| Objective: Patients with essential hypertension with "white coat" effect were treated with traditional Chinese medicine five-element music therapy technology intervention,and the improvement of self-measured blood pressure in the clinic and at home and the difference,TCM syndrome scores,anxiety and depression scores before and after treatment were observed.To evaluate the efficacy of traditional Chinese medicine five-element music in the treatment of essential hypertension with "white coat" effect.At the same time,the intervention effect was evaluated to provide a clinical basis for the management of hypertension with "white coat" effect incorporated into the characteristics of traditional Chinese medicine.Methods: A total of 60 patients who met the criteria were included in this study,all of whom were from the outpatient department of cardiovascular medicine in the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.Following the principle of random control,they were divided into control group and intervention group,30 cases in each.The control group was given routine blood pressure and lifestyle guidance intervention,and the intervention group was given traditional Chinese medicine five-element music therapy on this basis,according to standard procedures,with 6 weeks as an intervention cycle.Before and after the intervention,the office blood pressure,the family self-rated blood pressure,the difference between the self-measured blood pressure in the office and the home,the improvement of TCM syndromes and the improvement of negative emotions were observed.SPSS 26.0 statistical software was used for statistical analysis of the data before and after the intervention.Result:1.Blood pressure effect:(1)After 6 weeks of intervention,compared with before the intervention,the office blood pressure in the intervention group was significantly decreased,and the difference was statistically significant(P<0.05);There was no significant difference in the blood pressure in the control group before and after intervention(P>0.05).The comparison between the groups after the intervention showed that there was a statistically significant difference in the office blood pressure between the two groups(P<0.05),and the effect of blood pressure lowering in the intervention group was significant.(2)After 6 weeks of intervention,compared with before intervention,the blood pressure measured by home self-measured in the intervention group was decreased,and the difference was statistically significant(P<0.05);In the control group,there was no significant difference in home blood pressure before and after intervention(P>0.05).The comparison between the groups after the intervention showed that there was a statistically significant difference between the two groups in the home self-measured blood pressure(P<0.05),and home self-measured blood pressure improved in the intervention group.(3)After 6 weeks of intervention,compared with before intervention,the difference of blood pressure between clinic and home in intervention group was significantly reduced,and the difference was statistically significant(P<0.05);There was no significant difference in the difference of blood pressure between office and home self-measured blood pressure before and after intervention in the control group(P>0.05).The comparison between the groups after the intervention showed that there was a statistically significant difference between the two groups in the blood pressure difference between the office and the home self-measured blood pressure(P<0.05).2.TCM syndromes: A comparative study was conducted on the scores of TCM syndromes before and after the 6-week intervention.The results showed that the scores of TCM syndromes in the two groups were decreased after intervention,and the difference was statistically significant(P<0.05).The reduction in the intervention group was greater,and the comparison between the groups after the intervention showed that there was a statistically significant difference in the scores of TCM syndromes between the two groups(P<0.05).3.Anxiety mood: According to the results obtained by the SAS scoring method,after 6weeks of intervention,there was a statistically significant difference in the SAS score between the two groups(P<0.05).The intervention group had better curative effect.There was a statistically significant difference in SAS scores between the two groups(P<0.05).4.Depressed mood: According to the results of the SDS scoring method,after 6 weeks of intervention,there was a statistically significant difference in the SDS score between the two groups(P<0.05).The effect of the intervention group was more obvious.There was a statistically significant difference in SDS score between the two groups(P<0.05).Conclusion:Traditional Chinese medicine five-element music has a certain antihypertensive effect in the treatment of patients with essential hypertension with "white coat" effect,which is better than conventional antihypertensive and lifestyle guidance alone,and can improve the clinical symptoms of hypertension in traditional Chinese medicine and patients with hypertension,also showed good results in terms of negative emotions.It is a convenient and effective non-drug therapy of traditional Chinese medicine for the treatment of "white coat" effect associated with essential hypertension,and is suitable for promotion and use in the population of essential hypertension with "white coat" effect. |
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