耳尖放血联合耳穴埋豆辅助治疗阴虚阳亢型高血压病临床研究

Clinical Study on Ear Apex Bloodletting Combined with Auricular Acupoint Pressing with Beans for Adjuvant Therapy of Hypertension of Yin Deficiency with Yang Hyperactivity Type

目的:观察耳尖放血联合耳穴埋豆辅助治疗阴虚阳亢型高血压病的临床疗效。方法:选取120例高血压病患者,按就诊先后顺序分为对照1组、对照2组、对照3组及治疗组各30例。对照1组给予常规西药硝苯地平控释片治疗,对照2组在对照1组的基础上采取耳尖放血治疗,对照3组在对照1组基础上采取耳穴埋豆治疗,治疗组在对照1组基础上给予耳尖放血联合耳穴埋豆治疗。治疗5 d后,观察比较4组临床疗效、血压水平、中医证候积分及不良反应发生情况。结果:治疗组总有效率优于对照1组、对照2组、对照3组,差异有统计学意义(P<0.05);对照2组与对照3组总有效率比较,差异无统计学意义(P>0.05),但2组均优于对照1组,差异有统计学意义(P<0.05)。治疗前,4组中医证候积分比较,差异均无统计学意义(P>0.05)。治疗后,4组中医证候积分均低于治疗前,差异有统计学意义(P<0.05);治疗组中医证候积分低于对照1组、对照2组、对照3组(P<0.05);对照2组与对照3组比较,差异无统计学意义(P>0.05),但2组中医症候积分均低于对照1组(P<0.05)。治疗前,4组舒张压(DBP)、收缩压(SBP)水平比较,差异无统计学意义(P>0.05)。治疗后1 d、2 d、3 d、4 d、5 d,4组DBP、SBP水平均低于治疗前,差异有统计学意义(P<0.05);治疗后4 d、5 d,治疗组DBP、SBP水平均低于对照1组、对照2组和对照3组,差异有统计学意义(P<0.05)。治疗期间各组均未出现明显不良反应。结论:在常规西药治疗基础上,采用耳尖放血联合耳穴埋豆治疗阴虚阳亢型高血压病能提高临床疗效,缓解临床症状,有效降低血压,且安全性较高。

Objective:To observe the clinical effect of ear apex bloodletting combined with auricular acupoint pressing with beans for adjuvant therapy of hypertension of yin deficiency with yang hyperactivity type. Methods:A total of 120 cases of patients with hypertension were selected and divided into the control group 1,the control group 2,the control group 3,and the treatment group according the order of visit, 30 cases in each group. The control group 1 was given nifedipine controlled-release tablets,and the control group 2 was additionally treated with ear apex bloodletting based on the treatment of the control group 1;the control group 3 was additionally treated with auricular acupoint pressing with beans based on the treatment of the control group 1;the treatment group was additionally treated with ear apex bloodletting combined with auricular acupoint pressing with beans based on the treatment of the control group 1. After 5-day treatment,clinical effect,blood pressure level,Chinese medicine syndrome scores,and incidence of adverse reactions were observed and compared among the four groups. Results:The total effective rate in the treatment group was better than those in the control group1,the control group 2,and the control group 3,the difference being significant(P<0.05). When compared the total effective rate between the control group 2 and the control group 3, there was no significance in the difference(P>0.05), but the total effective rate in the two groups were better than that in the control group 1,the difference being significant(P<0.05).Before treatment, the comparison of Chinese medicine syndrome scores among the four groups showed significance in differences(P>0.05). After treatment,Chinese medicine syndrome scores in the four groups were lower than those before treatment,the difference being significant(P<0.05). Chinese medicine syndrome score in the treatment group was better than those in the other three groups(P<0.05);there was no significant difference being found in the comparison of Chinese medicine syndrome scores between the control group 2 and the control group 3(P>0.05),but the scores in the two groups were lower than that in the control group 1(P<0.05). Before treatment,there was no significant difference being found in levels of diastolic blood pressure(DBP) and systolic blood pressure(SBP) among the four groups(P > 0.05). After treatment for 1 day, 2 days, 3 days,4 days,and 5 days,levels of DBP and SBP in the four groups were lower than those before treatment,the difference being significant(P<0.05). After treatment for 4 days and 5 days,DBP and SBP levels in the treatment group were lower than those in the control group 1, the control group 2, and the control group 3, the difference being significant(P<0.05). During treatment, there was no obvious adverse reaction in the four groups.Conclusion:In the treatment of hypertension of yin deficiency with yang hyperactivity type,ear apex bloodletting combined with auricular acupoint pressing with beans based on routine western medicine treatment can improve clinical effect,relieve clinical symptoms,and effectively decrease blood pressure,with high safety.