活血散风针刺法对高血压前期患者血压的影响

Effects of Blood Activating Wind Dissipating Acupuncture on Blood Pressure of Prehypertension Patients

目的观察活血散风针刺法对高血压前期（prehypertencion,PHT）患者血压的影响。方法采用随机数字表法将60例PHT患者分为2组,对照组及针刺组各30例,两组长期采用生活方式干预,针刺组在此基础上联合活血散风针刺法干预6周（30次）。观察针刺干预对PHT患者血压改善情况及干预6周、随访1年时PHT患者血压达标率、发展为高血压病的比例。结果与对照组比较,针刺组干预6周后收缩压和舒张压均降低,血压达标率为56.7%（17/30）,显著高于对照组[10%（3/30）],差异有统计学意义（χ^2=14.70,P〈0.01）。随访1年,针刺组血压达标率为36.7%（11/30）,显著高于对照组[13.3%（4/30）],差异亦有统计学意义（χ^2=4.36,P〈0.05）。结论活血散风针刺法对PHT患者血压具有调控作用,并呈现逐步平稳下降趋势,并且可提高PHT患者血压达标率、降低PHT患者发展为高血压病的风险。

Objective To observe the effects of blood activating wind dissipating acupuncture（BAWDA） on blood pressure（BP） of prehypertension（PHT） patients.Methods Totally 60 PHT patients were assigned to the control group and the acupuncture group according to random digit table,30 in each group.All patients were intervened by life style.BAWDA was additionally performed in patients in the acupuncture group for 6 weeks（30 times）.The improvement of BP after intervened by acupuncture was observed.BP success rates and the proportion of PHT progressing to hypertension（HT） were also observed after 6-week intervention of acupuncture and at 1-year follow-up.Results Systolic blood pressure（SBP） and diastolic blood pressure（DBP） decreased after 6-week intervention in the acupuncture.The BP control rate was 56.7%（17/30 cases） in the acupuncture group vs.10.0%（3/30 cases） in the control group with statistical difference（χ~2=14.70,P 0.01）.At 1-year follow-up BP success rate was36.7%（11/30 cases） in the acupuncture group,remarkably higher than that of the control group[13.3%,（4130 cases）]（χ~2=4.36,P 0.05）.Conclusions BAWDA showed BP regulating roles in a gradually stable decreasing tendency.It also could elevate BP success rate of PHT,and reduce the risk of PHT progressing to HT.