CAJ | 학술논문

目的评价音乐调控激光治疗对轻中度原发性高血压的治疗作用,探讨高血压的有效非药物疗法.方法选择符合条件的轻中度原发性高血压患者100例,按高血压分期分层随机分为观察组和对照组,每组50例.治疗分两个阶段,每阶段6周,共12周.第一阶段,观察组接受音乐调控激光治疗,对照组接受药物治疗.第二阶段,2组治疗方法对调,观察组接受药物治疗,对照组接受音乐调控激光治疗.每阶段治疗后患者均检测血压、评价生活质量.结果治疗前,2组血压观测值及生活质量评分比较,差异无统计学意义(P>0.05).第一阶段治疗后,观察组与对照组收缩压及舒张压均明显下降(P<0.05),对照组下降幅度比观察组显著(P<0.05);2组之间生活质量各项评分比较,差异均无统计学意义(P>0.05).第二阶段治疗后,观察组血压进一步下降(P<0.05),对照组则无明显变化(P>0.05),2组血压比较,差异无统计学意义(P>0.05);2组间生活质量各项评分比较,差异无统计学意义(P>0.05),但组内之躯体症状、健康愉快感、工作表现以及生活满意度4个项目均有显著改善(P<0.05).结论音乐调控激光治疗能有效地降低轻中度原发性高血压患者的血压水平,与降压药物相比,其降压作用稍弱,但在提高患者生活质量方面作用相当.
목적 평개음악조공격광치료대경중도원발성고혈압적치료작용,탐토고혈압적유효비약물요법.방법 선택부합조건적경중도원발성고혈압환자100례,안고혈압분기분층수궤분위관찰조화대조조,매조50례.치료분량개계단,매계단6주,공12주.제일계단,관찰조접수음악조공격광치료,대조조접수약물치료.제이계단,2조치료방법대조,관찰조접수약물치료,대조조접수음악조공격광치료.매계단치료후환자균검측혈압、평개생활질량.결과 치료전,2조혈압관측치급생활질량평분비교,차이무통계학의의(P>0.05).제일계단치료후,관찰조여대조조수축압급서장압균명현하강(P<0.05),대조조하강폭도비관찰조현저(P<0.05);2조지간생활질량각항평분비교,차이균무통계학의의(P>0.05).제이계단치료후,관찰조혈압진일보하강(P<0.05),대조조칙무명현변화(P>0.05),2조혈압비교,차이무통계학의의(P>0.05);2조간생활질량각항평분비교,차이무통계학의의(P>0.05),단조내지구체증상、건강유쾌감、공작표현이급생활만의도4개항목균유현저개선(P<0.05).결론 음악조공격광치료능유효지강저경중도원발성고혈압환자적혈압수평,여강압약물상비,기강압작용초약,단재제고환자생활질량방면작용상당.
Objective To assess the therapeutic effect of music- regulated laser therapy on mild and moderate primary hypertension (PH) so as to provide clinical evidence for the development of an effective non-drug therapy for hypertension. Methods One hundred mild and moderate PH patients were divided into obser-vation ( n = 50 ) and control groups ( n = 50 ) according to their stage of hypertension. There were two phases of treatment with 6 weeks in each phase for a total of 12 weeks. In the first phase, patients in the observation group received music-regulated laser therapy while the control group received drug therapy. In the second phase, the treatments were reversed, with the observation group receiving the drugs. The blood pressure and quality of life (QOL) of all the patients was evaluated after each phase. Results Before therapy there were no significant differences in average blood pressure or QOL between the groups. After the first phase, systolic blood pressure (SBP) and diastolic blood pressure (DBP) had been reduced significantly in both groups, but the decrease was significantly greater in the control group. The score on each item of the QOL evaluation was not significantly different between the two groups. After the second phase, blood pressure had decreased further in the observation group, but no significant change was observed in the control group, and there was no significant difference in blood pressure between two groups. The scores on each item of the QOL evaluation were not significantly different between the two groups, but average somatic symptoms, healthy and pleasant feelings, task perform-ance and life satisfaction were significantly ameliorated in both groups. Conclusions Music-regulated laser therapy can lower the blood pressure of mild and moderate PH patients effectively. Compared with antihyperten-sion drugs, music-regulated laser therapy provides a weaker effect in lowering blood pressure, but plays an e-quivalent role in improving the QOL of patients.