热敏灸对阴虚质、阳虚质两种体质人群正常高值血压的影响

Effect of Heat-sensitive Point Moxibustion on High-normal Blood Pressure in Persons with Yin or Yang Deficiency

目的观察热敏灸治疗对阴虚质、阳虚质两种体质人群正常高值血压的影响。方法将86例正常高值血压人群随机分为治疗组42例(阴虚质20例,阳虚质22例)和对照组44例(阴虚质19例,阳虚质25例)。对照组采用健康教育、饮食指导等一般措施,治疗组在对照组基础上采用热敏灸治疗。两组均每星期随访2次并测量血压。治疗1个月后,观察并比较两组不同体质人群的临床疗效、高血压确诊率及转平和质百分率。结果治疗组阴虚质和阳虚质人群总有效率分别为90.0%和100.0%,对照组分别为78.9%和92.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组阴虚质和阳虚质人群治疗后高血压确诊率分别为15.0%和9.1%,对照组分别为36.8%和16.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组治疗后阴虚质或阳虚质人群转平和质百分率为23.8%,对照组为13.6%,两组比较差异具有统计学意义(P<0.05)。结论热敏灸治疗能降低阴虚质、阳虚质两种体质人群正常高值血压及高血压发病率,并可有效纠正偏颇体质。

Objective To investigate the effect of heat-sensitive point moxibustion on high-normal blood pressure in persons with yin or yang deficiency. Methods Eighty-six persons with high-normal blood pressure were randomized to a treatment group （42 cases, 20 with yin deficiency and 22 with yang deficiency） and a control group （44 cases, 19 with yin deficiency and 25 with yang deficiency）. The control group received health education and diet guidance and the treatment group, heat-sensitive point moxibustion in addition. Both groups were followed up twice a week with blood pressure measured. The clinical therapeutic effects, hypertension diagnosis rates and neutral constitution transformation percentages were compared between the two groups of persons with different constitutions after one month of treatment. Results The total efficacy rate was 90.0% in persons with yin deficiency and 100% in persons with yang deficiency of the treatment group and correspondingly 78.9% and 92.0% of the control group; there was a statistically significant difference between the two groups （P〈0.05）. Post-treatment hypertension diagnosis rate 15.0% in persons with yin deficiency and 9.1% in persons with yang deficiency of the treatment group and correspondingly 36.8% and 16.0% of the control group; there was a statistically significant difference between the two groups （P〈0.05）. Post-treatment neutral constitution transformation percentage was 23.3% in persons with yin or yang deficiency of the treatment group and 13.6% in those of the control group; there was a statistically significant difference between the two groups （P〈0.05）. Conclusions Heat-sensitive point moxibustion can reduce high-normal blood pressure and hypertension incidence and effectively rectify biased constitution in persons with yin or yang deficiency.