耳尖放血与穴位埋线治疗高血压疗效对比研究

Comparative Study on Ear Apex Bloodletting plus Acupoint Thread Embedding for Hypertension

目的观察耳尖放血和穴位埋线在高血压治疗中的即刻及近期降压疗效。方法将83例符合纳入标准的高血压患者随机分为A组28例、B组29例和C组26例。A组采用耳尖放血治疗,B组采用穴位埋线治疗,C组采用耳尖放血配合穴位埋线治疗。记录各组治疗前5 min及治疗后5、15、30、60 min血压,比较即刻降压疗效。对各组治疗前及治疗1个月后血压进行分析,比较近期降压疗效。结果 A组和C组治疗后15、30、60 min收缩压和舒张压与同组治疗前5 min比较,差异均具有统计学意义(P<0.05)。A组治疗后5、15、60 min收缩压和舒张压与同组治疗后30 min比较,差异均具有统计学意义(P<0.05)。A组总有效率为60.7%,B组为51.7%,C组为80.8%。C组疗效与A组和B组比较,差异均具有统计学意义(P<0.05)。A组1、2级高血压患者总有效率分别为84.6%和40.0%,B组分别为76.9%和31.3%,C组分别为100.0%和64.3%。3组1级高血压患者疗效与同组2级高血压患者比较,差异均具有统计学意义(P<0.05)。结论耳尖放血有显著的即刻降压疗效,耳尖放血配合穴位埋线是一种治疗高血压的有效方法。

Objective To observe the real-time and short-term anti-hypertension efficacy of ear apex bloodletting plus acupoint thread embedding. Method Eighty-three eligible hypertension patients were randomized into group A of 28 cases, group B of 29 cases and group C of 26 cases. Group A was intervened by bloodletting at ear apex, group B was by acupoint thread embedding, and group C was by bloodletting at ear apex plus acupoint thread embedding. The blood pressure was recorded 5 min before intervention, as well as 5 min, 15 min, 30 min, and 60 min following intervention, and the real-time anti-hypertension efficacy was compared. By analyzing the blood pressure before treatment and after 1-month treatment, the short-term anti-hypertension efficacy was compared. Result In group A and group C, the systolic and diastolic pressures at 15 min, 30 min, and 60 min after treatment were significantly different from that at 5 min before treatment （P〈0.05）. The total effective rate was 60.7% in group A, 51.7%in group B, and 80.8% in group C. The therapeutic efficacy of group C was significantly different from that of group A and B （P〈0.05）. The total effective rates for grade 1 and grade 2 hypertension were respectively 84.6%and 40.4%in group A, 76.9%and 31.3% in group B, and 100.0% and 64.3% in group C. In the three groups, the therapeutic efficacy for grade 1 hypertension was markedly different from that for grade 2 hypertension （P〈0.05）. Conclusion Bloodletting at ear apex can produce a significant anti-hypertension effect, and bloodletting at ear apex plus acupoint thread embedding is an effective method in treating hypertension.