目的 在常规使用降压药物治疗的基础上，探讨应用中药沐足治疗原发性高血压伴失眠患者睡眠质量的影响。方 法 选取东莞市寮步医院2019年12月至2021年1月收治的120例原发性高血压伴失眠患者作为研究对象，采用随机数字表法将患者分为对照组和观察组，每组60例。两组患者均给予常规西药和柴胡加龙骨牡蛎汤加减干预治疗，观察组在此基础上配合中药沐足，治疗时间均为8周。比较两组患者治疗前后的血压、睡眠质量评分、中医证候积分及临床疗效。结果治疗8周后对照组和观察组患者的血压、匹茨堡睡眠质量指数（PSQI）评分及中医证候积分均有效降低（P＜0.05）。治疗8周后，观察组患者血压、PSQI评分及中医证候积分均低于对照组，差异有统计学意义（P＜0.05）。观察组总有效率为93.33%，对照组为80.00%，两组比较差异有统计学意义（P＜0.05）。结论 在常规中西医结合治疗基础上，配合中药沐足，不仅可以降低原发性高血压伴失眠患者的血压水平，减轻临床症状，还可以改善患者的睡眠质量，疗效显著，值得进一步推广。
Objective On the basis of routine use of antihypertensive drugs, the effect of applying traditional Chinese medicine foot massage to treat essential hypertension and sleep quality in patients with insomnia. Methods A total of 120 patients with essential hypertension and insomnia admitted to Laobu Hospital in Dongguan City from December 2019 to January 2021 were selected as the research objects. The patients were divided into control group and observation group by random number table method, with 60 cases in each group. Both groups of patients were given conventional western medicine and modified Chaihu plus Longgumuli Decoction intervention therapy. On this basis, the observation group was combined with traditional Chinese medicine foot massage. The treatment time was8 weeks. The blood pressure, sleep quality score, TCM syndrome score and clinical efficacy of the two groups of patients before and after treatment were compared. Results Compared with before treatment, both the control group and the observation group could effectively reduce blood pressure, Pittsburgh Sleep Quality Index (PSQI) score and TCM syndrome score after 8 weeks of treatment (P＜0.05). After 8 weeks of treatment, the blood pressure, PSQI score and TCM syndrome scores of the observation group were lower than those of the control group. The difference was statistically significant (P＜0.05). The total effective rate of the observation group was 93.33% , and the control group was 80.00%, the difference between the groups was statistically significant (P＜0.05). Conclusion On the basis of conventional integrated traditional Chinese and western medicine treatment, combined with traditional Chinese medicine foot massage, not only can reduce the blood pressure level of patients with primary hypertension and insomnia, reduce clinical symptoms, but also improve the quality of sleep of patients, the effect is significant, and it is worthy of further promotion.