基于六西格玛管理法耳穴贴压治疗社区高血压伴失眠疗效观察

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AbstractObjective：Toobservetheeffctof the applicationof auricularpoint pressingbasedonthe Six Sigma management on blood presure levelandsleepqualityinpatientswithhypertensionandinsomniainthecommunity.Methods：From Januaryto June2023，94patientshoparticipatedinthemanagementofchronicdiseasesandmetthediagnosticcriteriaofhypertensionand insomniaintheCommunityHealthServiceCenterof Xiangping Stree，Tong'anDistrict，Xiamen City，FujianProvincewererandomlydividedintotheobservationgroupandcontrolgroup，with47cases ineach group.Patients inbothgroups were treatedwith conventionalchronicdiseasemanagementmodeforhypertensionandinsomnia，andthoseintheobservationgroupwereadditionallygivenanauricular pointpressing basedonthe Six Sigma management.Interventions wereconducted twicea week for 4 weeks.BloodpressurelevelsandthePitsburgh SleepQualityIndex（PSQI）beforeandafterinterventionwerecomparedbetween thetwo groups.Results：Systolic blood pressre，diastolic blood pressureand sleepqualityweresignificantlyimproved inthetwo groups after intervention（ all P<0.05 ）. Systolic blood pressure， diastolic blood pressure and PSQI scores in the observation group were significantly lower than the control group（ P<0.05 ）. Conclusion：The method of auricular point pressing based on the Six Sigmamanagementmethodcanefectivelyreducetheblood presurelevelandimprovethesleepqualityof patients withhypertension and insomnia in the community.

KeywordsHypertension;Sleep and sleep disorders；Auricular point pressing therapy;Six Sigmatheory;；Blood pressure;Sys-tolic blood pressure； Diastolic blood pressure； Sleep quality

中图分类号：R544.11;R256.23 文献标识码：A doi：10.3969/j.issn.2095-7130.2025.05.020

高血压是最常见的心血管疾病，我国患病人数高达2.45亿，每年产生住院费用132.60亿元[1]高血压不仅给患者带来沉重的经济负担，同时还可导致多种并发症，影响患者生命质量。（剩余6136字）