P-wave Dispersion Characteristic Analysis Of H-type Hypertension And Intervention Effect Of Resolving Phlegm And Removing Blood Stasis Method

Objectives:To provide a theoretical basis for improving the prognosis of patients with H-ty pe hypertension,explore the advantages of resolving phlegm and removing blood stasis method in the treatment of mild and moderate H-ty pe hypertension and provide a new therapeutic approach for H-ty pe hypertension,by analyzing the difference of p-wave dispersion between H-ty pe hypertension and non-H-ty pe hyperten si on,observing the clinical effect of removing phlegm and removing blood stasis on mild and moderate H-type hypertension and summarizing the characteristics of P-wave dispersion in H-type hypertensionMethods:From March 2019 to December 2019,there were 211 patients with primary hypertension(phlegm and blood stasis syndrome)treated in the outpatient department of cardiovascular disease in the First Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine.According to the results of HCY,they were divided into H-type hypertension group(100 cases)and non-H-ty pe hypertension group(111 cases).Blood pressure,P max,P min,Pd and other indexes were observed and recorded in the two groups.The characteristics of P-wave dispersion in H-type hypertension were analyzed.Random number table method was used to divide patients with H-type hypertension into a control group and a treatment group,with 50 cases in each group.The control group was treated with folic acid tablet and Xinmaitong tablet,and the treatment group was treated with folic acid tablet and Huanglianwendan decoction.P max,P min,Pd,content of homocysteine,blood pressure and TCM symptom scores were observed and recorded before and after treatment.All data were sorted and analyzed by SPSS 24.0 statistical software,with P<0.05 being considered statistically significantResults:Results of P-wave dispersion characteristics of H-ty pe hypertension:There was no statistically significant difference in the general data between the two groups of patients(P>0.05).There were statistically significant differences in P max and Pd between the non-H-ty pe hypertension group and the H-ty pe hypertension group(P<0.05).The differences of P max and P min between the first and second level of non-H-ty pe hypertension were statistically significant(P<0.05).The differences in P max,P min,and Pd between the first and second level of H-ty pe hypertension were statistically significant(P<0.05).The differences of P max and Pd between the first level of non-H-hy pertension and H hypertension were statistically significant(P<0.05).The differences of P max and Pd between the second level of non-H-hypertension and H hypertension were statistically significant(P<0.05)The clinical curative effect of resolving phlegm and removing blood stasis method on mild and moderate H-type hypertension:There was no statistically significant difference in general data between the control group and the treatment group(P>0.05).P wave comparison between the two groups:The difference between the two groups before treatment was not statistically significant(P>0.05);the difference of P max and Pd between the two groups after treatment was statistically significant(P<0.05);and there was no statistically significant difference in P min(P>0.05).P-wave comparison within the two groups:There was no statistically significant difference in P max,P min,Pd before and after treatment within the two groups(P>0.05).The blood pressure under control between the two groups:the total effective rate in the control group was 90.0 0%,while the total effective rate in the treatment group was 94.00%;the difference was statistically significant(P<0.05).Comparison of TCM symptom scores between the two groups:the difference between the two groups before treatment was not statistically significant(P>0.05),while the difference between the two groups after treatment was statistically significant(P<0.05).Comparison of TCM symptom scores within the two groups:the difference before and after treatment was statistically significant(P<0.05).The efficacy of traditional Chinese medicine between the two groups:the total effective rate in the control group was 84.0 0%,while the total effective rate in the treatment group was 92.00%and the difference was statistically significant(P<0.05)Conclusions:1.Patients with H-type hypertension have greater variability in P-wave dispersion2.The resolving phlegm and removing blood stasis method can effectively reduce the blood pressure of patients with mild and moderate H-type hypertension(phlegm and blood stasis syndrome),increase the blood pressure compliance rate,and improve the patients’ physical bad feelings.