本文關(guān)鍵詞：中西醫(yī)結(jié)合治療老年性Ⅱ期高血壓患者生活質(zhì)量分析研究　出處：《福建中醫(yī)學(xué)院》2000年碩士論文　論文類型：學(xué)位論文

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【摘要】： 背景：治療法對老年性Ⅱ期高血壓患者生活質(zhì)量有重要影響。 目的：為了探討用中西醫(yī)結(jié)合治療方法對老年性Ⅱ期高血壓病患者生活 質(zhì)量的影響，尤其是與傳統(tǒng)中單純西藥治療對其生活質(zhì)量的影響之間的比 較。 資料與方法：按衛(wèi)生部《中藥新藥臨床指導(dǎo)原則》診斷標(biāo)準(zhǔn)及中醫(yī)辨證 標(biāo)準(zhǔn)、最新西醫(yī)診斷標(biāo)準(zhǔn)，共調(diào)查了400例患者，均確診高血壓并堅(jiān)持服藥在 3個月以上，其中中西結(jié)合治療組與西藥組各200例，中西醫(yī)結(jié)合治療組年齡 為62.91±3.28（60～75歲），男性90例，女性110例；職業(yè)為干部72例，工人 81例，專業(yè)技術(shù)人員25例，無業(yè)人員8例，其它14例。西藥組年齡為63.22±2.61 （60-75歲），男性98例，女性102例；職業(yè)為干部71例，工人84例，專業(yè)技術(shù) 人員26例，無業(yè)人員6例，，其它13例。采用由美國康涅狄格大學(xué)Croog SH博士 提出，哈佛大學(xué)公衛(wèi)學(xué)院Testa MA博士等進(jìn)行簡化，并經(jīng)湖北醫(yī)科大學(xué)杜勛 明教授結(jié)合我國國情構(gòu)造的高血壓病人生活質(zhì)量量表。 結(jié)果：1、中西醫(yī)結(jié)合組與西藥組之間生活質(zhì)量比較顯示：中西醫(yī)結(jié)合治 療組在生理癥狀、軀體化癥狀、睡眠狀況、生氣或活力、焦慮、壓抑、強(qiáng)迫 癥狀、工作狀態(tài)、敵對等項(xiàng)日上評分商于四藥治療組，二者之間均有非常顯 著差異（P＜0，OI）；性功能失調(diào)與人際關(guān)系敏感二個項(xiàng)日評分比較無差異o ＞0．os）。2、中西醫(yī)結(jié)合組中各證型之間生活質(zhì)量比較：肝火亢盛組優(yōu)于痰濕 墮盛組（P＜0．05）；肝火亢盛組明顯優(yōu)于陰虛陽亢組及陰陽兩虛組（P＜0．of）； 痰濕塑盛組優(yōu)于陰虛陽亢組及陰陽兩虛組（P＜0，05）；陰虛陽亢組與陰陽兩虛 組之間無明顯差異（R＞＂．05）。3、西藥組中各中醫(yī)證型之間生活質(zhì)量比較均 無明顯差異（均P＞0．05）。4、中西醫(yī)結(jié)合組與西藥組之間年齡、職業(yè)、性別 比較均無明顯差異（均P＞0．l）。以上可知：中西醫(yī)結(jié)合治療對老年性＊期高 血壓患者生活質(zhì)量的影響優(yōu)于西醫(yī)治療組；在中醫(yī)各證型中，其生活質(zhì)量的 優(yōu)劣依次為：肝火亢盛組＞痰濕塑盛組＞陰虛陽亢組一陰陽兩虛組。 結(jié)論：治療方法對老年性＊期高］血壓患者生活質(zhì)量有重要影響，不同證 型對其生活質(zhì)量的影響不同，為臨床用藥提供了參考。
[Abstract]:Background: treatment has an important effect on the quality of life of elderly patients with stage II hypertension.
Objective: To explore the life of elderly patients with hypertension by combination of traditional Chinese and Western Medicine
The effect of quality, especially on the effect of traditional western medicine treatment on its quality of life
More.
Data and methods: according to the clinical guidelines of the Ministry of public health, the diagnostic standard of the new medicine and the syndrome differentiation of traditional Chinese Medicine
Standard, the latest diagnostic criteria for western medicine. A total of 400 patients were investigated. All patients were diagnosed with high blood pressure and insisted on taking medicine.
More than 3 months, among them, 200 cases of the combined Chinese and Western medicine group and the western medicine group, the age of the combined Chinese and Western medicine treatment group
It was 62.91 + 3.28 (60~75 years old), 90 men, 110 women, 72 cadres in the profession, and workers.
81 cases, 25 cases of professional and technical personnel, 8 cases of unemployed workers and 14 other cases. The age of Western medicine group is 63.22 + 2.61.
(60-75 years old), 98 men and 102 women, 71 professional cadres, 84 workers, and professional skills.
There were 26 cases of staff, 6 unemployed and 13 others, using Dr. Croog SH from University of Connecticut, USA
It was suggested that Dr. Testa MA of the College of public health, Harvard University, and so on, be simplified, and by Du Xun, Hubei Medical University
Professor Ming combined with the national conditions of our country to construct a quality of life scale for hypertensive patients.
Results: 1, the comparison of the quality of life between the combined Chinese and Western medicine group and the western medicine group showed that the combination of traditional Chinese and Western medicine was treated with the combination of Chinese and Western medicine.
Physical symptoms, somatization, sleep, anger or vitality, anxiety, depression, coercion, and compulsion in the treatment group.
The symptoms, working conditions, etc., were hostile to four treatment groups, between the two were very significant
There were differences (P < 0, OI), and there was no difference between sexual dysfunction and interpersonal sensitivity in two item day scores (o)
> 0.os).2, compared with combination of TCM and Western medicine between each syndrome group in the quality of life: hyperactivity of liver fire group was better than that of phlegm
Fall Sheng group (P < 0.05); overabundant liver fire group was significantly better than that of Yinxuyangkang group and two Yin and yang deficiency group (P < 0.of);
Phlegm dampness group is superior to yin deficiency Yang Hyperactivity group and Yin Yang two deficiency group (P < 0,05), and yin deficiency Yang Hyperactivity group and Yin Yang deficiency two deficiency
There was no significant difference between the groups (R > ".05).3. The quality of life of the TCM Syndrome Types in the western medicine group was all compared.
No significant difference (P > 0.05).4, age, occupation and sex between Western and Western medicine group and Western medicine group.
There was no significant difference (all P > 0.l). It is known that the combination of traditional Chinese and Western medicine is high for the elderly
The quality of life of the patients with blood pressure is better than that of the western medicine treatment group; in each type of TCM syndrome, the quality of life
The merits are: hyperactivity of liver fire group, phlegm Susheng group, yin deficiency and yang hyperactivity group two of yin and yang deficiency group.
Conclusion: the treatment method has an important influence on the quality of life of the elderly patients with high blood pressure.
The effect of the type on the quality of life is different, which provides a reference for the clinical use of drugs.

【學(xué)位授予單位】：福建中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2000
【分類號】：R259.4

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