耳穴压豆联合穴位贴敷对老年高血压患者血压波动及血管内皮功能的影响

doi:10.3969/j.issn.1671-7171.2025.10.026

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1172 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要【目的】探讨耳穴压豆联合穴位贴敷对老年高血压患者血压波动及血管内皮功能的影响。【方法】106例老年原发性高血压患者,随机分为对照组和观察组,每组53例。对照组给予常规降压药物治疗及健康教育,观察组在对照组基础上联合实施耳穴压豆及穴位贴敷干预,干预时间为12周。比较两组患者疗效,干预前后中医证候积分、24 h动态血压及血管内皮功能相关指标。【结果】观察组患者总有效率为94.34%,高于对照组的81.13%(P<0.05);观察组患者干预后中医证候积分,血压水平,血浆内皮素-1(ET-1)、血栓素A2(TXA2)水平低于对照组,一氧化氮(NO)水平高于对照组(P<0.05)。【结论】耳穴压豆联合穴位贴敷可有效稳定老年高血压患者中的血压波动,改善血管内皮功能,具有良好的辅助治疗价值,值得在临床推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	杨凤平
	张井兰
	祁小丹

关键词 ：高血压, 耳穴贴压疗法, 穴位贴敷法, 血压, 内皮, 血管

Abstract：【Objective】 To investigate the effect of auricular point pressure combined with acupoint application on blood pressure fluctuation and vascular endothelial function in elderly patients with hypertension. 【Methods】 A total of 106 elderly patients with essential hypertension were randomly divided into the control group and the observation group, with 53 cases in each. The control group received conventional antihypertensive medication and health education, while the observation group received additional auricular point pressure and acupoint application therapy for 12 weeks. The therapeutic efficacy, traditional Chinese medicine (TCM) syndrome scores, 24-hour ambulatory blood pressure parameters, and vascular endothelial function indices were compared between the two groups before and after intervention. 【Results】 The total effective rate in the observation group was 94.34%, significantly higher than 81.13% in the control group (P<0.05). After intervention, TCM syndrome scores, blood pressure level, plasma endothelin-1 (ET-1) and thromboxane A2 (TXA2) levels in the observation group were lower than those in the control group, while nitric oxide (NO) level in the observation group was higher than that in the control group (all P<0.05). 【Conclusion】 Auricular point pressure combined with acupoint application can effectively stabilize blood pressure fluctuations and improve vascular endothelial function in elderly hypertensive patients. This combined non-pharmacological TCM therapy shows good adjunctive clinical value and is worthy of wider clinical promotion.

Key words： Hypertension Auricular Plastertherapy Acupoint Sticking Therapy Blood Pressure Endothelium, Vascular

收稿日期: 2025-06-13

中图分类号:

R544.1

引用本文:

杨凤平, 张井兰, 祁小丹. 耳穴压豆联合穴位贴敷对老年高血压患者血压波动及血管内皮功能的影响[J]. 医学临床研究, 2025, 42(10): 1770-1773.
YANG Fengping, ZHANG Jinglan, QI Xiaodan. Effect of Auricular Point Pressure Combined with Acupoint Application on Blood Pressure Fluctuation and Vascular Endothelial Function in Elderly Patients with Hypertension. JOURNAL OF CLINICAL RESEARCH, 2025, 42(10): 1770-1773.

链接本文:

http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.10.026 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I10/1770

[1] 何彦虎,金华,白琳,等. 高血压病患者脑白质病变研究进展[J].重庆医科大学学报,2025,50(2):165-170.
[2] 谭晓霜,辛雨,朱佩媛,等. 慢性病随访对特定职业人群高血压控制影响的多重中介效应研究[J].中国健康教育,2025,41(2):116-120.
[3] 张鑫荣,王振源,王世钦,等. 穴位贴敷治疗原发性高血压(1级)临床研究[J].山东中医杂志,2024,43(12):1399-1406.
[4] 石彦会,康国彬,何红涛,等. 耳穴埋豆配合中药足浴及相关护理干预对痰瘀型原发性高血压的影响[J].现代中西医结合杂志,2024,33(13):1867-1870.
[5] 中华医学会,中华医学会杂志社,中华医学会全科医学分会,中华医学会《中华全科医师杂志》编辑委员会,等.高血压基层诊疗指南(实践版·2019) [J].中华全科医师杂志,2019,18(8):723.
[6] 国家中医药管理局.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002.
[7] 张晓宇,潘媛媛,付明欢,等. 运动疗法结合降压药物治疗在老年高血压患者中的应用研究进展[J].中华老年心脑血管病杂志,2025,27(3):383-385.
[8] 廖月园,满子悦,代薇,等. 高盐饮食对不同盐敏感表型受试者血压水平及高血压患病率的影响[J].西安交通大学学报(医学版),2025,46(2):290-297.
[9] 孙秀芹,魏兰萱,刘金波,等. 北京市石景山区40～70岁社区人群高血压危险因素及生活方式对高血压的影响分析[J].中国心血管杂志,2025,30(1):86-94.
[10] 李倩,陈蕾,承新. 穴位贴敷联合中药足浴治疗老年原发性高血压睡眠障碍临床疗效[J].河北中医,2024,46(4):606-609.
[11] 尹岩,胡月. 穴位贴敷对原发性高血压患者的影响[J].国际护理学杂志,2024,43(19):3493-3497.
[12] 张士玉,于春光,田润溪,等. 中医护理干预对老年高血压病人血压影响的网状Meta分析[J].护理研究,2025,39(8):1281-1292.
[13] 陈禹嘉,赵新元,黄荣发,等. 中医外治法治疗高血压患者失眠的网状Meta分析[J].世界中西医结合杂志,2025,20(1):59-67.
[14] 艾丽娟,边雪梅,石吉芬,等. 肝火亢盛型高血压危象患者行耳部刮痧-放血-压豆序贯疗法的效果研究[J].中华急危重症护理杂志,2025,6(1):17-23.