Clinical Study Of Antihypertensive Massage Exercise On Mild To Moderate Hypertension With Immediate Blood Pressure

Objective: This topic mainly chooses to publicize,popularize and apply the antihypertensive massage exercises in patients with mild to moderate essential hypertension.At the same time,we observe the effects of antihypertensive massage exercises on the instant blood pressure,non-instant blood pressure,the improvement of TCM symptoms and related quality of life of patients with mild to moderate essential hypertension.Methods: All the cases came from patients with hypertension in Jiangzhen Community Health Service Center and family doctor's contract.A total of 100 patients with essential hypertension who had been diagnosed and met the inclusion criteria were selected in this study.These patients were randomly divided into treatment group and control group with 50 cases each.Two groups of patients in the maintenance of the original antihypertensive drugs and dosage unchanged(all using CCB antihypertensive drugs),the treatment group plus antihypertensive massage exercise,twice a day,morning and evening work time is appropriate,each time about15 minutes of exercise,to ensure that no less than five times a week,three months for an observation period,in these three months,patients need to record 2-3 times a week before and after the exercise 10 minutes immediately.Blood pressure,blood pressure was measured every 2 weeks in the clinic,and the improvement of TCM syndromes and quality of life were compared after 3 months.To explore the advantages of antihypertensive massage exercises and the significance of observing instant blood pressure.Result: In terms of antihypertensive effect:(1)Immediate blood pressure: In the first week,the fourth week,the eighth week and the twelfth week after the intervention,there were significant differences in the instant blood pressure of the treatment group before and after 10 minutes of exercise(P < 0.01).(2)Non-immediate blood pressure: 30 days after intervention,the blood pressure in the treatment group was significantly different from that before intervention(P <0.01),but there was no significant difference in the control group(P > 0.05);60 days after intervention,the blood pressure in the treatment group was significantly different from that before intervention(P < 0.01),and the systolic blood pressure in the control group was significantly different(P < 0.01).There was no significant difference in diastolic blood pressure between the two groups(P > 0.05).After 90 days of intervention,there was a significant difference in blood pressure between the treatment group and the control group(P < 0.01).(3)Antihypertensive effect: Comparing the antihypertensive effect of the two groups before and 90 days after the intervention,the results showed that the treatment group had 8 marked effects,30 effective cases,12 ineffective cases,and the total effective rate was 76%.The control group had 5 marked effects,26 effective cases,19 ineffective cases,and the total effective rate was 62%.It showed that the treatment group had slightly better antihypertensive effect than the control group.Therapeutic effect of TCM syndromes:After 90 days of intervention,the scores of TCM symptoms in the two groups were significantly different from those before intervention(P < 0.05).The results showed that 7 cases in the treatment group were markedly effective,32 cases were effective and 11 cases were ineffective.The total effective rate was 78%.In the control group,3 cases were markedly effective,18 cases were effective and 29 cases were ineffective.The total effective rate was 42%.It shows that the treatment group is superior to the control group in the curative effect of TCM syndromes.Quality of life:After 90 days of intervention,there were significant differences in physiological symptoms and somatization symptoms between the treatment group and the control group(P < 0.05),but there were no significant differences in 11 dimensions of quality of life between the two groups(P > 0.05).It shows that the treatment group is slightly better than the control group in the quality of life effect,but because the observation cycle is too short,the effect is not very obvious.Conclusion: Through the clinical observation of antihypertensive massage exercises on mild to moderate essential hypertension,strengthening the previous study found that antihypertensive massage exercises in improving symptoms,assisting antihypertensive,improving the quality of life and other aspects of its related efficacy is relatively clear.At the same time,I observed the instant blood pressure,found that instant blood pressure also has an effect,especially for patients with the improvement of traditional Chinese medicine syndrome,patients need to adhere to and Regularly practicing antihypertensive massage exercises has the effect of superimposing antihypertensive exercises,and at the same time there is no shortcoming of excessive antihypertensive short-acting antihypertensive drugs.For their instant blood pressure,non-instant blood pressure has a synergistic effect on reducing blood pressure,but also can significantly improve their TCM syndrome,improve their quality of life.Pressure-lowering massage exercises are easy to learn,without any adverse reactions and toxic side effects,and are not restricted by the site conditions.They are also more economical and environmentally friendly when exercising,and are more suitable for publicity,promotion and application in grass-roots communities and major medical institutions.