子午流注纳甲法联合辨证针刺对青年原发性高血压患者血压昼夜节律的影响

Effects of midnight-noon ebb-flow method combined with syndrome differentiation acupuncture on circadian rhythm of blood pressure in young patients with essential hypertension

目的:探究子午流注纳甲法联合辨证针刺治疗青年原发性高血压患者的效果,分析其对青年原发性高血压患者学压昼夜节律的影响。方法:随机将107例青年原发性高血压患者分成两组,对照组53例接受常规针灸治疗,观察组54例接受子午流注纳甲法联合辨证针刺治疗,比较两组患者的治疗效果及血压昼夜节律。结果:治疗后,观察组患者24 hSBP、24 hDBP、dSBP、dDBP、nSBP、nDBP均低于对照组,差异有统计学意义(P<0.05)。观察组转换杓型血压的有效率高于对照组(P<0.05)。结论:子午流注纳甲法联合辨证针刺能显著降低青年原发性高血压患者的血压,并能有效调整患者血压昼夜节律。

Objective: To explore the therapeutic effect of the midnight-noon ebb-flow method combined with syndrome differentiation acupuncture on young patients with essential hypertension, and analyze its effect on the circadian rhythm of blood pressure in young patients with essential hypertension. Methods: 107 young patients with essential hypertension were randomized into two groups. 53 patients in the control group received conventional acupuncture, while another 54 patients in the observation group received treatment with the midnight-noon ebb-flow method combined with syndrome differentiation acupuncture. Then the treatment effect and circadian rhythm of blood pressure between the two groups of patients were compared. Results: After treatment, the levels of SBP, DBP, dSBP, dDBP, nSBP and nDBP of patients within 24 h in the observation group were lower than those of the control group, and the difference was significant(P<0.05). The effective rate of conversing dipper type blood pressure in the observation group was higher than that in the control group, and the difference was significant(P<0.05). Conclusion: The midnight-noon ebb-flow method combined with syndrome differentiation acupuncture can significantly reduce the blood pressure level, and effectively adjust the circadian rhythm of blood pressure in young patients with primary hypertension.