全息经络铜砭刮痧联合耳穴“三联”疗法治疗痰瘀互结型高血压性眩晕的疗效观察及对甘油三酯水平的影响

Efficacy Observation of Holistic Meridian Copper Bian Stone Gua Sha Combined with Auricular Point “Triad” Therapy on Hypertensive Vertigo with Phlegm and Blood Stasis Syndrome and Its Impact on Triglyceride Levels

摘要: 目的：评估全息经络铜砭刮痧联合耳穴“三联”疗法应用于痰瘀互结型高血压性眩晕患者的临床治疗效果及对甘油三酯水平的影响。方法：选取在黑龙江中医药大学附属第一医院心血管病一科接受治疗且诊断为高血压性眩晕(证属痰瘀互结)患者120例。基于计算机生成的随机序列，将入选患者平均分配至试验组、对照组。对照组接受常规降压药物治疗及基础护理(包括情志、用药、饮食、生活起居和临证护理)，试验组在对照组基础上加用全息经络铜砭刮痧(隔日1次，共7次)联合耳穴“三联”疗法(耳穴按摩每日3次、耳尖放血隔日1次、耳穴压豆每3日更换)。治疗周期4周。比较两组治疗前后的眩晕障碍量表(DHI)评分、血压(收缩压SBP、舒张压DBP)、中医证候积分及SF-36生活质量评分、甘油三酯水平及总有效率。结果：治疗后，试验组全息经络铜砭刮痧联合耳穴“三联”疗法总有效率为93.10%，显著高于对照组76.27% (P < 0.01)。两组DHI评分、血压参数、中医证候积分、SF-36评分、甘油三酯水平均呈现显著下降趋势。且试验组上述指标的降幅更大，较对照组改善更优(P < 0.01)。结论：全息经络铜砭刮痧联合耳穴“三联”疗法能有效改善痰瘀互结型高血压性眩晕患者的临床症状、降低血压及甘油三酯水平，并提高生活质量，为临床综合干预提供了优化方案。

Abstract: Objective: To evaluate the clinical efficacy of Holographic Meridian Copper Bian Stone Gua Sha combined with Auricular “Triad” Therapy for hypertensive vertigo with Phlegm-Blood Stasis Syndrome and its effect on triglyceride levels. Methods: A total of 120 patients with hypertensive vertigo (Phlegm-Blood Stasis Syndrome type) were randomly assigned to a treatment group or a control group. The control group received conventional antihypertensive medication and routine care. The treatment group received the same care plus Holographic Meridian Copper Bian Stone Gua Sha (once every other day, 7 sessions total) and Auricular “Triad” Therapy (daily auricular massage, every-other-day auricular apex bloodletting, and auricular seed pressing replaced every 3 days). The treatment period was 4 weeks. Outcomes, including the Dizziness Handicap Inventory (DHI) score, blood pressure (SBP/DBP), TCM syndrome score, SF-36 quality of life score, and triglyceride levels, were compared before and after treatment. Results: The total effective rate was significantly higher in the treatment group (93.10%) than in the control group (76.27%) (P < 0.01). Both groups showed significant improvements in all measured parameters. However, the treatment group demonstrated significantly greater improvements in DHI score, blood pressure, TCM syndrome score, SF-36 score, and triglyceride levels compared to the control group (P < 0.01). Conclusion: The combined therapy of Holographic Meridian Copper Bian Stone Gua Sha and Auricular “Triad” Therapy effectively alleviates clinical symptoms, reduces blood pressure and triglycerides, and improves quality of life in patients with hypertensive vertigo of Phlegm-Blood Stasis Syndrome, offering an optimized approach for clinical management.