不同力度推桥弓治疗Ⅰ级原发性高血压的疗效观察

Efficacy observation of pushing Qiaogong point with different intensities for treating stageⅠessential hypertension

目的:观察不同力度推桥弓治疗Ⅰ级原发性高血压的临床疗效.方法:将72例Ⅰ级原发性高血压患者采用随机数字表法分为对照组、轻推桥弓组和重推桥弓组,每组24例.三组均接受相同的治疗性生活方式干预.对照组不接受其他干预;轻推桥弓组加用轻手法推桥弓穴治疗;重推桥弓组加用重手法推桥弓穴治疗.治疗4周,随访4周,观察分析三组治疗后及随访时血压变化情况.结果:治疗后,三组患者的血压水平均有降低(P<0.05).对照组有效率43.5%;轻推桥弓组有效率78.3%;重推桥弓组有效率33.3%.轻推桥弓组患者血压降低水平显著优于对照组和重推桥弓组,组间差异均具有统计学意义(P<0.01);重推桥弓组与对照组疗效相当,差异无统计学意义(P>0.05).随访时,与同组治疗结束时比较,对照组及轻推桥弓组的血压水平表现稳定,组内差异均无统计学意义(P>0.05);重推桥弓组的舒张压(DBP)及平均血压(MBP)均较治疗结束时降低,组内差异均具有统计学意义(P<0.05).随访时,轻推桥弓组收缩压(SBP)及MBP均低于重推桥弓组及对照组,组间差异均具有统计学意义(P<0.01),而DBP差异无统计学意义(P>0.05);重推桥弓组的SBP、DBP及MBP与对照组差异均无统计学意义(P>0.05).结论:轻手法推桥弓配合生活方式干预治疗Ⅰ级原发性高血压有效率高,远期血压平稳;不同力度推桥弓对Ⅰ级原发性高血压患者的影响存在差异.

Objective:To observe the clinical efficacy of pushing Qiaogong point with varying intensities for treating stageⅠessential hypertension.Methods:A total of 72 patients diagnosed with stageⅠessential hypertension were enrolled in this study.They were divided into three groups using the random number table method,including a control group,a gentle pushing group,and a heavy pushing group,with 24 patients in each group.All three groups received the same therapeutic lifestyle interventions.The control group received no additional interventions,the gentle pushing group received additional pushing Qiaogong point with gentle strength,and the heavy pushing group received additional pushing Qiaogong point with heavy strength.The treatment duration was 4 weeks,followed by a 4-week follow-up period,during which blood pressure changes were observed and analyzed in all three groups.Results:After treatment,the blood pressure levels in all three groups showed a significant decrease(P<0.05).The effective rate in the control group was 43.5%,in the gentle pushing group was 78.3%,and in the heavy pushing group was 33.3%.The reduction in blood pressure levels in the gentle pushing group was significantly superior to that in both the control group and the heavy pushing group,indicating inter-group statistical significance(P<0.01).The efficacy of the heavy pushing group was comparable to that of the control group,indicating no statistical significance(P>0.05).During the follow-up period,compared with the end of the treatment within the same group,the blood pressure levels remained stable in both the control group and the gentle pushing group,indicating no intra-group statistical significance(P>0.05).The heavy pushing group showed a significant decrease in diastolic blood pressure(DBP)and mean blood pressure(MBP)compared with the end of the treatment,indicating intra-group statistical significance(P<0.05).During the follow-up,the gentle pushing group had lower systolic blood pressure(SBP)and MBP compared with both the heavy pushing group and the control group,indicating inter-group statistical significance(P<0.01),while there was no inter-group statistical significance in comparing the DBP(P>0.05).There was no statistical significance in comparing the SBP,DBP,and MBP between the heavy pushing group and the control group(P>0.05).Conclusion:Pushing Qiaogong point with gentle strength combined with lifestyle interventions showed a higher effective rate and long-term blood pressure stability in the treatment of stageⅠessential hypertension.Pushing Qiaogong point with varying intensities showed varying effects on patients with stageⅠessential hypertension.