子午流注择时循经刮痧干预1级原发性高血压(肝阳上亢型)患者的疗效观察  

Clinical Efficacy Observation on Ziwu Liuzhu Scrapping Intervention for Patients with Class 1 Essential Hypertension(Liver Yang Hyperactivity Syndrome)

作　　者：刘彬 章琼[1] 邓娟娟 孟欣 LIU Bin;ZHANG Qiong;DENG Juanjuan;MENG Xin(The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China;Hunan University of Chinese Medicine,Changsha,Hunan 410208,China)

机构地区：[1]湖南中医药大学第一附属医院,湖南长沙410007 [2]湖南中医药大学,湖南长沙410208

出　　处：《湖南中医药大学学报》2020年第5期630-634,共5页Journal of Hunan University of Chinese Medicine

基　　金：湖南省中医药科研计划项目(2017142)。

摘　　要：目的观察子午流注择时循经刮痧干预1级原发性高血压(肝阳上亢型)患者的疗效。方法选取60例初诊为1级原发性高血压(肝阳上亢型)患者,随机分为观察组和对照组各30例,研究中失访2例,最终纳入并进行数据分析的患者共58例。对照组给予常规生活方式干预,观察组在对照组的基础上根据子午流注理论于辰时(7:00~9:00)实施循经刮痧疗法,疗程为4周。比较两组患者干预前、干预第1天、干预第7天、干预第14天、干预第28天、干预结束后第15天的血压及中医证候积分变化情况。结果干预后观察组的收缩压水平与对照组相比,差异有统计学意义(P<0.05);干预后观察组的中医证侯积分下降明显,与对照组比较,差异有统计学意义(P<0.05)。结论运用子午流注理论择辰时循经刮痧干预肝阳上亢型高血压患者,可有效降低收缩压水平,明显改善临床症状,提高生活质量。Objective To observe the therapeutic effect of Ziwu Liuzhu on class 1 hypertension patients with hyperactivity of liver Yang syndrome. Methods A total of 60 patients with initial diagnosis of class 1 hypertension were randomly divided into an observation group and a control group, with 30 cases in each group, and 2 cases were lost in the study. Finally, 58 patients were included in the data analysis. The control group was given routine lifestyle intervention. On the basis of the control group, the observation group was treated by scraping along meridians at Chenshi(7:00-9:00) according to the theory of Ziwu Liuzhu. The course of treatment was 4 weeks. The changes of blood pressure and traditional Chinese medicine(TCM) syndrome score before intervention, and on the 1 st, 7 th, 14 th, 28 thof intervention and 15 thday after intervention were compared between the 2 groups.Results After intervention, the comparison of systolic blood pressure between the observation group and the control group showed statistically significant difference(P <0.05). The score of TCM syndrome in the observation group decreased significantly after intervention, and the difference was statistically significant compared with the control group(P<0.05). Conclusion Scraping along meridians at Chenshiaccording to the theory of Ziwu Liuzhu in the treatment of hypertension patients with hyperactivity of liver Yang syndrome can effectively reduce systolic blood pressure, improve clinical symptoms and improve quality of life.

关 键 词：原发性高血压 肝阳上亢型 子午流注 刮痧 辰时 

分 类 号：R244.4[医药卫生—针灸推拿学] R255.3[医药卫生—中医临床基础]