耳穴辨证配合涌泉穴位磁贴治疗轻中度高血压疗效评价

Effectiveness Evaluation for Auricular Syndrome Differentiation and Yongquan Magnetic Point Application on Patients with Mild to Moderate Hypertension

目的观察耳穴辨证配合穴位磁贴治疗轻中度高血压的降压及中医证候疗效,为中医非药物疗法治疗高血压提供依据。方法将260例轻中度高血压患者随机分为对照组和治疗组各130例。对照组予口服苯磺酸氨氯地平片,治疗组在此基础上给予耳穴辨证配合涌泉穴位磁贴治疗。观察2组患者治疗前后收缩压、舒张压、中医证候积分,评价降压疗效及中医证候疗效,并对不良反应进行观察。结果 2组患者治疗后收缩压均明显下降(P<0.05),组间比较差异无统计学意义(P>0.05);治疗组舒张压明显下降(P<0.05),与对照组比较差异有统计学意义(P<0.05)。2组降压疗效差异无统计学意义(P>0.05)。治疗组中医证候改善明显优于对照组(P<0.05),中医证候总有效率优于对照组(P<0.05),且无明显不良反应。结论耳穴辨证配合穴位磁贴可明显改善轻中度高血压患者的中医证候,并具有协同增效降压作用,且安全性较高。

Objective To observe the efficacy of lowering blood pressures and TCM syndrome on the mild to moderate hypertension via the treatment of auricular syndrome differentiation combined with magnetic point application;To provide reference for clinical treatment of hypertension by non-pharmaceutical therapy. Methods Totally 260 patients with mild to moderate hypertension were randomly divided into control group and treatment group, 130 cases for each. The control group was given Norvasc by conventional oral dosage, and the treatment group was given auricular syndrome differentiation and Yongquan （KI1） magnetic point application additionally. SBP, DBP and TCM syndrome scores of the two groups were observed before and after treatment to evaluate the antihypertensive efficacy and TCM syndrome efficacy. The side effects were also observed. Results After treatment, SBP of the two groups decreased significantly （P＆lt;0.05）, with no significant difference （P＆gt;0.05）. DBP of the treatment group decreased significantly （P＆lt;0.05）, with significant difference compared with the control group （P＆lt;0.05）. There was no significant difference in antihypertensive efficacy between the two groups （P＆gt;0.05）. TCM syndrome of treatment group improved significantly compared with the control group （P＆lt;0.05）. The total effective rate of TCM syndromes in treatment group was better than the control group （P＆lt;0.05）, without side effects. Conclusion Auricular syndrome differentiation combined with magnetic point application can not only significantly improve the TCM syndrome of patients with mild to moderate hypertension, but also has synergistic hypotensive efficacy and high safety.