百会、四神聪穴久留针对高血压患者血压的影响  

Effect of Acupuncture Needle-retention Duration at Baihui (GV 20) and Sishencong (EX-HN 1) on Blood Pressure in Hypertension Patients

作　　者：董永书[1] 行书丽[2] 

机构地区：[1]河南省中医药研究院,郑州450004 [2]河南职工医学院,郑州450004

出　　处：《针刺研究》2012年第3期233-236,共4页Acupuncture Research

摘　　要：目的:观察百会、四神聪穴留针法及口服硝苯地平缓释片对高血压患者血压的影响,探讨治疗高血压的更优疗法。方法:将24例高血压病患者随机分为针刺组和药物组。针刺组选取百会、四神聪穴,针刺得气后留针8h;药物组早晨口服硝苯地平缓释片20mg。分别于治疗后0.5、2、4、6、8h末测量两组患者右上肢血压,对比两组血压情况。结果:针刺组患者2h末收缩压较治疗前明显降低(P<0.05),4h末收缩压到达最低(P<0.01),6h后收缩压开始回升,于8h末收缩压恢复至针刺前水平(P>0.05);药物组患者于0.5h末开始收缩压较治疗前持续下降(P<0.05,P<0.01),8h末仍见血压缓慢下降(P<0.01);0.5h末及8h末针刺组收缩压高于药物组(P<0.01)。两组舒张压均于治疗后2h开始较治疗前下降,且持续到8h(P<0.05,P<0.01);两组舒张压比较差异均无统计学意义(P>0.05)。结论:百会、四神聪穴留针法降低收缩压起效较慢,维持时间较短;对舒张压的影响与口服硝苯地平缓释片相似。Objective To observe the effect of needle-retention duration at Baihui（GV 20）and Sishencong（EX-HN 1）on blood pressure in hypertension patients. Methods Twenty-four patients with essential hypertension were randomly divided into acupuncture group and medication group. For patients of the acupuncture group, single-use sterilized filiform needles were inserted into Baihui （GV 20）and S ishencong（EX-HN1 ）and manipulated for about 10 s till ＂Deqi＂, and retained for 8 h. Patients of the medi- cation group were treated by oral administration of Nifedipine tablets（20 mg）in the morning. Blood pressure （right brachial artery） was detected 0.5, 2, 4, 6 and 8 h after the treatment respectively. Results In comparison with pre-treatment, the systolic pressure levels at the time-points of 0.5, 2, 4, 6 and 8 h after taking Nifedipine in the medication group, and the systolic pressure levels at the time-points of 2, 4 and 6 h after the treatment in the acupuncture group, and the diastolic pressure levels at the timepoints of 2, 4, 6 and 8 h in both acupuncture and medication groups were decreased obviously（ P〈0.05, P〈0.01 ）. The effect of acupuncture group was significantly weaker than that of the medication group in lowering systolic pressure at the time-points of 0.5 and 8 h after the treatment（ P〈0.01 ）. No significant differences were found between the acupuncture and medication groups in lowering systolic pressure at the time-points of 2, 4 and 6 h after the treatment, and in lowering diastolic pressure at the timepoints of 0.5, 2, 4, 6 and 8 h after the treatment（P〈0.05）. Conclusion Acupuncture stimulation of Baihui （GV 20）and Sishencong（EX-HN 1 ）with sustained needle-retention works well in lowering blood pressure in hypertension patients, but is relatively slower and has a shorter period of time in lowering blood-pressure efficacy.

关 键 词：高血压 针刺 留针 血压 百会 四神聪 

分 类 号：R544.1[医药卫生—心血管疾病]