摘要
目的:在西药治疗基础上,评价"风池+颈夹脊"配合"活血散风、调和肝脾"针刺法调控原发性高血压患者清晨血压的优势性。方法:将90例原发性轻中度高血压患者随机分为药物组(30例,脱落3例)、针刺1组(30例,脱落2例)、针刺2组(30例,脱落1例)。药物组予单纯口服拜新同治疗,每日早7:00口服30 mg,连续6周;针刺1组在药物组治疗基础上予"活血散风、调和肝脾"针刺法,穴取人迎、合谷、太冲、曲池、足三里,针刺2组在针刺1组治疗的基础上配用"风池+颈夹脊",行针时间为每日清晨8:00~10:00,每日1次,每周5次,共6周。观察3组患者治疗前、治疗2、4、6周后各时点的清晨血压水平、达标率和症状评分,随访3个月、6个月的清晨血压水平。结果:与治疗前比较,3组治疗2、4、6周后,血压均明显下降(P<0.05,P<0.01);治疗2周后,3组患者清晨血压及清晨血压达标率差异均无统计学意义(均P>0.05);治疗4、6周后,针刺2组清晨血压低于针刺1组,且针刺1组和针刺2组均低于药物组(均P<0.05);随访3、6个月,3组清晨血压比较差异均无统计学意义(均P>0.05)。3组治疗2、4、6周后,症状积分较治疗前均明显下降(均P<0.05),针刺1组和针刺2组症状积分明显低于药物组(均P<0.05),针刺1组和针刺2组差异无统计学意义(P>0.05)。结论:"风池穴+颈夹脊"配合"活血散风、调和肝脾"针刺法为主的综合疗法对降低原发性高血压患者的清晨血压具有明显效果,可改善患者头痛、眩晕、耳鸣等高血压相关症状,效果优于"活血散风、调和肝脾"针刺法。
Objective Based on the western medication, to evaluate the advantages in the morning blood pressure treated with acupuncture at Fengchi（GB 20） and Neck-Jiaji（EX-B 2） combined with acupuncture technique for activating blood circulation, eliminating wind and regulating the liver and spleen in the patients with essential hypertension. Methods A total of 90 patients of essential hypertension of the mild and moderate degrees were randomized into a medication group（30 cases, 3 dropping）, No.1 acupuncture group（30 cases, 2 dropping） and No.2 acupuncture group（30 cases, 1 dropping）. In the medication group, adalat was prescribed for oral administration, 30 mg at 7 am every day, continuously for 6 weeks. In the No.1 acupuncture group, on the basis of the treatment as the medication group, the acupuncture technique for activating blood circulation, eliminating wind and regulating the liver and spleen was applied and the acupoints were Renying（ST 9）, Hegu（LI 4）, Taichong（LR 3）, Quchi（LI 11） and Zusanli（ST 36）. In the No.2 acupuncture group, on the basis of the treatment as the No.1 acupuncture group, Fengchi（GB 20） and Neck-Jiaji（EX-B 2） were added in acupuncture. Acupuncture was given in the time zone from 8 am through10 am every day, once a day, 5 times a week, totally for 6 weeks. Separately, before treatment and in 2, 4 and 6 weeks of treatment, the morning blood pressure, the control rate and the symptom score were observed in the patients of the three groups. The morning blood pressure was followed up in 3 and 6 months separately. Results Compared with those before treatment, in 2, 4 and 6 weeks of treatment, the levels of blood pressure reduced in the patients of the three groups（P〈0.05, P〈0.01）. After 2-week treatment, the differences were not significant in the morning blood pressure and its control rate in the patients of the three groups（all P〉0.05）. In 4 and 6 weeks of treatment, the levels of the morning blood pressure in the No.2 acupuncture group w
作者
张轶
杜宇征
ZHANG Yi;DU Yuzheng(Department of Acupuncture and Moxib-ustion, South Branch of the First Affifiated Hospital of Tianjin University ofTCM, Tianjin 300381, China)
出处
《中国针灸》
CAS
CSCD
北大核心
2018年第4期343-348,共6页
Chinese Acupuncture & Moxibustion
基金
国家重点基础研究发展计划(973计划)项目:2012 CB 518505
国家中医临床研究基地业务建设科研专项课题:JDZX 2012151
2015年中医药行业科研专项项目:201507001
关键词
高血压
清晨血压
远期疗效
安全性
针刺疗法
拜新同
hypertension
morning bled pressure
long-term effects
safety
acUpuncture
adalat
