文章摘要
腹针治疗原发性高血压伴焦虑抑郁状态患者的临床研究
Clinical study on abdominal acupuncture in the treatment of primary hypertension patients with anxiety and depression
投稿时间:2024-06-05  修订日期:2024-06-05
DOI:
中文关键词: 原发性高血压  腹针  焦虑  抑郁
英文关键词: Primary hypertension  Abdominal acupuncture  Anxiety  Depression
基金项目:国家中医药管理局国际合作专项(编号:GZYYGJ2022034)
作者单位邮编
许露馨* 京中医药大学研究生院 100029
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中文摘要:
      目的:观察腹针治疗原发性高血压伴焦虑抑郁状态患者的疗效及安全性。方法:选取2022年9月至2023年5月期间于北京中医药大学东直门医院就诊的66例原发性高血压伴焦虑抑郁状态患者,按照随机数字表法分为对照组(在常规治疗基础上给予简单心理疏导,33例)和腹针组(在对照组基础上接受腹针治疗,33例)。比较两组治疗前后的疗效、血压(收缩压、舒张压)、广泛性焦虑量表-7(GAD-7)量表评分、9项患者健康问卷(PHQ-9)量表评分、中医症状分级量化评分、匹兹堡睡眠质量指数(PSQI)量表评分及用药安全性。结果:腹针组的总有效率优于对照组(P<0.05)。治疗后,腹针组收缩压低于对照组(P<0.05)。治疗后,腹针组GAD-7量表评分低于对照组(P< 0.05)。治疗后,腹针组PHQ-9量表评分低于对照组(P<0.05)。治疗后,腹针组中医症状分级量化评分和PSQI量表评分低于对照组(P<0.05)。本研究中两组均未出现不良反应。结论:腹针治疗原发性高血压伴焦虑抑郁状态患者可有效调节血压,改善焦虑抑郁状态、睡眠质量,临床疗效较好。
英文摘要:
      Objective: To observe the effectiveness and safety of abdominal acupuncture for treating patients with primary hypertension accompanied by anxiety and depression.Methods: A total of 66 patients with primary hypertension with anxiety and depression who visited Beijing University of Traditional Chinese Medicine Dongzhimen Hospital from September 2022 to May 2023 were selected. They were randomly divided into a control group (33 cases, receiving simple psychological counseling on the basis of routine treatment) and an abdominal acupuncture group (33 cases, receiving abdominal acupuncture treatment on the basis of the control group). The efficacy, blood pressure (systolic blood pressure, diastolic blood pressure), Generalized Anxiety Scale-7 (GAD-7) scale scores, 9 patient health questionnaire (PHQ-9) scale score, traditional chinese medicine symptom grading quantitative score, pittsburgh sleep quality index (PSQI) scale score and drug safety were compared between the two groups before and after treatment. Results: The total effective rate of the abdominal acupuncture group was significantly higher than the control group (P <0.05). Following treatment, the systolic blood pressure in the abdominal acupuncture group was lower compared to the control group (P <0.05).Additionally, following treatment, both GAD-7 scale scores and PHQ-9 scale scores were lower in the abdominal acupuncture group compared to the control group (P <0.05).Furthermore, after treatment, the traditional Chinese medicine symptom grading quantitative score and the PSQI scale score in the abdominal acupuncture group were lower than the control group (P <0.05). No adverse reactions were observed in either groups during this study. Conclusions: Abdominal acupuncture for treating patients with primary hypertension with anxiety and depression can effectively regulate blood pressure, improve anxiety and depression, sleep quality, and has a good clinical effect.
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