摘要
目的 探讨高血压情志护理联合耳尖放血疗法的即时降压效果。方法 研究以本院高血压患者作为研究样本，样本量筛选80例，收集时间点：2022年7月-2024年7月，按照护理将患者划分两组，常态化护理组40例，施行常态化护理，中医联合护理组40例，施行情志护理联合耳尖放血疗法。统计分析两组即时降压效果、心理状态、临床疗效、不良事件发生率。结果 护理后15 min、30 min、1 h、2 h，中医联合护理组舒张压、收缩压均低于常态化护理组（P<0.05）。护理后，中医联合护理组想家、失眠、焦虑、忧郁评分均低于常态化护理组（P<0.05）。中医联合护理组总有效率高于常态化护理组（P<0.05），不良事件发生率低于常态化护理组（P<0.05）。结论 高血压情志护理联合耳尖放血疗法的即时降压效果较常态化护理好。
关键词： 高血压；耳尖放血疗法；情志护理；即时降压效果；心理状态；不良事件
Abstract
Objective To explore the immediate antihypertensive effect of emotional care for hypertension combined with apical bloodsetting therapy. Methods Hypertensive patients in our hospital were selected as the research samples. A sample size of 80 cases was screened. The collection time points were from July 2022 to July 2024. The patients were divided into two groups according to nursing. There were 40 cases in the routine nursing group who received routine nursing, and 40 cases in the traditional Chinese medicine combined nursing group who received emotional nursing combined with auricular tip bleeding therapy. The immediate antihypertensive effect, psychological state, clinical efficacy and incidence of adverse events of the two groups were statistically analyzed. Results At 15 minutes, 30 minutes, 1 hour and 2 hours after the nursing care, the diastolic and systolic blood pressures in the combined traditional Chinese medicine nursing group were lower than those in the normal nursing group (P<0.05). After the nursing care, the scores of homesickness, insomnia, anxiety and depression in the traditional Chinese medicine combined nursing group were all lower than those in the routine nursing group (P<0.05). The total effective rate of the combined traditional Chinese medicine nursing group was higher than that of the routine nursing group (P<0.05), and the incidence of adverse events was lower than that of the routine nursing group (P<0.05). Conclusion The immediate blood pressure-lowering effect of emotional care for hypertension combined with auricular tip bloodsetting therapy is better than that of routine care.
Key words： Hypertension; Ear tip bloodletting therapy; Emotional care; Immediate blood pressure-lowering effect; Mental state; Adverse event
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