中西医结合治疗原发性高血压合并失眠的 研究进展

Research Progress on the Integrated Traditional Chinese and Western Medicine Treatment of Primary Hypertension Complicated by Insomnia

摘要: 原发性高血压与失眠均为临床常见疾病，二者常合并存在、互为因果，形成恶性循环，显著增加心脑血管疾病风险。西医治疗虽能有效控制血压，但效果有限。中医药理论基于整体观念和辨证论治，在调节机体平衡、改善睡眠质量方面具有独特优势。本文系统综述了原发性高血压合并失眠的流行病学现状、中西医发病机制认识及中西医结合治疗进展，重点关注汤剂、针灸疗法、耳穴压豆等中医特色疗法联合常规西药的临床疗效，以期为临床实践提供参考。

Abstract: Primary hypertension and insomnia are both common clinical conditions that frequently coexist and interact causally, forming a vicious cycle that significantly increases the risk of cardiovascular and cerebrovascular diseases. While Western medical treatments can effectively control blood pressure, their efficacy remains limited. Traditional Chinese Medicine (TCM), grounded in holistic principles and syndrome differentiation, offers unique advantages in regulating bodily equilibrium and improving sleep quality. This systematic review examines the epidemiological status of primary hypertension with insomnia, the understanding of its pathogenesis from both Chinese and Western medical perspectives, and advances in integrated Chinese-Western treatment approaches. It focuses on the clinical efficacy of combining distinctive Chinese therapies—such as decoction therapy, acupuncture, and auricular acupressure—with conventional Western medications, aiming to provide practical guidance for clinical practice.