针灸治疗原发性高血压病的临床研究进展

Clinical research progress of acupuncture therapy on essential hypertension

近年来高血压患病率呈明显朝上趋向,但由于高血压本身的复杂性,大多数患者需要终生服药和联合治疗,尽管效果显著,降压药的不良反应,不合理用药长期用药的毒副作用等现象仍然存在,针灸作为中医的特色治疗方法之一,在治疗原发性高血压方面具有稳定的疗效,显现了其独有的优势。针灸治疗原发性高血压病的方法主要有:针刺单穴及多穴、艾灸、埋线、耳尖放血、针药结合、刺络拔罐配合针刺等。研究发现针灸疗法虽独具优势,但存在缺乏高质量多中心随机对照研究、远期疗效随访少、中医证候分型不一,纳入标准不够统一的缺点。

The prevalence rate of hypertension presented an upswing trend in recent years.However,because of the complicacy of the illness itself,a large percent of patients was forced to take a lifetime pharmaceutical therapy and combined treatments.Although these therapies have manifest curative effects,they also brought some demerits.Such as the untoward effect of the hypo tensor and some toxic and side effects of unreasonable long-term drug use.Acupuncture,as one of distinctive therapies of traditional Chinese medicine,has stable curative effects of essential hypertension and displays its specific advantages.The major treatments of acupuncture cures to essential hypertension including pricking single-point and multi-point,moxa-wool moxibustion,catgut implantation at acupuncture,erjian bloodletting,acupuncture plus medicine,bloodletting cupping plus acupuncture etc.According to the research,the acupuncture therapy definitely enjoy a high level of superiority in this field.However,it still has many defects.Such as lacking the high-quality discrete random reference comparisons,insufficient long-term therapeutic effect follow-up observations,medicine symptoms models inconformity and inconsistent inclusion criteria.