本文選題：高血壓病 + 焦慮抑郁狀態(tài)��； 參考：《長春中醫(yī)藥大學》2016年碩士論文

【摘要】：目的:通過4周的西醫(yī)規(guī)范化治療加中醫(yī)針藥聯(lián)合法治療,旨在降低血壓,緩解焦慮抑郁狀態(tài),縮短治療時間,減輕患者精神、經(jīng)濟負擔,從而拓展對高血壓病的綜合中醫(yī)治療手段,為制定“雙心醫(yī)學”模式下的高血壓病中醫(yī)診療常規(guī)奠定基礎。方法:選擇西醫(yī)診斷為高血壓病(2級,中危險組)或以上合并焦慮抑郁狀態(tài)患者60例。將患者隨機分為:中醫(yī)針藥聯(lián)合法治療組、西藥對照組,按1:1比例分配,西醫(yī)對照組采用國際公認的一線降壓藥苯磺酸左旋氨氯地平2.5mg/次(或聯(lián)合應用厄貝沙坦0.15g/次),日1次,抗焦慮抑郁藥氟哌噻噸美利曲辛10.5mg/次,日1次治療;中醫(yī)針藥聯(lián)合法治療組在對照組的基礎上加之滋陰補腎,平肝潛陽中藥免煎顆粒沖150ml,日兩次口服,平肝潛陽,調和氣血針刺日1次治療。療程4周,入組后進行一次血壓值監(jiān)測臨床癥狀積分評測,SAS、SDS自評和生活質量評定表。血壓監(jiān)測是在治療1周后、2周后和治療結束后,療程結束后再進行中醫(yī)證候積分和SAS自評、SDS自評、SF-12。結果:經(jīng)過臨床研究驗證,相對比常規(guī)治療方案,針藥聯(lián)合治療高血壓(陰虛陽亢證)合并焦慮抑郁狀態(tài)方面:能降低血壓(P0.01),對改善焦慮抑郁、各中醫(yī)癥狀及提高生活質量均有顯著療效(P0.05)。結論:針藥聯(lián)合治療高血壓病(陰虛陽亢證)合并焦慮抑郁狀態(tài)臨床療效確切、安全,是一種可靠的治療方法。
[Abstract]:Objective: to reduce blood pressure, relieve anxiety and depression, shorten the time of treatment, and relieve the mental and economic burden of patients through the standardized treatment of western medicine for 4 weeks and the combination of traditional Chinese medicine and acupuncture. In order to expand the comprehensive traditional Chinese medicine treatment of hypertension, and lay the foundation for the establishment of "double heart medicine" model of traditional Chinese medicine diagnosis and treatment of hypertension. Methods: 60 patients with anxiety and depression were selected. The patients were randomly divided into two groups: the acupuncture and medicine combined therapy group and the western medicine control group. The western medicine control group was divided into two groups according to the 1:1 ratio. The western medicine control group was treated with the internationally recognized first-line antihypertensive drug L-amlodipine 2.5mg/ (or irbesartan 0.15g/ once a day). The anti-anxiety and depressant drug droperthiothioate meritriaxine (10.5mg/) was treated once a day; the traditional Chinese medicine combined acupuncture and medicine treatment group was treated with nourishing yin and tonifying the kidney on the basis of the control group, and the Chinese medicine for calming the liver and burying yang was given to 150ml, twice a day, for calming the liver and burying the liver. Qi-Blood-Acupuncture Day 1 time treatment for tonifying Qi and Blood. After 4 weeks of treatment, the blood pressure was monitored once and the scores of clinical symptoms were evaluated with SASSDS self-evaluation and quality of life assessment. Blood pressure monitoring was performed after 1 week of treatment, 2 weeks after treatment and after the end of the course of treatment. The TCM syndromes score and SAS self-evaluation were used to evaluate SF-12. Results: compared with the routine treatment, the combination of acupuncture and medicine in the treatment of hypertension (Yin deficiency and Yang hyperactivity) combined with anxiety and depression: it can lower blood pressure and improve anxiety and depression. Each TCM symptom and improve the quality of life have remarkable curative effect (P 0.05). Conclusion: the combination of acupuncture and medicine in the treatment of hypertension (yin deficiency and yang hyperactivity) combined with anxiety and depression is effective and safe, and is a reliable treatment method.
【學位授予單位】：長春中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R259

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