原发性高血压应用针刺曲池穴得气和捻转补泻手法降压效果探讨  

Treating primary HBP by acupuncture

作　　者：吴伟凡 梁汉彰 袁中草 

机构地区：[1]广东省深圳市盐田区人民医院,广东深圳518081

出　　处：《中医临床研究》2013年第10期50-51,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:分析原发性高血压应用针刺曲池穴治疗的血压变化,探讨得气、不得气、捻转泻法与补法的临床效应。方法:随机抽选254例患者,分得气组、得气右转(以下简称右转组)、得气左转(称左转组)及不得气组,又将右转组中实证和左转组虚证合为虚补实泻组,将右转组虚证与左转组实证合为虚泻实补组,观察在针刺前、进针10min、起针即刻、起针10min时各自的血压变化。结果:针刺前与针刺后患者血压比较差异具有显著性(P<0.05);不得气组的降压效果显著低于得气组、右转组、左转组、虚泻实补组、虚补实泻组;得气组、右转组、左转组、虚泻实补组、虚补实泻组的降压效果,各组间比较无显著性差异。结论针刺曲池穴,对原发性高血压降压效果明显,但得气才能达到较好的临床效果,以捻转方向来划分补泻手法,右转为捻转泻法,左转为补法,本文研究未发现相应的临床效果。Objective： To analyze BP changes of acupuncturing the point of Quchi. Methods： 254 patients were divided into Gain, Gain Right, Gain Left and no Gaining groups; A part of GR/GL were put together as the Xubu Shixie group; the other part of GIUGL were put together as the Xuxie Shibu group, comparing the BP changes during acupuncturing. Results： Before and after acupuncture the difference was significantly （P〈0.05）; efficacy in NG was lower than other groups; there was no difference between both groups. Conclusion： Acupuncturing the point of Quchi can achieve good effects on HBP, but only gain feeling was there; About turning right and left, there was no clinical effects and difference.

关 键 词：曲池 捻转 虚实补泻 原发性高血压 得气 

分 类 号：R544.1[医药卫生—心血管疾病]