 4 周; 观察治疗前后两组血压值与中医证候情况。结果: 治疗后治疗组血压疗效治疗组为 90． 54% ，明显优于对照组的 60． 33% ( P ＜ 0. 05) ; 治疗组中医证候疗效为 89． 16% ，明显优于对照组的 61． 67% ( P ＜ 0． 05) ; 治疗 1～ 4 周后治疗组降低舒张压均明显优于同期对照组( P ＜ 0. 05) ; 治疗 3 周、4 周后治疗组复常率分别为 44． 59% 与 70．27% 均明显优于同期对照组( P ＜ 0． 05) 。结论: 朱良春足浴方干预高血压前期和 1 级高血压有着较好的疗效，对降低舒张压效果更佳，值得临床推广应用。关键词: 朱良春; 足浴; 高血压前期; 1 级高血压; 治未病中图分类号: Ｒ544． 1文献标志码: B文章编号: 1000-1719( 2015) 04-0761-04Clinical Observation on Early Intervention of Pre － hypertension andGrade 1 Hypertension by ZHU Liangchuns Foot － bath ＲecipeHUANG Yao，ZHANG Zhenxian，CAI Zhixing( Department of TCM in Yueyang Hospital Affiliated to Shanghai University of TCM，Shanghai 200437，China)Abstract: Objective: To observe the clinical curative effect of ZHU Liangchuns foot － bath recipe for early intervention of pre － hypertension and grade 1 hypertension． Methods: 152 cases with hypertension and the primary grade 1 hypertension were ran-domly divided into treatment group ( n = 84) and control group ( n = 68) ． The control group was in non － drug intervention mode and the treatment group was given ZHU Liangchuns foot － bath recipe for 4 weeks． Blood pressure and scores of traditional Chi-nese medicine syndromes were observed before and after treatment．Ｒesults: After treatment，the total effective rate of blood pres-sure in the treatment group was 90． 54% ，higher than 60． 33% in the control group ( P ＜ 0． 05) ． The total effective rate of the TCM syndromes scores in the treatment group was 89． 16% ，higher than 61． 67% in the control group ( P ＜ 0． 05) ． DBP after 1 － 4 weeks of treatment in treatment group was lower than those of the control group ( P ＜ 0． 05) ． The recovery rate of blood pressure after treatment for 3 weeks and 4 weeks was 44． 59% an