辨证中药穴位贴敷结合十二时辰养生防治高血压的临床研究

Clinical Study on the Prevention and Treatment of Hypertension by Syndrome Differentiation Acupoint Application of Traditional Chinese Medicine Combined with Twelve Double-Hour Health Maintenance

目的:观察辨证中药穴位贴敷结合十二时辰养生防治低、中危原发性高血压病的临床疗效及安全性。方法:对纳入的60例高血压病患者进行中医辨证,分为肝阳上亢组、痰湿壅盛组和阴虚阳亢组,根据不同证型辨证选穴与辨证选择贴敷药物相结合中药穴位贴敷干预,同时进行十二时辰养生穴位按摩,7天1个疗程,共治疗4个疗程。观察治疗前和治疗后患者血压值变化及中医证候的改善情况。结果:降压总有效率可达76.7%,治疗后血压值较治疗前有所下降(P <0.01);中医证候改善总有效率可达93.3%,治疗后中医证候积分较治疗前有所改善(P <0.01);不良反应发生率低、程度轻。结论:辨证中药穴位贴敷结合十二时辰养生中医综合调治方法治疗低、中危原发性高血压病的临床疗效较佳,安全性良好,值得临床进一步研究推广。

Objective:To observe the clinical efficacy and safety of Syndrome differentiation acupoint application of traditional Chinese medicine combined with twelve double-hour health maintenance in the prevention and treatment of low-risk and medium-risk essential hypertension.Methods:This study included 60 cases of patients with high blood pressure treated with TCM syndrome differentiation.Patients were divided into liver-yang hyperactivity group,excessive accumulation of phlegm dampness group,Yin deficiency and Yang hyperactivity group.According to different types of syndrome differentiation,acupoint selection and medication application combined with syndrome differentiation were used for acupoint application intervention,combining with twelve double-hour health maintenance acupoint massage.7 days were determined as one treatment course,and a total of 4 courses of treatment were conducted.Changes in blood pressure before and after intervention and improvement of TCM syndromes were observed.Results:The total effective rate of antihypertensive therapy was 76.7%,and the blood pressure was decreased after treatment(P<0.01).The total effective rate of TCM syndrome improvement was 93.3%,which was improved after treatment compared with before treatment(P<0.01).The incidence of adverse reactions was low and mild.Conclusion:The clinical efficacy and safety of syndrome differentiation acupoint application of traditional Chinese medicine combined with twelve double-hour health maintenance in the prevention and treatment of low-risk and medium-risk essential hypertension are significant,which is worthy of further clinical research and promotion.