摘要
目的:观察电针及西药治疗对青年高血压患者血压变异的疗效差异。方法:选择60例青年高血压患者随机分为电针组和西药组各30例。电针组电针曲池、太冲;西药组口服卡托普利。两组均治疗14天后观察24h动态血压、血压变异性及昼夜节律。结果:电针曲池、太冲能降低青年高血压患者各时段收缩压和舒张压水平(均P<0.01),与西药组比较差异无统计学意义(均P>0.05);电针曲池、太冲可明显降低青年高血压患者各时段的收缩压和舒张压的标准差,与治疗前相比差异有统计学意义(P<0.01,P<0.05),与西药组比较24h收缩压标准差(24hSSD)、24h舒张压标准差(24hDSD)、白天收缩压标准差(dSSD)、夜间收缩压标准差(nSSD)、夜间舒张压标准差(nDSD)差异均有统计学意义(P<0.01,P<0.05);两组患者中杓型与非杓型者人数进行比较,治疗后两组差异有统计学意义(P<0.05)。结论:电针曲池、太冲具有较好的长时降压效果,可有效改善青年高血压患者的血压昼夜节律变化,是针灸降压的有效穴对组方。
Objective To compare the therapeutic effect of electroacupuncture and western medication on blood pressure variability in young patients with hypertension. Methods Sixty cases of hypertension in young patients were randomized into an electroacupuncture group and a western medication group, 30 cases in each one. In electroacupuncture group, electroacupuncture was applied on Quchi （LI 11） and Taichong （LR 3）. In western medication group, Captopril was taken orally. Twenty-four hour dynamic blood pressure, blood pressure variability and day-night rhythm were observed after 14 days treatment in two groups. Results Electroacupuncture on Quchi （LI 11） and Taichong （LR 3） reduced systolic pressure and diastolic pressure at different time phases in young patients with hypertension （all P〈0.01）, which did not present significant statistical difference as compared with western medication group （all P〉0.05）. Electroacupuncture on Quchi （LI 11） and Taichong （LR 3） reduced apparently the standard deviations of systolic pressure and diastolic pressure at different time phases in young patients with hypertension, indicating significant statistical differences as compared with the deviations before the treatment （P〈0.01, P〈0.05）. The statistical significance presented in 24 h systolic standard deviation （24 h SSD）, 24 h diastolic standard deviation （24 h DSD）, daytime SSD （dSSD）, nighttime SSD （nSSD） and nighttime DSD （nDSD） between two groups （P〈0.01, P〈0.05）. In comparison of the numbers of Dippers and non-Dippers in two groups, the significant statistical difference presented between two groups after treatment （P〈0.05）. Conclusion Electroacupuncture on Quchi （LI 11） and Taichong （LR 3） has long-term antihypertensive effect and improves effectively daynight rhythm variation in young patients with hypertension. Quchi （LI 11） and Taichong （LR 3） are the effective pair points for hypertension treated with acupuncture.
出处
《中国针灸》
CAS
CSCD
北大核心
2010年第7期547-550,共4页
Chinese Acupuncture & Moxibustion
基金
山东省2005-2006年度中医药科技发展计划项目:2005-206
关键词
高血压
血压变异
电针
穴
曲池
穴
太冲
Hypertension
Blood Pressure Variability
Electroacupuncture
Point LI 11 （Quchi）
Point LR 3 （Taiehong）
