天津中医药2026，Vol.43Issue(5)：564-570,7.DOI:10.11656/j.issn.1672-1519.2026.05.04
天麻钩藤饮联合耳部疗法治疗H型高血压病伴失眠的临床疗效观察
Clinical efficacy of Tianma Gouteng Decoction combined with auricular therapy in the treatment of H-type hypertension with insomnia
摘要
Abstract
[Objective]This randomized controlled trial evaluated the efficacy of Tianma Gouteng Decoction combined with auricular holographic therapy for patients with H-type hypertension(HHT)due to liver yang hyperactivity complicated by insomnia.[Methods]A total of 110 patients with liver yang hyperactivity(HHT)with insomnia were recruited between July 2022 and December 2024 from the geriatric outpatient and inpatient departments of Sichuan Integrative Medicine Hospital.Random sequences were generated using SPSS 26.0 software and concealed using opaque envelopes.Patients were assigned to either the experimental group(n=55)or control group(n=55)in a 1∶1 ratio based on their order of presentation.The control group received conventional antihypertensive therapy,homocysteine(Hcy)reduction protocols,and health education.The experimental group added Tianma Gouteng Decoction combined with auricular holographic intervention to the control group regimen.Differences between groups were assessed for clinical efficacy,blood pressure levels,Pittsburgh Sleep Quality Index(PSQI)scores,homocysteine levels,and traditional Chinese medicine syndrome scores,with adverse reactions recorded.[Results]The overall clinical response rate in the experimental group was 96.36%,significantly higher than the 85.45%in the control group(χ²=4.725,P=0.014).At weeks 3,4,and 12 post-treatment,blood pressure levels in both groups decreased significantly from baseline,with a greater reduction in the experimental group(P<0.05).PSQI scores in both groups decreased at weeks 3,4,and 12 post-treatment compared to baseline,with the experimental group exhibiting lower scores than the control group at these time points.Homocysteine levels decreased in both groups compared to baseline,with the experimental group showing significantly lower levels than the control group(P<0.05).Regarding Traditional Chinese Medicine syndrome scores,both groups showed significant reductions post-treatment compared to baseline(P<0.05),with the experimental group exhibiting a markedly greater decrease than the control group(P<0.05).No adverse reactions occurred in either group throughout the study.[Conclusion]The combination of Tianma Gouteng Decoction with auricular holographic therapy demonstrates certain advantages in improving symptoms and related indicators in patients with HHT with insomnia due to liver yang hyperactivity.This treatment exhibits high safety during the therapeutic process and can be further explored and applied as an effective clinical approach for managing this condition.关键词
天麻钩藤饮/耳部全息疗法/肝阳上亢/H型高血压病/失眠Key words
Tianma Gouteng Decoction/auricular holographic therapy/liver yang hyperactivity/H-type hypertension/insomnia分类
医药卫生引用本文复制引用
陈胜男,洪勇,金承志,韩诗雨..天麻钩藤饮联合耳部疗法治疗H型高血压病伴失眠的临床疗效观察[J].天津中医药,2026,43(5):564-570,7.基金项目
四川省中医药管理局项目(25MSZX157) （25MSZX157）
四川省中医药管理局项目(2024MS281). （2024MS281）
