Nursing of a patient with essential hypertension based on meridian flow and meridian differentiation

Fenling LIU; Shu LIU; Chunzhi LI

doi:10.12209/CAIM202210300047

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Nursing of a patient with essential hypertension based on meridian flow and meridian differentiation

更新时间：2023-01-03

- Nursing of a patient with essential hypertension based on meridian flow and meridian differentiation
- Clinical Archives of Integrative Medicine (2023)
- 作者机构：
  
  1.河南中医药大学第一附属医院公卫中心，河南郑州， 450000
  2.河南中医药大学第一附属医院护理部，河南郑州， 450000
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202210300047
  CLC：
- Published Online：03 January 2023，
  
  Received：30 October 2022，
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Fenling LIU, Shu LIU, Chunzhi LI. Nursing of a patient with essential hypertension based on meridian flow and meridian differentiation. [DB/OL].Clinical Archives of Integrative Medicine (2023)
DOI：

Fenling LIU, Shu LIU, Chunzhi LI. Nursing of a patient with essential hypertension based on meridian flow and meridian differentiation. [DB/OL].Clinical Archives of Integrative Medicine (2023) DOI： 10.12209/CAIM202210300047.

摘要

目的

探究基于子午流注循经辨治改善原发性高血压患者嗜睡症状的护理效果。

方法

纳入1例我院收治有既往20年高血压史及伴嗜睡的患者，在常规护理基础上应用子午流注循经辨治的干预方法，观察护理前后患者水肿情况、营养风险筛查表评分、Barthel指数评定详表评分、焦虑自评量表（SAS）评分、Epworth嗜睡量表（ESS）评分等。

结果

护理后，患者体液过多情况改善，体液恢复正常，双下肢浮肿明显减轻；护理前后患者营养风险筛查表评分均为1分；护理前，患者ADL评定量表评分85分，护理后评分95分；护理前，患者SAS焦虑评分56分，护理后焦虑评分47分；护理前，患者ESS量表评分为15分，护理后6分；患者舌苔改善明显；嗜睡减轻，大便正常；改善患者收缩压疗效明显。

结论

基于子午流注理论择时艾灸联合刮痧疗法能够降低原发性高血压患者的收缩压水平，且改善患者嗜睡等临床症状，提高了患者的生活质量和依从性。

Abstract

Objective

To explore the nursing effect of improving drowsiness symptoms in patients with essential hypertension based on meridian flow and meridian differentiation.

Methods

A patient with a history of hypertension and sleepiness in the past 20 years admitted to our hospital was included. On the basis of routine nursing， the intervention method of meridian flow and meridian differentiation was applied. Before and after nursing， edema， nutritional risk screening table score， Barthel index assessment detailed table score， self-rating Anxiety scale （SAS） score， Epworth Sleepiness scale （ESS） score were observed.

Results

After nursing， the excessive body fluid of the patient was improved， the body fluid returned to normal， and the edema of both lower limbs was significantly reduced. The score of nutritional risk screening table before and after nursing was 1. Before nursing， the score of ADL rating scale was 85， and after nursing， the score was 95. Before nursing， the SAS anxiety score was 56 points， and after nursing， the anxiety score was 47 points. The score of ESS scale was 15 points before nursing and 6 points after nursing. The patient's tongue coating improved significantly； Decreased drowsiness and normal bowel movements； The effect of improving systolic blood pressure was obvious

Conclusion

Timing moxibustion combined with scraping therapy based on meridian flow theory can reduce the level of systolic blood pressure in patients with essential hypertension， improve the clinical symptoms such as drowsiness， and improve the quality of life and compliance of patients.

关键词

高血压嗜睡子午流注循经辨治

Keywords

hypertensiondrowsinessmeridional flowmeridian differentiation

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