子午流注针法对痰热型失眠合并高血压患者睡眠及血压水平的影响  

Effects of Midnight-noon Ebb-flow Acupuncture on Sleep and Blood Pressure in Patients with Phlegm-heat Type Insomnia and Essential Hypertension

作　　者：李佳 田利芳[2] 梁燕[2] LI Jia;TIAN Lifang;LIANG Yan(The First Hospital of Xingtai,Xingtai 054000,China;Shijiazhuang Hospital of TCM,Shi jiazhuang 050051,China)

机构地区：[1]邢台市第一医院,河北邢台054000 [2]石家庄市中医院,河北石家庄050051

出　　处：《西部中医药》2024年第4期155-158,共4页Western Journal of Traditional Chinese Medicine

基　　金：石家庄市科学技术研究与发展计划项目(191460833)。

摘　　要：目的:探讨子午流注纳子法针刺对痰热型失眠合并原发性高血压患者的睡眠及血压水平的影响。方法:将67例痰热型失眠合并原发性高血压患者随机分为观察组33例和对照组34例。对照组予苯磺酸氨氯地平片和艾司唑仑片口服,观察组在对照组治疗的基础上加用子午流注纳子法针刺治疗,共治疗4个疗程。观察并比较两组治疗前后匹兹堡睡眠质量指数、症状、动态血压、血压变异性、平滑指数。结果:治疗后2组匹兹堡睡眠质量指数评分较治疗前下降(P<0.05),且观察组低于对照组(P<0.05)。两组治疗后的所有单项症状积分均较治疗前下降(P<0.05),除头重、胸闷外余各项症状评分观察组下降程度大于对照组(P<0.05)。两组治疗后动态血压、血压变异性各指标均低于治疗前(P<0.05),且观察组夜间平均收缩压、白天平均收缩压、夜间收缩压变异性、白天收缩压变异性均低于对照组(P<0.05);两组治疗后的平滑指数高于治疗前(P<0.05),且观察组的夜间收缩压平滑指数、白天收缩压平滑指数均高于对照组(P<0.05)。结论:子午流注纳子法针刺治疗失眠合并高血压患者疗效确切,可明显改善临床症状,降低血压变异性,平稳降压。Objective:To explore the effect of midnight-noon ebb-flow acupuncture on sleep and blood pressure in patients with phlegm-heat type insomnia combined with essential hypertension.Methods:Sixty-seven patients with phlegm-heat type insomnia and essential hypertension were randomly divided into 33 cases in the observation group and 34 cases in the control group.The control group was given amlodipine besylate tablets and estazolam tablets orally,and the observation group was treated with midnight-noon ebb-flow acupuncture on the basis of the treatment the control group accepted,they were treated for four courses of treatment.To observe and compare the Pittsburgh sleep quality index(PSQI),symptoms,dynamic blood pressure,blood pressure variability,and smoothness index before and after treatment in the two groups.Results:PSQI scores of the two groups decreased significantly after treatment compared with those before treatment(P<0.05),and the observation group was lower than the control group(P<0.05).All single symptom scores of the two groups after treatment decreased compared with those before treatment(P<0.05),and the decrease of the observation group was greater than that of the control group except for heavy sensation of head and oppression in chest(P<0.05).The dynamic blood pressure and blood pressure variability of both groups were lower than these before treatment(P<0.05),and the average systolic blood pressure at night,average systolic blood pressure during the day,systolic blood pressure variability at night and systolic blood pressure variability during the day of the observation group were lower than those of the control group(P<0.05);the smoothness indexes of both groups were higher than those before treatment(P<0.05),and the smoothness indexes of the night systolic blood pressure and daytime systolic blood pressure in the observation group were higher than those of the control group(P<0.05).Conclusion:Midnight-noon ebb-flow acupuncture could obtain definite clinical effects in treating patients with insomnia

关 键 词：失眠 原发性高血压 子午流注纳子法 针刺 匹兹堡睡眠质量指数 血压变异性 平滑指数 

分 类 号：R256.23[医药卫生—中医内科学]