三才逆灸法治疗痰湿质高血压病前期患者疗效观察

Effects of the Sancaini moxibustion on phlegm-wet hypertension

目的:选取不同体质高血压病前期患者进行艾灸治疗,探索安全有效的治疗方法,完善高血压病防治方案。方法:对高血压病前期患者按照中医体质辨识进行分组,选取痰湿体质患者80例,随机平均分为对照组和治疗组,分别采取健康管理组、健康管理加灸法治疗组干预,于治疗前、治疗2周时、治疗4周时、随访8周时分别评价患者中医证候、血压、血脂、颈动脉彩超及不良事件发生率等指标。结果:两组患者治疗如前后症状及血压均有不同程度改善;两组间比较,治疗组低密度脂蛋白胆固醇、血管内膜厚度减分率均优于对照组(P<0.01或P<0.05)。结论:健康管理对高血压病防治意义重大,结合三才逆灸法能显著降低高血压风险,降低治病炎性因子。

Objective:Patients with different constitutive hypertension treated by moxibustion were selected,and the safe and effective treatment were explored to improve the prevention and treatment of hypertension.Methods:In accordance with the constitution of traditional Chinese medicine,patients with hypertension were grouped.80 patients with phlegmy wet physique were selected and randomly divided into the control group and the treatment group,who received respectively the health management,health management plus moxibustion intervention.The patients’TCM syndrome,blood pressure,blood lipid,carotid artery colour to exceed,and the incidence of adverse events before the treatment,2 weeks after treatment,4 weeks after treatment,8 weeks after following up were evaluated respectively.Results:The two groups were found different degrees of improvement in the symptoms and blood pressure.The low density lipoprotein cholesterol and the decrease of blood vessel intimal thickness in the treatment group were all better than those in the control group(P<0.01 or P<0.05).Conclusion:Health management was of great significance for the prevention and treatment of hypertension,and the combination o f the Sancaini moxibustion(三才逆灸法)could significantly reduce the risk of hypertension and reduce the inflammatory factors.