穴位降压操对原发性高血压痰湿壅盛证的疗效观察

Clinical Observation of Acupoint Pressing Gymnastics on Primary Hypertension of Abundant Phlegm-dampness Syndrome

目的观察穴位降压操对原发性高血压痰湿壅盛证患者的疗效。方法采用统计软件将74例1级原发性高血压患者随机分为试验组与对照组,本研究失访4例。最终纳入患者共70例,其中对照组35例进行常规遵医嘱服用降压药物和健康指导,试验组35例在此基础上加穴位降压操治疗。观察2组患者干预前后的血压、心率、血脂及证候积分的变化情况并评价其疗效。结果干预后试验组的收缩压、心率、晨峰血压、血脂(TG、TC、HDL-C、LDL-C)、中医证候积分及眩晕、头痛、头如裹、失眠症状积分与对照组比较,差异具有统计学意义(P<0.05)。结论穴位降压操可以辅助降低痰湿壅盛证高血压患者的收缩压,并能有效改善患者心率、晨峰血压、血脂及眩晕、头痛、头如裹、失眠等症状。

OBJECTIVE To observe the therapeutic effects of acupoint pressing gymnastics in treating primary hypertension of abundant phlegm-dampness syndrome. METHODS 74 cases with primary grade 1 hypertension were randomly divided into treatment group and control group with the application of statistical software. After the whole process of follow-up visit, only 70 cases were incorporated into the study. 35 cases in the control group were given conventional antihypertensive drugs and health guidance. Based on which, the other 35 cases in the treatment group were further given acupoint pressing gymnastics. Changes of the blood pressure, heart rate, blood lipid and syndrome integral scores of the two groups before and after treatment were observed to evaluate the therapeutic effects. RESULTS There existed statistic differences between the treatment group and the control group in systolic blood pressure, heart rate, early morning blood pressure peak and blood lipid（including TG, TC, HDLC and LDLC）, TCM syndrome integral scores, symptom scores of dizziness, headache, head with binding sensation and insomnia（P〈0.05）. CONCLUSION Acupoint pressing gymnastics is conductive to the reduction of systolic pressure of patients with hypertension of abundant phlegm-dampness syndrome and to the improvement of such symptoms as heart rate, early morning blood pressure peak, blood lipid, dizziness, headache, head with binding sensation and insomnia.