针刺加穴位贴敷治疗难治性高血压病临床初探  

Preliminary Clinical Study on the Treatment of Refractory Hypertension by Acupuncture plus Point Application

作　　者：殷之放[1] 汪司右[1] 

机构地区：[1]上海市针灸经络研究所,上海200030

出　　处：《上海针灸杂志》2005年第12期16-17,共2页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺加穴位贴敷对难治性高血压病的影响。方法58例患者随机分为针刺加穴位贴敷组和针刺对照组。结果治疗后两组临床症状减轻或消失,治疗前后两组血压比较有显著差异。针刺加穴位贴敷组每搏心输出量和每分心输出量明显增加(P<0.05),外周血管阻力平均降低0.08 kPa.S/m l(P<0.05),动脉顺应性平均增加5.03 m l/kPa(P<0.05);针刺对照组每搏心输出量和每分心输出量均有增加(P<0.05),外周血管阻力平均降低0.07 kPa.S/m l(P<0.05),而动脉顺应性则无明显变化。结论提示针刺加穴位贴敷疗法对难治性高血压病有良好的疗效,其降压作用可能是通过降低细小动脉的外周阻力和改善大中动脉的顺应性来实现的。Objective To investigate the effect of acupuncture plus point application on refractory hypertension. Methods Fiftyeight patients were randomly divided into acupuncture plus point application and acupuncture control groups. Results The clinical symptoms abated or disappeared after treatment in both groups. There was a significant difference in blood pressure between pretreatment and posttreatment in both groups. In the acupuncture plus point application group, cardiac stroke and output significantly increased（ P 〈 0. 05 ）, peripheral blood vessel resistance decreased by an average of 0. 08 kPa · S/ml（ P 〈 0. 05 ） and arterial compliance increased by an average of 5.03 ml/kPa （ P 〈 0. 05 ）. In the acupuncture control group, cardiac stroke and output increased （ P 〈 0. 05）, peripheral blood vessel resistance decreased by an average of 0. 07 kPa · S/ml （ P 〈 0. 05 ） and arterial compliance did not change significantly. Conclusion It is suggested that acupuncture plus point application has a good effect on refractory hypertension and its effect may be produced through decreasing the peripheral resistance of thin and small arteries and increasing the compliance of large and middle arteries.

关 键 词：针刺疗法 穴位贴敷法 高血压 

分 类 号：R246.1[医药卫生—针灸推拿学]