热敏灸结合耳尖放血治疗痰湿壅盛型高血压:随机对照试验

Heat-sensitive Moxibustion Combined with Ear Tip Bloodletting in the Treatment of Phlegmdamp Congestion Type Hypertension:A Randomized Controlled Trial

目的:探讨热敏灸结合耳尖放血治疗痰湿壅盛型高血压患者的疗效,为临床治疗该病提供中医方案。方法:将80例原发性高血压患者随机分成观察组和对照组,各40例。观察组采用热敏灸结合耳尖放血治疗,对照组选用口服西药,在患者治疗前与治疗4周后分别测量血压、进行中医证候评分并观察临床疗效。结果:2组患者治疗后的收缩压、舒张压数值均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);2组患者治疗后的中医证候积分均低于治疗前(P<0.05),且观察组低于对照组(P<0.05);在临床总有效率方面,观察组优于对照组(P<0.05)。结论:热敏灸结合耳尖放血法治疗痰湿壅盛型高血压疗效确切,能有效降低患者血压,改善临床不适症状。

Objective:To investigate the curative effect of heat-sensitive moxibustion combined with ear tip bloodletting on hypertension patients with phlegm-damp congestion type,and to provide a TCM solution for clinical treatment of this disease.Methods:Eighty patients with essential hypertension were randomly divided into an observation group and a control group of 40 cases each.The observation group was given heat-sensitive moxibustion combined with ear tip bloodletting,and the control group was given oral western medicine,and blood pressure was measured and TCM symptom scores were performed before and after 4 weeks of treatment.Clinical effectiveness was observed.Results:The systolic and diastolic blood pressure values of both groups were lower than before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).The TCM symptom scores of both groups were lower after treatment than before treatment(P<0.05),and lower in the observation group(P<0.05).In terms of clinical efficiency,the observation group was superior to the control group(P<0.05).Conclusion:The effectiveness of heat-sensitive moxibustion combined with ear tip bloodletting in the treatment of phlegm-damp congestion type hypertension is remarkable,which can effectively lower the patient's blood pressure and improve the clinical discomfort symptoms.