虎符铜砭刮痧干预原发性高血压(肝阳上亢型)患者的临床疗效及其对血脂的影响

Clinical Efficacy of Hufu Tongbian Scrapping Intervention on Essential Hypertension(Liver Yang Hyperactivity Syndrome) and Effects on Blood Lipid

目的观察虎符铜砭刮痧治疗原发性高血压(肝阳上亢型)患者的临床疗效。方法选取72例原发性高血压(肝阳上亢型)患者随机分为观察组和对照组,各36例。对照组采用苯磺酸左旋氨氯地平治疗,观察组在对照组的基础上给予虎符铜砭刮痧治疗,连续干预4周后,观察两组收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、中医证候积分和血脂水平,比较两组临床疗效。结果治疗后,两组患者SBP、DBP较治疗前均降低,且观察组SBP、DBP低于对照组(P<0.05);治疗后,两组中医证候积分均较治疗前下降,且观察组中医证候积分显著低于对照组(P<0.05);治疗后,两组血脂水平较治疗前改善,且观察组优于对照组(P<0.05);治疗后,观察组临床总有效率高于对照组(P<0.05)。结论虎符铜砭刮痧联合苯磺酸左旋氨氯地平治疗肝阳上亢型原发性高血压具有较好的临床疗效,对血脂有一定调节作用,值得临床进一步研究推广。

Objective To observe the clinical effects of Hufu Tongbian scrapping in treating essential hypertension with hyperactivity of liver Yang syndrome.Methods Totally 72 patients with essential hypertension due to hyperactivity of liver-Yang were randomly divided into an observation group and a control group,with 36 cases in each group.The control group was treated with Levamlodipine besylate,while the observation group was treated with Hufu Tongbian scrapping on the basis of the control group.After 4 weeks of continuous intervention,systolic blood pressure(SBP),diastolic blood pressure(DBP),traditional Chinese medicine(TCM)syndrome score and blood lipid level in the 2 groups were observed,and the clinical effects of the 2 groups were compared.Results After treatment,SBP and DBP in both groups were decreased than those before treatment,while the SBP and DBP in the observation group were lower than those in control group(P<0.05);after treatment,TCM syndrome scores in both groups were decreased than those before treatment,and TCM syndrome scores in the observation group were significantly lower than those in control group(P<0.05);after treatment,blood lipid levels in the 2 groups were improved than those before treatment,and the observation group was better than that in control group(P<0.05).After treatment,the total clinical effective rate of the observation group was higher than that of the control group(P<0.05).Conclusion Hufu Tongbian scrapping combined with Levamlodipine besylate has a good clinical efficacy in the treatment of essential hypertension with hyperactivity of liver-Yang,and has a certain regulating effect on blood lipid,which is worthy of further clinical research and promotion.