刮痧对原发性高血压降压作用的时效规律研究  

Aging law on anti-hypertensive effect of scrapping therapy on primary hypertension

作　　者：刘海华[1] 刘朝[2] 王莹莹[2] 陈滢如[2] 吴远[2] 杨金生[2] 

机构地区：[1]北京老年医院中医科,北京100095 [2]中国中医科学院针灸研究所,北京100700

出　　处：《中国针灸》2015年第7期711-714,共4页Chinese Acupuncture & Moxibustion

基　　金：国家自然科学基金面上项目:81173346

摘　　要：目的:观察刮痧对原发性高血压降压作用的时效规律,为刮痧的最佳治疗频次提供参考依据。方法:将符合纳入标准的89例原发性高血压患者,给予辨证刮痧。刮痧部位以颈背部的督脉、膀胱经、曲池至手三里和足三里至丰隆为主,对实证患者采用重刺激泻法,以皮下毛细血管破裂、皮下瘀血为度;对虚证患者采用轻刺激补法,以皮下毛细血管充血、皮肤潮红为度。每个部位刮拭10遍,刮痧宽约为5cm,治疗15min,共刮痧1次。选取受试者刮痧前一天下午2:00、2:30、3:00、3:30、4:00、5:00、6:00、8:00及刮痧当天下午刮痧前、刮痧后即刻(2:00)、2:30、3:00、3:30、4:00、5:00、6:00、8:00和刮痧后24h、48h各时间点的血压作为观察指标。结果:(1)经1次刮痧治疗后,血压由刮痧前的(149.00±10.19)/(85.30±10.96)mmHg(1mmHg≈0.133kPa)下降至刮痧后半小时的(137.51±10.24)/(81.06±10.56)mmHg(P<0.01)。(2)刮痧后各时段血压均较刮痧前降低,差异均有统计学意义(均P<0.01)。(3)通过非线性回归分析,刮痧后收缩压回升至140mmHg的时间为刮痧后47.2h。结论:刮痧对原发性高血压具有明显的即时降压作用,刮痧间隔以隔天为宜。Objective To observe the aging law on anti-hypertensive effect of scrapping therapy on primary hypertension so as to provide the reference evidence for the best treatment frequency of scrapping therapy. Methods Eighty-nine patients of primary hypertension complied with inclusive criteria were treated with scrapping therapy according to syndrome differentiation. The stimulated sites included the courses of the governor vessel and the bladder meridian on the neck and back region, the line from Quchi （LI 11） to Shousanli （LI 10） and that from Zusanli （ST 36） to Fenglong （ST 40）. The strong stimulation for reducing attempt was applied to the case of excess syndrome, determined by subcutaneous capillary rupture and subcutaneous blood stasis. The mild stimulation for reinforcing attempt was applied to the case of deficiency syndrome, determined by subcutaneous capillary hyperemia and skin flush. Each site was scrapped for 10 times, about 5 cm in width, for 15 min. One scrapping treatment was required. The blood pressure was taken as the observation index separately, named 2：00 pm, 2：30 pm, 3：00 pm, 3：30 pm, 4：00 pm, 5：00 pm, 6：00 pm and 8：00 pm one day before scrapping, the time before scrapping in the afternoon on the day of treatment, the moment （2：00 pro）, 2：30 pm, 3：00 pm, 3：30 pm, 4：00 pm, 5：00 pm, 6：00 pm and 8：00 pm after scrapping, in 24 h and 48 h after scrapping. Results （1） After one scrapping, the blood pressure was reduced to be （137.51±10.24）/（81.06±10.56） mmHg half a hour after scrapping from （149.00±10. 19）/（85.30±10. 96） mmHg （1mmHg≈0.133 kPa） before scrapping （P〈0.01）. （2） The differences were significant in blood pressure at each time point after scrapping as compared with that before scrap- ping （all P〈0.01）. （3） Through nonlinear regression analysis, the systolic blood pressure after scrapping was increased up to 140 mmHg in 47.2 h after scrapping. Conclusion Scrapping therapy achieves the apparent

关 键 词：刮痧 原发性高血压 降压 时效规律 

分 类 号：R246.1[医药卫生—针灸推拿学]