推拿手法联合常规降压改善轻度高血压患者血管弹性的效果观察  

Effect of Chinese massage therapy combined with routine antihypertensive therapy on improvement of blood vessel elasticity in patients with mild hypertension

作　　者：安明华 阚艳敏 刘洋 马琳 李晓松 

机构地区：[1]华北理工大学附属医院超声科,唐山市063000

出　　处：《广西医学》2016年第4期479-481,498,共4页Guangxi Medical Journal

基　　金：河北省唐山市科学技术研究与发展计划(14130265B)

摘　　要：目的探讨推拿手法联合常规降压治疗对高血压患者血管弹性的影响。方法单一服用硝苯地平缓释片治疗的轻度高血压患者59例,以是否进行推拿治疗分组,其中对照组23例、推拿组36例。比较两组患者治疗2个月前后的血压变化,并应用血管回声跟踪技术检测两组患者颈总动脉血管弹性参数,包括僵硬度(β)、弹性系数(Ep)、顺应性(AC)、脉搏波传导速度(PWV)的变化情况。结果治疗后,对照组降压显效6例、有效12例、无效5例;推拿组显效22例、有效12例、无效2例,推拿组的降压效果优于对照组(P<0.05)。两组患者治疗后颈总动脉β、Ep、PWV均显著降低,AC显著升高(P<0.05),且推拿组治疗前后的差值Δβ、ΔEp、ΔAC均大于对照组(P<0.05),但两组ΔPWV差异无统计学意义(P>0.05)。结论常规降压联合推拿手法治疗轻度高血压可有效降低血压,并有效改善血管弹性。Objective To observe the effect of Chinese massage therapy combined with routine antihypertensive therapy on the improvement of blood vessel elasticity in patients with hypertension. Methods Fifty-nine patients with mild hypertension who orally administered nifedipine for the routine therapy were divided into control group（ n = 23 ） and Chinese massage therapy group（ n = 36 ） on the basis of whether received Chinese massage. Before and after 2 months of the treatment, the changes of blood pressure were compared between two groups. And the changes of common carotid artery elasticity including arterial stiffness （[3） , elasticity（ Ep）, compliance（ A C ） and pulse wave velocity（PWV） were detected by echo-tracking technology in both groups. Results After treatment,6 cases, 12 cases and 5 cases were assessed as excellent, good and inefficient for anti-hypertension in the control group respectively, while 22 cases, 12 cases and 2 eases were assessed as excellent, good and inefficient in the Chinese massage therapy group respectively. And the efficacy of anti-hypertension in the Chinese massage therapy group was superior to that in the control group （P 〈 0.05 ）. After treatment, the levels of [3, Ep and PWV of common carotid artery declined sigifieanfly and AC increased sigifieanfly in both groups （ P 〈 O. 05 ）. And A[3, AEp and AAC of Chinese massage therapy group were higher than those of control group （ P 〈 0.05 ）, but APWV showed no significant difference between two groups （ P 〉 0.05 ）. Conclusion Chinese massage therapy combined with routine anti-hypertension therapy can not only lower the blood pressure but also effectively improve blood vessel elasticity in patients with mild hypertension.

关 键 词：高血压 推拿 颈总动脉 血管弹性 血管回声跟踪技术 

分 类 号：R544.1[医药卫生—心血管疾病]