五禽戏功法锻炼联合针刺治疗1级原发性高血压:随机对照实验  

Wuqin Exercise in Combination with Acupuncture for the Treatment of Grade 1 Essential Hypertension:Randomized Controlled Tria

作　　者：郎秋雯 李佩芳[1] LANG Qiuwen;LI Peifang(Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Anhui Hefei 230061,China)

机构地区：[1]安徽中医药大学第二附属医院,安徽合肥230061

出　　处：《中医药临床杂志》2024年第11期2204-2208,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽省中医药领军人才(皖中医药发展秘[2023]35号);安徽省名老中医(李佩芳)传承工作室建设项目(皖卫中医药发[2019]8号);安徽省第十三批115产业创新团队“针药结合防治脑病产业创新团队”项目(皖人才办[2020]4号);安徽中医药大学2022年度中医养生学及中医康复学科开放课题项目计划(2022ZJXK09);安徽中医药大学2022年度针灸学科平台依托科研项目计划(2022ZJPY10)。

摘　　要：目的:观察五禽戏功法锻炼联合针刺治疗对1级原发性高血压(Essential Hypertension,EH)患者的降压效果,并对其作用机制进行探究。方法:将68例1级EH患者随机分为五禽戏联合针刺组:34例,脱落3例和针刺组:34例,脱落2例,针刺组给予针刺治疗,五禽戏联合针刺组在针刺治疗的基础上,加用五禽戏功法锻炼进行干预,2次/d,每周5d。2组均治疗12周,观察治疗前后2组患者血压值及hs-CRP水平,并评定2组降压疗效。结果:治疗后,2组患者的收缩压及舒张压均较治疗前降低(P<0.01),且五禽戏联合针刺组低于针刺组(P<0.05)。治疗后,2组患者血清中hs-CRP水平均较治疗前降低(P<0.01),且五禽戏联合针刺组低于针刺组(P<0.05)。五禽戏联合针刺组的总有效率87.10%(27/31),高于针刺组的53.12%(17/32)。结论:五禽戏功法锻炼结合针刺治疗可降低1级EH患者的血压,其机制可能与下调体内炎症因子表达含量有关。Objective:To observe the effect of the combination of Wuqin exercise and acupuncture on patients with grade 1 Essential Hypertension(EH),and explore its mechanism.Methods:68 patients with grade 1 EH were randomly divided into a group that combined the Five Animals Exercise with acupuncture:34 patients,with 3 dropouts,and an acupuncture group:34 patients,with 2 dropouts.The acupuncture group received acupuncture treatment,while the group that combined the Five Animals Exercise with acupuncture received acupuncture treatment plus Five Animals Exercise training,twice a day,five days a week.Both groups were treated for 12 weeks,and their blood pressure values and hs-CRP levels were observed before and after treatment,and the efficacy of lowering blood pressure was evaluated.Results:After treatment,both groups of patients had lower systolic and diastolic blood pressure than before treatment(P<0.01),and the combined group of Wuzhi exercise and acupuncture had lower blood pressure than the acupuncture group(P<0.05).After treatment,the level of hs-CRP in the serum of both groups of patients was lower than before treatment(P<0.01),and the combined group of Wuzhi exercise and acupuncture was lower than the acupuncture group(P<0.05).The total effective rate of the combined group of Wuzhi exercise and acupuncture was 87.10%(27/31),which was higher than the acupuncture group's 53.12%(17/32).Conclusion:Wuqin exercise combined with acupuncture can reduce the blood pressure of patients with grade 1 EH,the mechanism may be related to the down-regulation of the expression of inflammatory factors in vivo.

关 键 词：1级EH 五禽戏功法 针刺治疗 HS-CRP 

分 类 号：R245.31[医药卫生—针灸推拿学]