中药口服配合穴位贴敷治疗高血压临床观察

Clinical observation of oral Chinese medicine combined with acupoint application on hypertension

目的：观察中药配合穴位贴敷治疗高血压的效果。方法：根据1999年WHO高血压的诊断标准,选择238例高血压患者,随机分成两组,治疗组119例采用中药配合穴位贴敷治疗,对照组119例单纯采用西医治疗。结果：治疗组总有效率为91.60%（95%CI=86.62%~96.58%）,对照组为74.79%（95%CI=66.99%~82.59%）,两组综合疗效比较（u=3.139 7,P=0.002 9）,差异有显著性意义。结论：采用口服中药并配合自拟外敷降压贴贴敷脐治疗高血压病的临床疗效优于单纯应用硝苯地平缓释片的证据明显,其收益为OR=0.27（95%CI=0.13~0.59）,NNT=6（95%CI=3.80~13.68）。

Objective： To explore the effect of chinese medicine on hypertension. Methods： According to the hypertension diagnostic criteria of WHO in 1999,238 selected patients with hypertension were randomly divided into control group and treatment group. 119 cases of treatment group were treated with integrated Chinese and western medicine,while 119 cases of control group were treated only with western medicine. Results： The total effective rate of treatment group was 91. 60%（ 95% CI = 86. 62% ~ 96. 58%）,while that of control group was74. 79%（ 95% CI = 66. 99% ~ 82. 59%）. Compared the comprehensive effects of two groups（ U = 3. 139 7%,P =0. 002 9）,the difference was statistically significant. Conclusion： The clinical effect of oral chinese medicine combined with self-made acupoint application on hypertension is better than noly with Nifedepine Sustained-Release Tablets,which has the obvious evidence. Its benefit is OR = 0. 27（ 95% CI = 0. 13 ~ 0. 59）,NNT = 6（ 95% CI =3. 80 ~ 13. 68）.