广西医学

目的探讨基于全息理论下耳部虎符铜砭刮痧治疗肝阳上亢型高血压的临床效果。方法将60例肝阳上亢型高血压患者随机分为对照组和观察组，各30例。对照组采用高血压常规治疗，观察组在对照组治疗基础上行基于全息理论下的耳部虎符铜砭刮痧治疗，均治疗2个疗程。比较两组患者治疗前、治疗1个疗程后、治疗2个疗程后的收缩压、舒张压，治疗前、治疗2个疗程结束后的中医证候积分、汉密尔顿焦虑量表（HAMA）评分，以及治疗2个疗程结束后的临床疗效、不良反应发生率。结果两组患者收缩压、舒张压的比较，差异有统计学意义，两组的收缩压、舒张压有随治疗时间变化的趋势，分组与时间有交互效应，其中，在治疗1个疗程后观察组的收缩压低于对照组，在治疗2个疗程后观察组的收缩压、舒张压低于对照组（P<0.05）。治疗2个疗程后，观察组中医证候积分和HAMA评分低于对照组，降压总有效率及中医证候改善总有效率高于对照组（P<0.05）。两组患者均未出现不良反应。结论在高血压常规治疗基础上，对肝阳上亢型高血压患者实施耳部虎符铜砭刮痧治疗，可有效改善患者血压及中医证候，缓解患者焦虑情绪，且安全性较高。

Objective To explore the clinical effect of aural Hufu Tongbian Guasha for the treatment of hypertension in hyperactivity of liver yang type based on holographic theory. Methods A total of 60 patients with hypertension in hyperactivity of liver yang type were randomly assigned to control group or observation group, with 30 cases in each group. The control group received routine treatment for hypertension, based on which the observation group underwent aural Hufu Tongbian Guasha therapy based on holographic theory. Both groups received 2 courses of treatment. The systolic blood pressure, diastolic blood pressure before treatment, after 1 and 2 courses of treatment, the scores of Traditional Chinese Medicine symptoms, Hamilton Anxiety Scale (HAMA) before treatment, and after 2 courses of treatment, as well as the clinical efficacy and incidence rate of adverse reactions after 2 courses of treatment were compared between patients of the two groups. Results There were statistically significant differences in systolic and diastolic blood pressure between the two groups, and there was a tendency of change in systolic and diastolic blood pressure over the treatment time, and a interactive effect between grouping and time, therein the observation group exhibited lower systolic blood pressure after 1 course of treatment, and lower systolic and diastolic blood pressure after 2 courses of treatment as compared with the control group (P<0.05). After 2 courses of treatment, the observation group yielded lower Traditional Chinese Medicine symptoms score and HAMA score as compared with the control group, and higher total effective rates of anti-hypertension and Traditional Chinese Medicine symptoms amelioration as compared with the control group (P<0.05). There was no adverse reaction in both groups. Conclusion On the basis of routine treatment for hypertension, implementing aural Hufu Tongbian Guasha for the treatment of patients with hypertension in hyperactivity of liver yang type can effectively ameliorate blood pressure and Traditional Chinese Medicine symptoms of patients, relieve patients' anxiety emotion, exerting a good safety.