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

doi:10.3761/j.issn.2096-7446.2025.01.002

摘要/Abstract

摘要：

目的探讨耳部刮痧-放血-压豆序贯疗法在肝火亢盛型高血压危象患者中的应用效果。方法选取2023年1月—2024年3月在浙江省某三级甲等医院心内科3个病区的肝火亢盛型高血压危象患者100例作为研究对象，按随机数字表法分为试验组和对照组各50例，试验组在高血压危象常规治疗和护理的基础上增加耳部刮痧-放血-压豆序贯疗法，对照组采用高血压危象常规治疗和护理。比较两组患者干预前后血压水平、中医证候积分、24 h盐酸乌拉地尔注射液使用总量、靶器官损伤和不良事件发生率。结果两组患者干预后1、2、6和24 h的血压均低于干预前，组间比较干预后1、2、6和24 h的血压试验组低于对照组；24 h盐酸乌拉地尔注射液使用总量试验组50.00（50.00，56.25） mg少于对照组55.00（50.00，81.25） mg，差异具有统计学意义（P<0.05）；中医证候积分试验组[1.00（1.00，1.00）]分低于对照组[1.00（1.00，1.25）]分，差异具有统计学意义（P<0.05）；干预后24 h内两组患者靶器官损伤发生率试验组低于对照组，但差异无统计学差异（P>0.05）；两组均未发生明显不良事件。结论耳部刮痧-放血-压豆序贯疗法能降低肝火亢盛型高血压危象患者的血压水平，改善患者中医证候，减少24 h盐酸乌拉地尔注射液使用总量。但该研究观察的时间较短，远期疗效和靶器官损伤程度不详，后期有待进一步研究。

关键词: 高血压危象, 肝火亢盛证, 耳部刮痧, 耳尖放血, 耳穴压豆, 中医护理学

Abstract:

Objective To investigate the effect of sequential therapy of ear scraping，ear apex bloodletting and auricular point sticking on patients with hypertensive crisis caused by liver fire hyperactivity. Methods A total of 100 patients with liver-fire hypertivity type hypertensive crisis from January 2023 to March 2024 in 3 wards of the cardiology department of a grade-Ⅲ and grade-A hospital in Zhejiang Province were selected as the study objects and divided into the experimental group and the control group with 50 patients in each group according to random number table method. The control group received routine treatment and nursing for hypertensive crisis. On the basis of the control group，the experimental group received the sequential therapy of ear scraping，ear apex bloodletting and auricular point sticking. Blood pressure level，TCM syndrome score，24 h total use of urapidil hydrochloride injection and adverse events were compared between the two groups before and after intervention. Results The blood pressure at 1 h，2 h，6 h and 24 h after intervention in both groups was lower than that before intervention，and the blood pressure at 1 h，2 h，6 h and 24 h after intervention in the experimental group was lower than that in the control group. The total consumption of 24 h urapidil hydrochloride injection in experimental groups[50.00（50.00，56.25）] mg was lower than that in control group[55.00（50.00，81.25）] mg，and the difference was statistically significant（P<0.05）. TCM syndrome score in experimental group[1.00（1.00，1.00）] points was lower than that in control group[1.00（1.00，1.25）] points，and the difference was statistically significant（P<0.05）. Within 24 h after intervention，the incidence of target organ injury complications was similar between the two groups，and there was no significant difference（P>0.05）. There was on significant adverse events occurred in both groups Conclusion The sequential ther apy of ear scraping，ear apex bloodletting and auricular point sticking can reduce the blood pressure level of patients with liver-fire hyperactivity type hypertensive crisis，improve the TCM syndrome of patients，and reduce the total use of 24 h urapidil hydrochloride injection. However，the observation time of this study is short and the long-term effect is unknown，and the long-term effect of the combination of the three methods can be further observed in the later stage.

Key words: Hypertensive Crisis, Liver Fire Hyperactivity Syndrome, Ear Scraping, Ear Apex Bloodletting, Auricular Point Sticking, Traditional Chinese Medicine Nursing

艾丽娟, 边雪梅, 石吉芬, 杨梦梦, 叶静. 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.

AI Lijuan, BIAN Xuemei, SHI Jifen, YANG Mengmeng, YE Jing. A study on the efficacy of sequential therapy of ear scraping， bloodletting and bean pressing for patients with liver-fire hyperactivity type hypertension crisis[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(1): 17-23.

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