针刺加穴位敷贴与尼群地平在老年收缩期高血压治疗中的比较分析

Comparative analysis of acupuncture combined with acupoint application and Nitrendipine therapy in the treatment of elderly patients with systolic hypertension

目的比较针刺加穴位敷贴与尼群地平对老年收缩期高血压的治疗作用。方法采用前瞻性对照研究方法,选取符合老年收缩期高血压诊断标准的人群,随机分为两组,观察组单纯选用穴位敷贴加针刺,对照组采用传统抗高血压药物(尼群地平)治疗。治疗后每月随访1次,观察血压变化情况。结果观察组血压治疗结束时及治疗后1、2、3个月与治疗前比较,差异均有统计学意义(均P<0.05)。观察组总有效率为98%,对照组总有效率为92%,两组比较,差异有统计学意义(P<0.05)。结论针刺加穴位敷贴在控制老年收缩期高血压的治疗上,对改善临床症状、降压、降血脂和改善血流动力学方面均有一定的疗效。

Objective To compare the treatment effect between acupuncture combined with acupoint application and Nitrendipine in the treatment of elderly patients with systolic hypertension. Methods A prospective control study and 100 elderly patients with systolic hypertension were selected. All the cases were randomly assigned into observation group and control group equally. Patients in observation group were given the choice of acupoint application combined with acupunc ture, and patients in control group were received the traditional antihypertensive drugs （Nitrendipine） treatment. After the treatment, the blood pressure was observed and given follow-up every month. Results The differences in observation group after treatment for 1, 2, 3 months had statistically significant differences compared with that before （P 〈 0.05）. The total efficiency in observation group was 98%, and in control group was 92%, the difference was statistically significant between the two groups （P 〈 0.05）. Conclusion Acupuncture and acupoint application in the treatment of elderly patients with sys tolic hypertension has a certain effect, not only can improve the clinical symptoms and hemodynamics, but also decrease the blood pressure and blood lipid.