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