摘要
目的 观察针刺与穴位敷贴对高血压病的影响。方法 87例病人随机分为针刺组和穴位敷贴组。结果 治疗后两组临床症状改善或消失。治疗前后两组血压、血脂比较均有显著差异。针刺组外周血管阻力平均降低 0 .0 4k Pa· S/ ml(P<0 .0 1) ,而心输出量和动脉顺应性无明显变化 ;穴位敷贴组每搏心输出量平均增加 11.12 ml/次 (P<0 .0 1) ,每分心输出量平均增加 0 .70 L /分 (P<0 .0 5 ) ,外周血管阻力平均降低 0 .0 6 k Pa· S/ ml(P<0 .0 1) ,动脉顺应性平均增加 5 .80 m l/ k Pa,虽无显著差异 ,但有明显增加趋势。结论 提示针刺和穴位敷贴治疗高血压病均有良好的疗效 ,其降压作用主要是通过降低细小动脉的外周阻力实现的 ,但穴位敷贴不排除大中动脉顺应性增加的可能性 。
Purpose To investigate the effects of acupuncture and acupoint application on essential hypertension. Methods Eighty seven cases were randomly divided into two groups, acupuncture group and acupoint application group. Results The clinical symptoms improved or disappeared in the two groups after treatment. There were significant differences in blood pressure and blood lipid between pre treatment and post treatment in the two groups. A hemodynamic examination showed that in acupuncture group, peripheral vascular resistance was decreased by an average of 0.04 kPa·S/ml( P <0.01), while cardiac output and arterial compliance did not change markedly. In acupoint application group, stoke volume was increased by an average of 11.12 ml/time ( P <0.01), cardiac output was increased by an average of 0.70 L/min( P <0.05) and peripheral vascular resistance was decreased by an average of 0.06 kPa·S/ml ( P <0.01). Arterial compliance was increased by 5.80 ml/kPa; although there was no significant difference, it had a marked tendency to increase. Conclusion It is suggested that both acupuncture and acupoint application have a good effect on essential hypertension and they produce a reducing effect on blood pressure chiefly through lowering peripheral arteriolar resistance. But the possibility that acupoint application produces it by increasing the compliance of large and middle arteries can not be excluded, and so it has a more lasting reductive effect on blood pressure.
出处
《上海针灸杂志》
北大核心
2000年第5期9-10,共2页
Shanghai Journal of Acupuncture and Moxibustion
关键词
高血压
针刺疗法
穴位贴敷法
临床比较
Essential hypertension
Acupuncture therapy
Acupoint application therapy
