针刺调节原发性高血压患者血压昼夜节律疗效观察

发布时间：2018-01-18 04:05

本文关键词：针刺调节原发性高血压患者血压昼夜节律疗效观察　出处：《中国针灸》2017年11期 　论文类型：期刊论文

【摘要】：目的:观察针刺疗法配合常规西药治疗对原发性高血压患者血压昼夜节律的影响。方法:将64例原发性高血压患者随机分为观察组和对照组,每组32例。两组患者原西药治疗方案不变(服用一类降压药物),在此基础上,观察组患者接受"活血散风,疏肝健脾"针刺法,每日治疗1次,每周5次,共6周(共30次)。观察两组患者治疗前后血压昼夜节律及相关动态血压参数变化。结果:(1)治疗结束后,观察组日间平均收缩压(d ASBP)、日间平均舒张压(d ADBP)、夜间平均收缩压(n ASBP)、收缩压昼夜节律较治疗前改善,差异有统计学意义(均P0.05),对照组血压昼夜节律及相关动态血压参数较治疗前差异无统计学意义(均P0.05);组间比较,观察组n ASBP、收缩压昼夜节律较对照组差异有统计学意义(均P0.05)。(2)治疗后观察组血压昼夜节律转杓率明显高于对照组,差异具有统计学意义(P0.05)。结论:针刺疗法配合常规西药治疗能够有效改善原发性高血压患者血压昼夜节律及相关动态血压参数。
[Abstract]:Objective: to observe the effect of acupuncture combined with conventional western medicine on the circadian rhythm of blood pressure in patients with essential hypertension. Methods: 64 patients with essential hypertension were randomly divided into observation group and control group. There were 32 cases in each group. The original western medicine treatment plan of the two groups was unchanged. On this basis, the patients in the observation group were treated with acupuncture of "activating blood circulation, dispersing the liver and strengthening the spleen", once a day, 5 times a week. The circadian rhythm of blood pressure and the changes of relative ambulatory blood pressure parameters were observed before and after treatment. Results after the treatment, the mean systolic blood pressure between day and day in the observation group was measured. The circadian rhythm of systolic blood pressure was improved significantly (all P 0.05). The circadian rhythm of blood pressure and the parameters of ambulatory blood pressure in the control group were not significantly different from those before treatment (all P 0.05). Compared with the control group, the circadian rhythm of n ASBP and systolic blood pressure in the observation group was significantly higher than that in the control group (P0.05. 0. 0. 2) after treatment, the circadian rhythm of blood pressure in the observation group was significantly higher than that in the control group. Conclusion: acupuncture combined with conventional western medicine can effectively improve the circadian rhythm of blood pressure and related ambulatory blood pressure parameters in patients with essential hypertension.
【作者单位】：天津中医药大学第一附属医院针灸部;
【基金】：国家中医药管理局中医药行业科研专项课题项目:201507001;国家中医药管理局国家中医临床研究基地业务建设科研专项课题项目:JDZX 2012151,JDZX 2015021 天津市卫生和计划生育委员会中医中西医结合科研课题:2015083 天津市针灸学重点实验室
【分类号】：R246.1
【正文快照】： 高血压病是一种常见病和多发病,据统计[1],次死亡和至少6400万人次致残,其患病率高、致残全球大约有7亿高血压病人群,每年有超过700万人率高、病死率高的特点[2],已被公认为全世界重要的公共健康问题之一。高血压是造成心、脑、肾等靶压Ⅰ级诊断者,血压160/100 mm Hg;服用1

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