电针刺激联合推拿治疗颈源性高血压的效果及对颈椎功能、血压变异性的影响  

Curative effect of electroacupuncture stimulation combined with massage on cervical hypertension and its influences on neck function and blood pressure variability

作　　者：汪昌参 李娜 WANG Changshen;LI Na(Department of Rehabilitation Medicine and Physiotherapy,Anhui Provincial Corps Hospital of the Armed Police Force,Hefei Anhui 230041,China;Department of Rehabilitation Medicine,Liyuan Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan Hubei 430077,China)

机构地区：[1]武警部队安徽省总队医院康复医学与理疗科,安徽合肥230041 [2]华中科技大学同济医学院附属梨园医院康复医学科,湖北武汉430077

出　　处：《四川中医》2024年第4期210-214,共5页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨电针刺激联合推拿治疗颈源性高血压(CHBP)的效果及对颈椎功能、血压变异性的影响。方法:回顾性分析2022年1月~2023年1月在本院确诊的120例CHBP患者,采用简单随机分组,分为观察组(n=60)和对照组(n=60)。对照组采用西医常规降压治疗,观察组在对照组的基础上采用电针刺激联合推拿,均治疗1个月。比较两组CHBP患者的中医证候评分、疗效、颈椎情况、血压变异性。结果:治疗后,观察组和对照组中医证候评分均低于治疗前,且观察组低于对照组(P<0.05);治疗后,观察组总有效率85.00%,高于对照组70.00%(P<0.05);治疗后,观察组和对照组的前屈、后伸、左旋、右旋角度均高于治疗前,且观察组高于对照组,观察组和对照组的颈椎功能障碍指数(NDI)评分低于治疗前,且观察组低于对照组(P<0.05);治疗后,观察组和对照组的24h平均收缩压、24h平均舒张压、24h收缩压变异性均低于治疗前,且观察组低于对照组(P<0.05)。结论:电针刺激联合推拿治疗CHBP患者,可有效改善患者的颈椎活动度、颈椎功能,降低血压变异性。Objective To explore the curative effect of electroacupuncture stimulation combined with massage on cervical hypertension(CHBP)and its influences on neck function and blood pressure variability.Methods A total of 120patients with CHBP confirmed in the hospital were retrospectively enrolled between January 2022and January 2023.According to simple randomization method,they were divided into observation group(n=60)and control group(n=60).The control group was treated with routine western medicine,while observation group was additionally given electroacupuncture stimulation combined with massage.All were treated for 1months.The scores of TCM syndromes,curative effect,neck function and blood pressure variability were compared between the two groups.Results After treatment,scores of TCM syndromes in both groups were decreased,which were lower in observation group than control group(P<0.05).After treatment,total response rate of observation group was higher than that of control group(85.00%vs 70.00%,P<0.05).After treatment,angles of anterior flexion,posterior extension,left rotation and right rotation were increased,which were greater in observation group than control group,and scores of neck disability index(NDI)were decreased,which were lower in observation group than control group(P<0.05).After treatment,24h mean systolic blood pressure,24h mean diastolic blood pressure and 24h systolic blood pressure variability in both groups were decreased,which were lower in observation group than control group(P<0.05).Conclusion Electroacupuncture stimulation combined with massage can effectively improve range of motion,neck function and reduce blood pressure variability in patients with CHBP.

关 键 词：电针刺激 推拿 颈源性高血压 颈椎功能 血压变异性 

分 类 号：R246.1[医药卫生—针灸推拿学]