针刺颈部夹脊穴治疗颈源性高血压的疗效分析

Analysis on the Therapeutic Effect of Acupuncture of Jiaji(EX-B 2) for Treatment of Cervical Hypertension

目的:探讨治疗颈源性高血压的有效针刺方法。方法:将60例颈源性高血压患者随机分为治疗组(颈部夹脊穴)和对照组(传统取穴),采用血压、临床症状、体征等指标评价,并于1个疗程后对两组治疗前后的降压及症状疗效进行比较分析。结果:治疗组降压的总有效率为93.3%,对照组降压的总有效率为73.3%,两组结果经统计学处理具有显著性差异(P<0.01),表明治疗组的降压疗效明显优于对照组。症状积分比较显示,治疗组治疗前后具有显著性差异(P<0.05),对照组治疗前后无显著性差异(P>0.05),且治疗后治疗组症状积分改善明显优于对照组(P<0.05)。治疗组证候疗效的总有效率为90.0%,对照组证候疗效的总有效率为70.0%,两组具有显著性差异(P<0.05)。结论:针刺颈部夹脊穴治疗颈源性高血压,具有治愈率高、疗效显著的特点。

Objective：To observe the therapeutic effect of acupuncture therapy for treatment of cervical hypertension. Methods： Sixty cases of cervical hypertension patients were randomly divided into treatment group and control group by using random table method. For patients of treatment group bilateral cervical Jiaji （EX-B 2） were punctured, and for those of control group, Fengchi （GB 20）, Taichong （LR 3）, Quchi iLl 11）, Zusanli （ST 36） and Sanyinjiao （SP 9） were punctured. Changes of blood pressure and clinical symptoms were recorded before and after the treatment, Results： Of the two 30 cases in treatment and control groups, 18 （60.0%） and 13 （43.3%） had a remarkable hypotensive effect, 10 （33.3%） and 9 （30.0%） had a hypotensive effect, 2 （6.7%） and 8 （26.7%） had no apparent changes in blood pressure; 12 （40.0%） and 5 （ 16.7% ） experienced marked improvement in clinical symptoms, 15 （50.0%） and 16 （53.3%） were effective, 3 （10.0%） and 9 （30.0%） failed in the treatment, with the effective rates being 90.0% and 70, 0% respectively. The therapeutic effect of treatment group was apparently superior to that of control group in lowering blood pressure and the cumulative scores of clinical symptoms and in improving clinical symptoms （P〈0.05, 0.01 ）. Conclusion： Acupuncture of Jiaji （EX-B 2） is an effective therapy in the treatment of cervical hypertension.