穴位埋线对痰湿质高血压前期的随机对照研究  

Acupoint Thread Embedding for Prehypertension Due to Phlegm-dampness: A Randomized Controlled Trial

作　　者：李玲[1] 郑仕中[1] 汪海燕[1] 范娥[1] 朱艳萍[2] 魏清琳[1] 

机构地区：[1]甘肃中医药大学附属医院,兰州730020 [2]甘肃中医药大学,兰州730020

出　　处：《上海针灸杂志》2016年第12期1401-1404,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：甘肃省中医药管理局科研立项课题(GZK-2014-6)

摘　　要：目的观察穴位埋线对痰湿质高血压前期人群血压以及心血管危险因素的影响,评价穴位埋线疗法的有效性。方法将痰湿质高血压前期人群70例,随机分为治疗组和对照组,每组35例。治疗组给予穴位埋线,每10天埋线1次,1次为1个疗程,共治疗3个疗程。对照组给予口服半夏白术天麻汤,7 d为1个疗程,间隔3 d后进行第2个疗程,共治疗3个疗程。以血压、血脂、腰围(WC)和体重指数(BMI)为观察指标,测定治疗前与疗程结束后相关指标值。结果治疗组和对照组治疗前后收缩压(SBP)、舒张压(DBP)、血脂、WC、BMI比较差异均有统计学意义(P<0.05)。两组治疗后SBP、DBP、WC比较差异均具有统计学意义(P<0.05)。两组治疗后血脂、BMI比较差异无统计学意义(P>0.05)。结论穴位埋线防治高血压前期具有确切的疗效,能有效降低SBP、DBP、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL-C)、BMI,同时升高高密度脂蛋白(HDL-C)和减小WC。穴位埋线在相同的疗程下,在改善SBP、DBP和WC方面优于半夏白术天麻汤。Objective To observe the effect of acupoint thread embedding on the blood pressure and cardiovascular risk factors in prehypertension due to phlegm-dampness, and to evaluate the effectiveness of acupoint thread embedding. Method Seventy patients with prehypertension due to phlegm-dampness were randomized into a treatment group and a control group, 35 cases in each group. The treatment group was intervened by acupoint thread embedding, once every 10 d as a treatment course, totally for 3 courses. The control group was prescribed with Banxia Baizhu Tianma decoction, 7 d as a treatment course, with a 3-day interval between two courses, totally for 3 courses. The blood pressure, blood lipids, waist circumstance （WC） and body mass index （BMI） were observed before and after the treatment. Result The systolic blood pressure （SBP）, diastolic blood pressure （DBP）, blood lipids, WC, and BMI were significantly changed after treatment in the two groups （P〈0.05）. After treatment, there were significant differences in comparing the SBP, DBP, and WC between the two groups （P〈0.05）. The differences were statistically insignificant in comparing the blood lipids and BMI between the two groups （P〉0.05）. Conclusion Acupoint thread embedding is effective in preventing and treating prehypertension. It can effectively down-regulate the SBP, DBP, total cholesterol （TC）, triglyceride （TG）, and low-density lipoprotein cholesterol （LDL-C）, up-regulate the high-density lipoprotein cholesterol, and reduce WC. With same treatment courses, acupoint thread embedding can produce a better effect in improving the SBP, DBP, and WC compared with Banxi Baizhu Tianma decoction.

关 键 词：穴位疗法 埋线 痰湿 高血压 随机对照试验 

分 类 号：R246.1[医药卫生—针灸推拿学]