不同针灸疗法影响高血压病患者甲襞微循环的比较研究

A Comparative Study on Microcirculation of Nail Fold ofHypertention Patients Treated with Different Acupuncture Therapies

６０例Ⅱ期高血压病患者被随机分为针刺组、艾灸组、针加灸组、各２０例。观察治疗前的各组血压的变化及甲襞微循环的改变。结果表明：针刺组降压有效率为７５％，艾灸组为６０％，针加组为７０％。三组结果之间无显著性差异（ｘ２＝１．９５，Ｐ＜０．０５）。三种方法均似明显改善患者的甲襞微循环状态，艾灸组作用似乎稍差。Ｐ＜０．０１与正常组相比，有非常显著性差异表２治疗前正常人与患者甲襞微循环定性指标比较注：管袢形态统计发夹状出现例数；流速统计线粒、线流出现例数；血色统计红色出现例数；＊Ｐ＜０．０５，与正常组比较，有显著性差异；Ｐ＜０．０１，与正常组相比，有非常显著性差异。（２）治疗前后各组微循环的比较：高血压病患者经过治疗后，在血压下降的同时，微循环障碍也得到改善。三组治疗后均表现出管袢数目增加，管袢长度增加，输入枝增粗，血色变红，流速加快，畸形管袢数目减少〔见表３、表４〕。三种方法对微循环各项指标的改变程度，经统计学处理，Ｐ＞０．０５，说明三种方法对微循环的作用无显著性差异。（见表５、表６）。（Ｘ±ＳＤ）单位：ｕｍ表３治疗前后三组微循环定量指标的比较Ｐ＜０．０１治疗前后有非常显著性差异；＊Ｐ＜０．０５表４治疗前后微循环定?

Sixty hypertention patients in stage Ⅱ were randomlydivided into acupuncture grorp, moxibustion group andacupuncture plus moxibustion group. Each group con tained 20 cases.The changes of blood pressure and microcirculation of nail fold were observed before and after treatment. The results showed the the effective rate was 75%in acupuncture group, 60% in moxibustion group and70% in acupuncture plus moxibustion group. There wasno statistically significant difference in therapeutic effectsamong the three groups (X2 = 1. 95, P<0. 05). It seemsthat all the three methods can markedly improve the stateof microcirculation of nail fold in the patients, but the effect of moxibustion was slightly worse than that of the other two methods.