针刺风池及曲池穴治疗原发性高血压的Meta分析

Meta Analysis of Acupuncture on Fengchi and Quchi Acupoint in the Treatment of Primary Hypertension

目的:剖析针刺风池及曲池穴治疗原发性高血压的临床疗效。方法:计算机检索Pubmed、万方数据库、CNKI、维普数据库自建库至2017年,所有针刺风池及曲池治疗高血压的试验,根据纳入和排除标准共纳入22项研究,1758例患者,将临床有效率、收缩压、舒张压纳为效应指标,使用Rev Man5.3软件进行meta分析。结果:(1)临床组有效率OR值为2.49,95%的CI为[1.92,4.24],P<0.00001,具有显着性差异,试验组均优于对照组。(2)收缩压下降值[WMD=-4.50,95%的CI为(-6.45,-2.55),P<0.00001],具有显着性差异,试验组均优于对照组。(3)舒张压下降值[WMD=-3.14,95%的CI为(-4.61,-1.66),P<0.0001],具有显着性差异,试验组均优于对照组。结论:研究分析表明,针刺风池及曲池穴治疗原发性高血压的疗效确切、安全性较高。

Objective： Analysis of clinical efficacy of acupuncture Fengchi and Quchi acupoint in the treatment of primary hypertension. Methods： the databases of Pubmed, Wanfang database, CNKI, VIP database from inception to 2017, all the test and treatment of hypertension by acupuncture Quchi, according to the inclusion and exclusion cri- teria, 22 studies were included, 1758 cases of patients, the clinical total efficiency, systolic blood pressure, diastolic blood pressure as effect indicators, meta analysis was carried out using RevMan5.3 software. Results： （1）the total clini- cal efficiency of the OR value of 2.49, 95% CI [1.92, g.24], P〈0.00001, with a significant difference in the experi- mental group than the control group. （2）the decrease in SBP of [WMD=-4.50, 95% the CI（-6.45, -2.55）, P〈0.00001],with a significant difference in experimental group than in control group.（3）decreased diastolic blood pressure value of [WMD=-3.14, 95% CI（-4.61, -1.66）, P〈0.0001], with a significant difference in experimental group than in control group. Conclusion： The efficacy of acupuncture Fengchi and Quchi acupoint in the treatment of primary hypertension is effective, high security.