Investigation Of Prehypertensive Peopulation In Community And Evaluation Of Curative Effect Of Intervention Of Ear Acupoint Pressing Pill Intervention

The first part of the community pre-hypertension population surveyObjective: o investigate the incidence and combination of prehypertension in Sanli ’an Community Health Service Center in Hefei.Methods:From October 2018 to October 2019,the family doctor management system of Sanli ’an Community Health Service Station was selected,with age ≥ 35 years old.Complete residents’ health records were recorded with the data.The general data,laboratory results and TCM constitution types that met the pre-hypertension diagnostic criteria were collected,sorted out and analyzed.Results: A total of 1875 residents’ health records were collected,including 600 patients with pre-hypertension(32.1%),825 patients with ideal blood pressure(43.9%),and 450 patients with hypertension(24.0%).For prehypertension people age,sex,smoking,alcohol consumption,body mass index,waist circumference,blood pressure,blood lipid,fasting blood sugar,factors such as family history,TCM constitution type after investigation found that prehypertension people have merged with abnormal blood lipid,blood glucose abnormalities,abdominal obesity,overweight and other cardiovascular disease risk factors.Multivariate regression analysis for people with different blood pressure levels in prehypertension showed that the main risk factors for people with grade II PHT were gender,BMI,TC,TG,HDL-C,LDL-C,FBG and phlegm-dampness physic.Education level was a protective factor affecting blood pressure level in people with prehypertension.Conclusion:(1)The incidence of prehypertension in the community is high(32.1%),and there are cardiovascular disease risk factors such as dyslipidemia,abnormal blood glucose,abdominal obesity,overweight and so on.(2)the prehypertension people risk factors are different,different levels of blood pressure level Ⅱ PHT crowd is a major risk factor for sex,BMI,TC,TG,HDL,LDL-C-C,FBG and phlegmy wet body.The second part is the evaluation of the effect of external therapy of traditional Chinese medicine on the intervention of prehypertensionObjective:By observing the effect of ear acupoint pressing pills on improving blood pressure,sleep quality,life quality and correcting phlegm-dampness constitution of people with pre-hypertension with phlegm-dampness constitution,a simple and effective non-drug therapy was explored for early clinical intervention of pre-hypertension.Methods: Choose 2019.10 2020.10 ≧ 35 years old,in line with the diagnostic criteria and prehypertension is phlegmy wet body types,90 cases of patients,all cases from the three mile temple community hospital medical residents,patients will be included in the standard according to the stochastic indicator method is divided into ear pills combined with lifestyle intervention in the treatment group and simple lifestyle intervention in the control group(n = 45).Blood pressure levels before and after the treatment team,sleep quality,quality of life,phlegmy wet body scale scores for analysis and evaluation.Results:(1)The systolic blood pressure in the treatment group was significantly lower than that in the control group after intervention(P < 0.05).Ear acupoint pressure pills have a positive effect on improving systolic blood pressure in pre-hypertension population.(2)The score of PQIS between the treatment group and the control group was statistically different(P < 0.05),and the score of the treatment group was significantly lower than that of the control group,indicating that ear acupoint pressing pills had a positive effect on improving sleep quality.(3)There was no statistically significant difference in the phlegm-dampness constitution scale scores between the treatment group and the control group(P < 0.05).It shows that auricular pressure can improve the clinical effect of phlegm-dampness constitution score.(4)The auricular acupoint pressure pill has a positive effect on the improvement of physiological function,physical pain,mental health and general health status.Conclusion:Ear-point pressing pills can lower the blood pressure of the prehypertensive population,and have certain clinical significance in improving the quality of sleep and life of the prehypertensive population,and correcting the phlegm-damp constitution.