耳部手砭刮痧辅助治疗原发性高血压的疗效观察

Observation on the Clinical Efficacy of Ear and Hand Bian-Stone Scraping as Adjunctive Therapy for Essential Hypertension

摘要: 目的：探讨耳部手砭刮痧技术在高血压患者护理中的应用效果，为临床推广该中医适宜技术提供科学依据。方法：选取2024年10月至2025年12月重庆市九龙坡区中医院门急诊就诊的80例1级、2级原发性高血压患者作为研究对象，采用完全随机设计分为试验组和对照组，每组40例。对照组实施高血压健康知识宣教(含生活、饮食、运动指导)，试验组在对照组基础上增加耳部手砭刮痧治疗，每周3次，每次20分钟，双耳交替进行，4周为1个疗程。比较两组患者治疗前后血压水平、中医证候积分及临床疗效。结果：治疗后，试验组患者收缩压、舒张压均显著低于对照组(P < 0.05)；中医证候积分较对照组明显降低(P < 0.05)；试验组降压总有效率为87.5%，中医证候总有效率为90.0%，均高于对照组的52.5%和60.0% (P < 0.05)。结论：耳部手砭刮痧技术结合健康宣教可有效降低高血压患者血压，改善临床症状，且操作简便、安全性良好、患者依从性高，值得临床推广应用。

Abstract: Objective: To explore the application effect of ear and hand Bian-stone scraping technique in the nursing of patients with hypertension, so as to provide a scientific basis for the clinical promotion of this appropriate traditional Chinese medicine (TCM) technique. Methods: A total of 80 patients with grade 1 and grade 2 essential hypertension who visited the outpatient and emergency departments of Jiulongpo District Traditional Chinese Medicine Hospital in Chongqing from October 2024 to December 2025 were selected as subjects. They were randomly divided into experimental group and control group, with 40 cases in each group. The control group received health education on hypertension (including guidance on daily life, diet and exercise), while the experimental group was additionally treated with ear and hand Bian-stone scraping on the basis of the control group, 3 times a week, 20 minutes each time, alternating between both ears, and 4 weeks as a course of treatment. The blood pressure levels, TCM syndrome scores and clinical efficacy of the two groups were compared before and after treatment. Results: After treatment, the systolic blood pressure and diastolic blood pressure of the experimental group were significantly lower than those of the control group (P < 0.05); the TCM syndrome score was significantly lower than that of the control group (P < 0.05). The total effective rate of blood pressure reduction in the experimental group was 87.5%, and the total effective rate of TCM syndrome improvement was 90.0%, which were higher than 52.5% and 60.0% in the control group (P < 0.05). Conclusion: Ear and hand Bian-stone scraping combined with health education can effectively reduce blood pressure and improve clinical symptoms in patients with hypertension. It is easy to operate, safe and has high patient compliance, which is worthy of clinical promotion and application.