活血散风、调和肝脾针刺法治疗轻中度原发性高血压临床研究

Clinical Study on Huoxue Sanfeng and Tiaohe Ganpi Needling Method for Mild-to-Moderate Essential Hypertension

目的:观察活血散风、调和肝脾针刺法对轻中度原发性高血压的临床疗效。方法:选取120例原发性高血压患者,按随机数字表法分为针刺组和药物组,每组60例。针刺组给予活血散风、调和肝脾针刺降压法治疗,药物组给予降压药物治疗。2组均在治疗前、治疗后、随访1个月及3个月行24 h动态血压监测,观察血压平均值、血压变异性、昼夜血压负荷值及平滑指数的变化,比较2组血压达标率。结果:治疗后、随访1个月及3个月,针刺组24 h血压平均值、血压变异性、昼夜血压负荷值及平滑指数均优于治疗前及同期药物组(P<0.05)。治疗后,药物组24 h血压平均值、血压变异性、昼夜血压负荷值及平滑指数均优于治疗前(P<0.05);随访1个月及3个月,药物组24 h动态血压检测指标与治疗前比较,差异均无统计学意义(P>0.05)。针刺组治疗后及随访1个月、3个月,血压达标率分别为59.65%、38.60%和31.58%,优于药物组的41.07%、10.71%、5.36%(P<0.05)。结论:活血散风、调和肝脾针刺法对轻中度原发性高血压有良好的降压效果,且降压效果平稳。

Objective:To observe the clinical effect of Huoxue Sanfeng and Tiaohe Ganpi needling method on mild-tomoderate essential hypertension. Methods:A total of 120 cases of patients with essential hypertension were divided into the needling group and the medicine group according to the random number table method,60 cases in each group. The needling group was given Huoxue Sanfeng and Tiaohe Ganpi needling method to lower blood pressure,and the medicine group was given antihypertensive medicine. Before and after treatment as well as during one-month and three-month follow-up,24-h ambulatory blood pressure monitoring was carried out in the two groups;changes in mean value of blood pressure,blood pressure variability,load value of day-night blood pressure,and smoothness index were observed in the two groups. The standard-reaching rates of blood pressure in both groups were compared. Results:After treatment as well as during onemonth and three-month follow-up,24-h mean value of blood pressure,variability of blood pressure,load value of daynight blood pressure,and smoothness index in the two groups were better than those before treatment and those in the medicine group at the same period(P<0.05). After treatment, 24-h mean value of blood pressure, variability of blood pressure, load value of day-night blood pressure, and smoothness index in the medicine group were better than those before treatment(P<0.05);during one-month and three-month follow-up,when compared indexes of 24-h ambulatory blood pressure monitoring in the medicine group with those before treatment,there were no significant differences being found(P>0.05). After treatment as well as during one-month and three-month follow-up,the standard-reaching rates of blood pressure in the needling group were 59.65%, 38.60%, and 31.58% respectively, better than those of 41.07%,10.71%,and 5.36% in the medicine group respectively(P<0.05). Conclusion:Huoxue Sanfeng and Tiaohe Ganpi needling method has sustainable and stable antihypertensive effect on mild-to-moderate essential hypertension,which is better than that of medicine treatment.