穴位埋线结合降压药对高血压病血浆D-二聚体含量的影响及临床意义

Effect of Acupoint Embedding Combined with Antihypertensive Drugs on Plasma D-Dimer Content for Patients with Hypertension

目的:观察在降压药基础治疗上结合中医穴位埋线法对高血压病血浆D-二聚体水平的调节及临床意义。方法:将75例高血压病患者随机分为穴位埋线+降压药组、单纯穴位埋线组和单纯降压药组,20天为1疗程,2个疗程后对比患者血浆D-二聚体水平变化。结果:穴位埋线+降压药组D-二聚体水平治疗前后比较具有显著差异(P<0.05),且与单纯穴位埋线、单纯降压药组比较差异显著(P<0.05);从降压效果来看,穴位埋线+降压药有效率91.67%(显效率45.8%),单纯穴位埋线有效率65.22%(显效率17.4%),单纯降压药有效率70.83%(显效率20.8%),穴位埋线+降压药组有效率及显效率明显高于单纯穴位埋线组与降压药组,且有统计学意义(P<0.05)。结论:穴位埋线结合基础降压药对高血压病具有显著的降压作用,且明显降低了患者血浆D-二聚体含量,由此推断综合疗法可更有效防控高血压病并发症的发生率,从而减少高血压病靶器官的损伤。

Objective:To investigate the effect of acupoint embedding combined with antihypertensive drugs on plasma D-dimer levels for patients with essential hypertension.Methods:Sixty patients with hypertension were randomly divided into acupoint embedding plus drug group,acupoint embedding group and drug group.The course of treatment was 20 days.The plasma D-dimer level was observed.Results:The D-dimer levels in the acupoint embedding plus drug group were statistically significant(P<0.05),and the difference was statistically significant(P<0.05).The effective rate of the western medicine plus acupoint embedding group was 85.0%,the effective rate of the acupoint embedding group was 65.0%,and the effective rate of the western medicine group was 75.0%.The effective rate of the western medicine plus acupoint embedding group was higher than that of the acupoint embedding group,and it was statistically significant(P<0.05).Conclusion:Acupoint embedding combined with antihypertensive drugs have significant clinical effects on hypertension,which can reduce the plasma D-dimer content of hypertensive patients,thereby reducing the incidence of hypertension complications and reducing the damage of target organs of hypertension.