针刺人迎穴对缺血性脑卒中伴原发性高血压患者血压的影响  

Effect of acupuncture at Renying(ST 9) on blood pressure in patients with ischemic stroke complicated with essential hypertension

作　　者：冯闪闪[1] 孙朝军 郭蕴萍 石学敏[1] FENG Shan-shan;SUN Chao-jun;GUO Yun ping;SHI Xue-min(Department of Acupuncture and Moxibustion,First Teaching Hospital Affiliated to Tianjin University of TCM,Tianjin 300193,China;Department of TCM,Ronghua Hospital of TCM in Tianjin Binhai;Department of Acupuncture and Moxibustion,Longhua Hospital Affiliated to Shanghai University of TCM)

机构地区：[1]天津中医药大学第一附属医院针灸部,天津300193 [2]天津滨海荣华中医医院中医科 [3]上海中医药大学附属龙华医院针灸科

出　　处：《中国针灸》2019年第11期1160-1163,1190,共5页Chinese Acupuncture & Moxibustion

基　　金：国家中医药管理局中医药行业科研专项项目：201507001-08

摘　　要：目的:观察针刺人迎穴对缺血性脑卒中伴原发性高血压患者清晨血压、日间高峰血压及全天血压负荷的影响。方法:将80例患者(3例脱落)随机分为观察组(39例)和对照组(38例)。两组均以醒脑开窍针刺法加口服硝苯地平缓释片为基础治疗,观察组在此基础上加用针刺人迎穴,每日1次,每周6次,共治疗4周。比较两组患者治疗前后清晨血压、日间高峰血压和全天血压负荷的变化。结果:治疗后两组清晨血压、日间高峰血压和全天血压负荷均较治疗前下降(均P<0.05);其中观察组清晨收缩压下降幅度与对照组比较差异无统计学意义(P>0.05),清晨舒张压、日间高峰血压、全天血压负荷下降幅度大于对照组(均P<0.05)。结论:在醒脑开窍针刺法加口服硝苯地平缓释片治疗基础上,针刺人迎穴能有效降低缺血性脑卒中伴原发性高血压患者的清晨血压、日间高峰血压和全天血压负荷。Objective To observe the effect of acupuncture at Renying(ST 9) on morning blood pressure, daytime peak blood pressure and 24-hour blood pressure load in patients with ischemic stroke complicated with essential hypertension. Methods A total of 80 patients(3 cases dropped off) were randomized into an observation group(39 cases) and a control group(38 cases). Xingnao Kaiqiao acupuncture and nifedipine were given in the control group. On the basis of treatment in the control group, acupuncture at Renying(ST 9) was applied in the observation group, once a day, 6 times a week for 4 weeks. The changes of morning blood pressure, daytime peak blood pressure and blood pressure load were observed before and after treatment in the two groups. Results Compared before treatment, morning blood pressure, daytime peak blood pressure and blood pressure load after treatment were reduced in the two groups(all P<0.05). The change of morning systolic pressure in the observation group was not significant as compared with that in the control group(P>0.05);the changes of morning diastolic pressure, daytime peak blood pressure and blood pressure load in the observation group were larger than those in the control group(all P<0.05). Conclusion On the basis of Xingnao Kaiqiao acupuncture and nifedipine, acupuncture at Renying(ST 9) can effectively reduce morning blood pressure, daytime peak blood pressure and blood pressure load in patients with ischemic stroke complicated with essential hypertension.

关 键 词：脑卒中 原发性高血压 针刺 穴 人迎 清晨血压 日间高峰血压 全天血压负荷 

分 类 号：R246.1[医药卫生—针灸推拿学]