耳尖放血联合揿针疗法治疗肝火亢盛型原发性高血压临床研究  

Clinical Study on Ear Apex Bloodletting Combined with Thumb-tack NeedlingTherapy for Primary Hypertension of Intense Liver Fire Type

作　　者：赖美丽 刘盈盈 林安妮 柯圆圆 LAI Meili;LIU Yingying;LIN Anni;KE Yuanyuan(Cardiovascular Department,Wenzhou Traditional Chinese Medicine Hospital of Zhejiang Chinese Medical University,Wenzhou Zhejiang 325000,China)

机构地区：[1]浙江中医药大学附属温州中医院心血管科,浙江温州325000

出　　处：《新中医》2024年第13期172-176,共5页New Chinese Medicine

基　　金：温州市科研项目(Y20190304)。

摘　　要：目的:观察耳尖放血联合揿针疗法治疗肝火亢盛型原发性高血压的临床疗效。方法:选择120例肝火亢盛型原发性高血压患者,以随机简单化法分为空白组、对照1组、对照2组和治疗组各30例。空白组行一般常规护理,对照1组行耳尖放血治疗,对照2组行揿针疗法治疗,治疗组行耳尖放血联合揿针疗法治疗。比较4组治疗前后血压水平、中医证候积分,并比较4组临床疗效。结果:治疗后30 min、1 h、2 h、24 h,对照1组、对照2组、治疗组收缩压、舒张压水平均降低(P<0.05),且治疗组低于同一时间点空白组、对照1组、对照2组(P<0.05);对照1组、对照2组同一时间点低于空白组(P<0.05),对照1组与对照2组同一时间点比较,差异无统计学意义(P>0.05)。治疗后,对照1组、对照2组、治疗组中医证候积分均降低(P<0.05),且治疗组低于空白组、对照1组、对照2组(P<0.05),对照1组、对照2组低于空白组(P<0.05),对照1组与对照2组比较,差异无统计学意义(P>0.05)。治疗后,治疗组总有效率93.33%,高于空白组23.33%、对照1组66.67%、对照2组70.00%(P<0.05);对照1组、对照2组总有效率高于空白组(P<0.05),对照1组与对照2组总有效率比较,差异无统计学意义(P>0.05)。结论:针对肝火亢盛型原发性高血压患者以耳尖放血联合揿针疗法治疗效果显著,有利于降低患者血压水平,减轻临床症状。Objective:To observe the clinical effect of ear apex bloodletting combined with thumb-tack needling therapy on primary hypertension of intense liver fire type.Methods:A total of 120 cases of patients with primary hypertension of intense liver fire type were divided into the blank group,the control group 1,the control group 2 and the treatment group according to the random simplification method,with 30 cases in each group.The blank group was given general routine care;the control group 1 was treated with ear apex bloodletting;the control group 2 was treated with thumb-tack needling therapy;the treatment group was treated with ear apex bloodletting combined with thumb-tack needling therapy.The blood pressure levels and traditional Chinese medicine syndrome scores before and after treatment as well as the clinical effects were compared among the four groups.Results:In 30 minutes,1 hour,2 hours,and 24 hours after treatment,the levels of systolic blood pressure and diastolic blood pressure in the control group 1,the control group 2 and the treatment group were decreased(P<0.05),and the levels inthe treatment group were lower than those in the blank group,the control group 1 and the control group2 at the same time point(P<0.05);the levels in the control group 1 and the control group 2 were lowerthan those in the blank group at the same time point(P<0.05);there was no significant difference in thecomparison of the above levels between the control group 1 and the control group 2 at the same timepoint(P>0.05).After treatment,traditional Chinese medicine syndrome scores in the control group 1,thecontrol group 2 and the treatment group were decreased(P<0.05),and the score in the treatment groupwas lower than those in the blank group,the control group 1 and the control group 2(P<0.05);thescores in the control group 1 and the control group 2 were lower than that in the blank group(P<0.05).there was no significant difference in the comparison of the above scores between the control group 1 andthe control group 2(P>0.05).After

关 键 词：原发性高血压 肝火亢盛型 耳尖放血 揿针疗法 中医证候积分 

分 类 号：R246.1[医药卫生—针灸推拿学]