针刺治疗痰湿壅盛型原发性高血压临床研究

Clinical Study of Acupuncture in Treating Essential Hypertension of Accumulation of Phlegm and Dampness

目的 :对比针刺与卡托普利治疗痰湿壅盛型原发性高血压临床疗效的差异。方法 :将符合标准的68例原发性高血压患者随机分为西药组和针刺组。西药组予口服卡托普利片。针刺组取穴阴陵泉(双侧)、足三里(双侧)、中脘、丰隆(双侧)、太白(双侧)、太渊(双侧)、水道(双侧)、气海。结果:两组血压随治疗时间的延长均明显下降(P<0.01),治疗第21天针刺组降低收缩压和舒张压效果均明显优于西药组(P<0.05),且在治疗第28天针刺组降低舒张压效果有优于西药组的趋势;两组中医证候积分均随治疗时间的延长而下降(P<0.01),在治疗后的每一记录时点上针刺组在改善中医证候积分方面均明显优于西药组(P<0.05);针刺组发生不良反应例数少于西药组。结论:针刺治疗痰湿壅盛型原发性高血压疗效确切,降压更平稳,改善临床症状疗效更佳,不良反应更少。

Objective：To observe the differences of clinical effects between acupuncture and captopril in treating essential hypertension of accumulation of phlegm and dampness type. Methods：Sixty-eight cases of essential hypertension with were randomly divided into acupuncture group and medication group. Patients in the medication group were treated with captopril. Acu-points,Yinlingquan（SP 9）,Zusanli（ST 36）,Zhongwan（RN 12）,Fenglong（ST 40）,Taibai（SP 3）,Taiyuan（LU 9）,Shuidao（ST 28） on both sides and Qihai（RN6）,were needled in the acupuncture group. Results：The blood pressure was decreased signifi cantly in both groups as the treatment duration increased（P〈0.01）. Compared with the medication group,systolic blood pressure and diastolic blood pressure on the 21 st day decreased obviously in the acupuncture group（P〈0.05）,and on the 28 th day,decrease of diastolic blood pressure in the acupuncture group showed a trend to be better than the medication group. Traditional Chinese medicine（TCM） syndrome scores in both groups was decreased significantly as the treatment duration increased（P〈0.01）,and during the treatment,the improvement of TCM syndrome was significant in the acupuncture group compared with the medication group in each time-point（P〈0.05）. There were less adverse reactions in the acupuncture group than those in the medication group. Conclusion：Acupuncture could effectively decrease the blood pressure of the patients with essential hypertension of accumulation of phlegm and dampness type with more stable effect and less adverse reaction,and relieved the clinical symptoms more obviously.