曲池穴捻转补泻法治疗原发性高血压疗效观察

Therapeutic Observation of Twirling Manipulations at Quchi(LI 11) for Primary Hypertension

目的观察针刺曲池穴治疗原发性高血压的临床疗效及捻转补泻法对原发性高血压病治疗的影响。方法将126例原发性高血压患者随机分为治疗1组40例、治疗2组44例和对照组42例。治疗组均针刺曲池穴,治疗1组采用捻转补法(左转)治疗,治疗2组采用捻转泻法(右转)治疗,对照组采用药物治疗。观察各组治疗10 min后血压变化,并比较各组临床疗效。结果治疗1组总有效率为85.0%,治疗2组为88.6%,对照组为61.9%,治疗1组及治疗2组总有效率与对照组比较,差异均具有统计学意义(P<0.05)。治疗1组和治疗2组治疗10、30 min后收缩压及舒张压与同组治疗前10 min比较,差异均具有统计学意义(P<0.05)。治疗1组和治疗2组治疗30 min后收缩压及舒张压与同组治疗10 min后比较,差异均具有统计学意义(P<0.05)。对照组治疗30 min后收缩压及舒张压与同组治疗前10 min比较,差异均具有统计学意义(P<0.05)。3组治疗30 min后收缩压及舒张压比较,差异均无统计学意义(P>0.05)。结论针刺曲池穴是一种治疗原发性高血压的有效方法,捻转补法和泻法均有疗效。

Objective To observe the clinical efficacy of acupuncture in treating primary hypertension and the effect of twirling reinforcing-reducing manipulations on the treatment of primary hypertension. Methods Totally 126 patients with primary hypertension were randomized into treatment group 1 of 40 cases, treatment group 2 of 44 cases, and a control group of 42 cases. The treatment groups were both intervened by acupuncture at Quchi （LI 11）, while twirling reinforcing-reducing manipulations （twirling towards left） were applied in treatment group 1, while the manipulations （twirling towards right） were applied in treatment group 2;the control group was intervened by medication. The change of blood pressure after 10 min treatment was observed, and the clinical efficacies were compared. Results The total effective rate was 85.0%in treatment group 1, versus 88.6%in treatment group 2 and 61.9% in the control group, and the total effective rates in the two treatment groups were significantly different from that in the control group （P〈0.05）. In the two treatment groups, the systolic pressure and diastolic pressure respectively after 10 min treatment and 30 min treatment were markedly different from those 10 min before treatment in the same group （P〈0.05）. In the two treatment groups, the systolic pressure and diastolic pressure after 30 min treatment were markedly different from those after 10 min treatment in the same group （P〈0.05）. In the control group, the systolic pressure and diastolic pressure were significantly different from those 10 min before treatment in the same group （P〈0.05）. There were no significant inter-group differences in comparing the systolic pressure and diastolic pressure after 30 min treatment （P〉0.05）. Conclusions Acupuncture at Quchi （LI 11） is an effective approach in treating primary hypertension, and the reinforcing manipulation and reducing manipulation are both effective.