子午流注指导下的穴位贴敷对肝阳上亢型高血压患者血压水平影响的研究

Research of the influe nce in blood pressure of hypertension patients with point application under the guidance of midnight-midday ebb flow theory

目的:探讨子午流注指导下穴位贴敷对肝阳上亢型高血压患者血压水平的影响。方法:选取150名肝阳上亢型高血压患者,随机分成ABC三组各50例。A组常规口服降压药,B组在常规口服降压药的基础上予上午穴位贴敷,C组在常规口服降压药的基础上运用"子午流注"择时开穴贴敷。共干预3个疗程,每个疗程4周,在干预前和每个疗程结束后评估患者各项指标。结果:三组治疗后收缩压与舒张压与治疗前比较均下降,差异均有统计学意义(P<0.05);B组、C组治疗后收缩压、舒张压与A组相比下降,差异有统计学意义(P<0.05);C组治疗后收缩压与B组相比,差异有统计学意义(P<0.05)。三组患者治疗后心钠素、肾素、醛固酮、血管紧张素水平与治疗前相比差异有统计学意义(P<0.05),治疗后组间差异无统计学意义(P>0.05)。B组、C组治疗后头痛、头晕、失眠、心悸的病人较治疗前减少(P<0.05)。B组、C组住院天数及住院费用明显低于A组,差异均有统计学意义(P<0.05)。结论:子午流注指导下的穴位贴敷治疗肝阳上亢证高血压,能有效降低患者收缩压与舒张压,且能有效缓解患者头痛、头晕、失眠、心悸等症状,疗效优于单纯使用西药治疗,有效缩短治疗疗程,降低患者的治疗费用,值得推广。

Objective：To investigate theinfluence of the level of blood pressure of hypertension patientswithpoint application under the guidance of midnight-midday ebb flowtheory.Method：100 hyperactivity-of-liver-yang patients with high blood pressure was selected,which was randomly divided into experimental group and control group（50 each）. Experimental group based on conventional treatment was treated by acupoint sticking therapy based on conventional western treatment,while the control grouponly accepted the basic treatment. After 12 weeks,treatment effectiveness,blood pressure level and the syndromes of each group would be invalued.Results：After treatment,both SBP and DBP in three groups decreased compared with before treatment（P〈0.05）;Comparing to the first group,SBP and DBP in the second and third group decreased after treatment;SBP and DBP in the third group decreased after treatment compared with the second group,the difference was statistically significant（P〈0.05）.After treatment,there are no statistically significant differences in the levels of the heart of sodium element,renin,aldosterone,and angiotensin（P〈0.05）.After treatment,the number of patient in the second and the third group who still have headache,dizziness,insomnia,heart palpitations was less than that in the first group（P〈0.05）. Hospitalization days of the second and the third group were shorter than the first group（P〈0.05）.The second group,the third group costs less hospitalization expensesthan the firstgroup（P〈0.05）.Conclusion：Treating hyperactivity-of-liver-yang hypertension with point application under the guidance of midnight-midday ebb flow theory,can effectively reduce patients＇ both SBP and DBP,and increase total treatment effectiveness and effectively relieve patients＇ symptoms such as headache,dizziness,insomnia,heart palpitations,curative effect,which was better than only used western medicine and effectively shorten the treatment period of treatment,thecosts of hospitalization.So it is worth promoting.