针刺治疗高血压病的疗效观察

Observation on Therapeutic Effect of Acupuncture in the Treatment of German Hypertension Patients

目的:观察针刺治疗高血压病的临床疗效。方法:高血压患者80人分为针刺组和西药组各40例。针刺组针刺风池、曲池、太溪等穴共4个疗程,西药组口服代文(Diovan)80 mg/d,连续30 d。监测治疗前后患者的血压值,统计两组的疗效。结果:症状疗效针刺组总有效率为97.50%(39/40),西药组总有效率为75.00%(30/40),两组总有效率比较差异有统计学意义,针刺组优于西药组(P<0.01)。降压疗效针刺组总有效率为95.00%(38/40),西药组总有效率为80.00%(32/40),两组总有效率比较差异有统计学意义,针刺组优于西药组(P<0.05)。两组各血压监测指标治疗后较治疗前均明显改善(P<0.05),针刺组治疗后各血压监测指标较西药组明显改善(P<0.05)。治疗期内西药组的不良反应发生病例数明显高于针刺组(P<0.01)。结论:针刺疗法的降压疗效优于单一使用Diovan,并且较少发生不良反应。

Objective To observe the clinical efficacy of acupuncture in the treatment of hypertension patients. Methods A total of 80 out-patients and in-patients with primary hypertension were randomly and equally divided into acupuncture group and medication group. Patients of the acupuncture group were treated with acupuncture stimulation of Fengchi （GB 20）, Quchi （LI 11 ）, Taichong （LR 3）, etc. for 30 min, combined with Xingjian （LR 2）, Xiaxi （GB 43） for hyperactivity of the liver-yang, with Ganshu （BL 18） and Fuliu （KI 7） for severe phlegm-damp, and with Guanyuan （CV4） and Shenshu （BL23） for deficiency of both yin and yang, once per day, continuously for one month except weekends. In addition, patients of the medication group were ordered to take Diovan （80 mg） once daily, continuously for 30 days. Both casual blood pressure （OBP） and ambulatory blood pressure （ABP） were detected by using an auscult-type baumanometer and a dynamic blood monitor, respectively. Results Of the two 40 cases in the medication and acupuncture groups, 18 （45.0%） and 27 （67.5%） experienced marked improvement in the reduction of blood pressure, 14 （35.0%） and 11 （27.5%） were improved, 8 （20.0%） and 2 （5.0%） failed, with the effective rates being 80.0 % and 95.0 %, respectively. The therapeutic effect of the acupuncture group was significantly superior to that of medication group in improving hypertension （ P〈0.05）. Conclusion Acupuncture is superior to Diovan in relieving hypertension.