“活血散风、疏肝健脾”针刺法调控脑梗死伴原发性高血压患者清晨血压疗效观察  

Acupuncture method of“Huoxue Sanfeng,Shugan Jianpi”for morning blood pressure in patients with cerebral infraction combined with essential hypertension:a randomized controlled trial

作　　者：高新新[1] 马芬[1] 赵琦[2] 张轶[2] 杜宇征[2] 

机构地区：[1]天津中医药大学,天津300193 [2]天津中医药大学第一附属医院南院针灸部,天津300381

出　　处：《中国针灸》2016年第5期459-462,共4页Chinese Acupuncture & Moxibustion

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:JDZX2012151;国家重点基础研究发展计划(973计划)项目:2012CB518505

摘　　要：目的:观察"活血散风、疏肝健脾"针刺法调控脑梗死伴原发性高血压患者清晨血压的临床疗效。方法:将68例脑梗死伴原发性高血压患者随机分为观察组和对照组,每组34例。两组均予"醒脑开窍"针刺法、口服拜新同,在此基础上,观察组行规范手法量学标准的"活血散风、疏肝健脾"针刺法,穴取双侧人迎、曲池、合谷、足三里、太冲,每天1次,每周5次,共观察6周(30次)。观察两组治疗前后清晨血压情况及清晨血压达标率。结果:(1)两组在治疗后清晨血压都有下降,治疗前后差异均具有统计学意义(均P<0.05),治疗15次后观察组降低清晨收缩压(SBP)、舒张压(DBP)效果优于对照组,但差异无统计学意义(均P>0.05);治疗30次后观察组降低清晨SBP、DBP效果明显优于对照组(均P<0.05)。(2)治疗30次后观察组清晨血压达标率高于对照组[82.4%(28/34)vs 58.8%(20/34)],差异有统计学意义(P<0.05)。结论:具有规范手法量学标准的"活血散风、疏肝健脾"针刺法可有效调控脑梗死伴原发性高血压患者的清晨血压。Objective To observe the clinical effects of acupuncture method of ＂Huoxue Sanfeng,Shugan Jianpi＂（activating blood and eliminating wind,soothing liver and strengthening spleen）on morning blood pressure in patients with cerebral infraction combined with essential hypertension.Methods Sixty-eight patients were randomly divided into an observation group and a control group,34 cases in each one.The patients in the two groups were treated with acupuncture method of＂Xingnao Kaiqiao＂（consciousness-restoring resuscitation）and oral administration of nifedipine.In addition,patients in the observation group were treated with acupuncture method of＂Huoxue Sanfeng,Shugan Jianpi＂that met the criteria of standard manipulation,in which bilateral Renying（ST 9）,Quchi（LI 11）,Hegu（LI 4）,Zusanli（ST 36）and Taichong（LR 3）were selected.The treatment was given once a day,five times a week,for totally six weeks.The improvement and control rate of morning blood pressure in the two groups were observed.Results（1）After treatment,the morning blood pressures were decreased significantly in the two groups（all P〈0.05）;after 15 treatments,the reduction of systolic pressure and diastolic pressure in the observation group was superior to that in the control group,but the difference was not significant（both P〈0.05）;after 30 treatments,the reduction of systolic pressure and diastolic pressure in the observation group was significantly superior to that in the control group（both P〈0.05）.（2）After 30 treatments,the control rate of morning blood pressure in the observation group was significantly higher than that in the control group [82.4%（28/34）vs 58.8%（20/34）,P〈0.05].Conclusion Acupuncture method of＂Huoxue Sanfeng,Shugan Jianpi＂,characterized with standard manipulation criteria,can effectively control morning blood pressure in patients with cerebral infraction combined with essential hypertension.

关 键 词：原发性高血压 针刺疗法 活血散风 疏肝健脾 清晨血压 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]