[1]谢蕊 　张贵敏 　冯跃 **.针刺联合推桥弓治疗轻度原发性高血压临床研究[J].陕西中医药大学学报,2021,44(02):101-105.[doi:10.13424/j.cnki.jsctcm.2021.02.021]
　XIE Rui,ZHANG Gui - min,FENG Yue.Clinical Efficacy of Acupuncture Combined with Push Bridge Arch in The Treatment of Mild Essential Hypertension[J].Journal of Shaanxi University of Traditional Chinese Medicine,2021,44(02):101-105.[doi:10.13424/j.cnki.jsctcm.2021.02.021]
点击复制

针刺联合推桥弓治疗轻度原发性高血压临床研究
分享到：

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
44
期数:
2021年02期
页码:
101-105
栏目:
出版日期:
2021-03-20

文章信息/Info

Title:
Clinical Efficacy of Acupuncture Combined with Push Bridge Arch in The Treatment of Mild Essential Hypertension
文章编号:
2096-1340(2021)02-0101-05
作者:
谢蕊 1　张贵敏 1　冯跃 2**
1. 成都市郫都区中医医院,四川 成都 611730;
2. 成都中医药大学,四川 成都 610000
Author(s):
XIE Rui 1 ;  ZHANG Gui - min 1 ;  FENG Yue 2
1. Pidu district hospital of traditional Chinese medicine, Chengdu 611730,China;
2. Chengdu university of traditional Chinese medicine, Chengdu 610000,China
关键词:
针刺疗法; 推桥弓; 穴位贴敷; 原发性高血压; 临床疗效
Keywords:
Acupuncture therapy;  Push bridge arch;  Acupoint application;  Essential hypertension;  Clinical efficacy
分类号:
R544.1
DOI:
10.13424/j.cnki.jsctcm.2021.02.021
文献标志码:
A
摘要:
目的 观察针刺联合推桥弓治疗轻度原发性高血压临床疗效。 方法 采用数字表法将确诊的轻度原发性高血压患者随机分为 2 组,治疗组 34 例给予针刺太冲穴联合推桥弓法治疗,对照组 34 例给予吴茱萸穴位贴敷涌泉穴,两组均治疗 4 周。 分别观察两组总疗程前及治疗后的即时、24 小时、1 周、4 周的血压情况。 结果治疗组患者经治疗后,其即时、24 小时、1 周、4 周收缩压(SBP)分别为(132. 62 ± 3. 21)mmHg、(131. 50 ± 3. 10)mmHg、(130. 94 ± 3. 72) mmHg、 (131. 41 ± 3. 64) mmHg, 舒张压 ( DBP) 分别为 (81. 68 ± 3. 80) mmHg、(80. 91 ±3. 48)mmHg、(80. 82 ±3. 25)mmHg、(81. 03 ±3. 73)mmHg;对照组治疗后即时、24 小时、1 周、4 周收缩压(SBP)分别为(138. 88 ±3. 83)mmHg、(137. 74 ±3. 56)mmHg、(137. 29 ±3. 75)mmHg、(138. 06 ±3. 74)mmHg,舒张压(DBP)分别为(84. 59 ±3. 47)mmHg、(83. 50 ±3. 11)mmHg、(82. 76 ±3. 10)mmHg、(83. 29 ±3. 22)mmHg。比较治疗组、对照组患者的收缩压、舒张压分别在治疗前及治疗后的即时、24 小时、1 周、4 周的数据变化,发现治疗前与治疗后的即时、24 小时、1 周、4 周收缩压、舒张压差异在两组患者中均有统计学意义(P <0. 05);两组患者的治疗前与治疗后的即时、24 小时、1 周、4 周的收缩压降低值、舒张压降低值差异具有统计学意义(P <0. 05)。 结论 针刺联合推桥弓治疗轻度原发性高血压疗效较好。目的 观察针刺联合推桥弓治疗轻度原发性高血压临床疗效。 方法 采用数字表法将确诊的轻度原发性高血压患者随机分为 2 组,治疗组 34 例给予针刺太冲穴联合推桥弓法治疗,对照组 34 例给予吴茱萸穴位贴敷涌泉穴,两组均治疗 4 周。 分别观察两组总疗程前及治疗后的即时、24 小时、1 周、4 周的血压情况。 结果治疗组患者经治疗后,其即时、24 小时、1 周、4 周收缩压(SBP)分别为(132. 62 ± 3. 21)mmHg、(131. 50 ± 3. 10)mmHg、(130. 94 ± 3. 72) mmHg、 (131. 41 ± 3. 64) mmHg, 舒张压 ( DBP) 分别为 (81. 68 ± 3. 80) mmHg、(80. 91 ±3. 48)mmHg、(80. 82 ±3. 25)mmHg、(81. 03 ±3. 73)mmHg;对照组治疗后即时、24 小时、1 周、4 周收缩压(SBP)分别为(138. 88 ±3. 83)mmHg、(137. 74 ±3. 56)mmHg、(137. 29 ±3. 75)mmHg、(138. 06 ±3. 74)mmHg,舒张压(DBP)分别为(84. 59 ±3. 47)mmHg、(83. 50 ±3. 11)mmHg、(82. 76 ±3. 10)mmHg、(83. 29 ±3. 22)mmHg。比较治疗组、对照组患者的收缩压、舒张压分别在治疗前及治疗后的即时、24 小时、1 周、4 周的数据变化,发现治疗前与治疗后的即时、24 小时、1 周、4 周收缩压、舒张压差异在两组患者中均有统计学意义(P <0. 05);两组患者的治疗前与治疗后的即时、24 小时、1 周、4 周的收缩压降低值、舒张压降低值差异具有统计学意义(P <0. 05)。 结论 针刺联合推桥弓治疗轻度原发性高血压疗效较好。
Abstract:
Objective To observe the clinical effects of acupuncture combined with push bridge arch in the treatment of mild essential hypertension. Methods Patients with mild essential hypertension were randomly divided into two groups by digital table method. 34 cases in the treatment group were treated with acupuncture at Taichong Point Combined with pushing bridge bow method, while 34 cases in the control group were treated with Wuzhuyu point sticking at Yongquan point. Both groups were treated for 4 weeks. The blood pressure of the two groups were observed before and after the treatment. Results After treatment, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the treat-ment group were (132. 62 ± 3. 21) mmHg, (131. 50 ± 3. 10) mmHg, (130. 94 ± 3. 72) mmHg, (131. 41 ± 3. 64) mmHg and (81. 68 ± 3. 80) mmHg, (80. 91 ± 3. 48) mmHg, (80. 82 ± 3. 25) mmHg, (81. 03 ± 3. 73) mmHg, respectively, while those of the control group were (81. 68 ± 3. 80) mmHg, (80. 91 ± 3. 48) mmHg, (80. 82 ± 3.25) mmHg and (81. 03 ± 3. 73) mmHg, respectively Systolic blood pressure (SBP) was (138. 88 ± 3. 83) mmHg, (137. 74 ± 3. 56) mmHg, (137. 29 ± 3. 75) mmHg, (138. 06 ± 3. 74) mmHg, diastolic blood pressure (DBP) was (84. 59 ± 3. 47) mmHg, (83. 50 ± 3. 11) mmHg, (82. 76 ± 3. 10) mmHg, (83. 29 ± 3. 22) mmHg, respectively. The data changes of systolic blood pressure and diastolic blood pressure before and after treatment in the treatment group and the control group were compared. It was found that the differences of systolic blood pressure and diastolic blood pres- sure before and after treatment in the two groups were statistically significant (P < 0. 05); the differences of systolic blood pressure and diastolic blood pressure before and after treatment in the two groups were statistically significant (P <0. 05) There were significant differences in systolic blood pressure and diastolic blood pressure (P < 0. 05). Conclusion Acupuncture combined with push bridge arch is effective in the treatment of mild essential hypertension. Objective To observe the clinical effects of acupuncture combined with push bridge arch in the treatment of mild essential hypertension. Methods Patients with mild essential hypertension were randomly divided into two groups by digital table method. 34 cases in the treatment group were treated with acupuncture at Taichong Point Combined with pushing bridge bow method, while 34 cases in the control group were treated with Wuzhuyu point sticking at Yongquan point. Both groups were treated for 4 weeks. The blood pressure of the two groups were observed before and after the treatment. Results After treatment, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) of the treat-ment group were (132. 62 ± 3. 21) mmHg, (131. 50 ± 3. 10) mmHg, (130. 94 ± 3. 72) mmHg, (131. 41 ± 3. 64) mmHg and (81. 68 ± 3. 80) mmHg, (80. 91 ± 3. 48) mmHg, (80. 82 ± 3. 25) mmHg, (81. 03 ± 3. 73) mmHg, respectively, while those of the control group were (81. 68 ± 3. 80) mmHg, (80. 91 ± 3. 48) mmHg, (80. 82 ± 3.25) mmHg and (81. 03 ± 3. 73) mmHg, respectively Systolic blood pressure (SBP) was (138. 88 ± 3. 83) mmHg, (137. 74 ± 3. 56) mmHg, (137. 29 ± 3. 75) mmHg, (138. 06 ± 3. 74) mmHg, diastolic blood pressure (DBP) was (84. 59 ± 3. 47) mmHg, (83. 50 ± 3. 11) mmHg, (82. 76 ± 3. 10) mmHg, (83. 29 ± 3. 22) mmHg, respectively. The data changes of systolic blood pressure and diastolic blood pressure before and after treatment in the treatment group and the control group were compared. It was found that the differences of systolic blood pressure and diastolic blood pres- sure before and after treatment in the two groups were statistically significant (P < 0. 05); the differences of systolic blood pressure and diastolic blood pressure before and after treatment in the two groups were statistically significant (P <0. 05) There were significant differences in systolic blood pressure and diastolic blood pressure (P < 0. 05). Conclusion Acupuncture combined with push bridge arch is effective in the treatment of mild essential hypertension.

参考文献/References:

[1]周晔玲. 中医药治疗原发性高血压的基础与临床研究综述[J]. 中西医结合心脑血管病杂志,2011,9(1):90-91.
[2]郑德裕. 鉴别高血压病因的重要意义[J]. 中国循环杂志,2002,(2):4 -5.
[3]中国高血压防治指南修订委员会. 中国高血压防治指南(2018 年修订版) [J]. 中国心血管杂志,2019,24(1):24 -56.
[4]金宏柱简明推拿辞典[M]. 上海:上海科学技术出版社,2005:178.
[5]苗嘉芮,张立德,曲怡. 高血压前期中医病因病机理论溯源[J]. 辽宁中医杂志,2014,41(9)1879 -1881.
[6]廖润鸿. 针灸集成[M]. 北京:中国中医药出版,1998.
[7]郑冰元,梁可,乔铁,等. 高血压古代文献研究[J]. 辽宁中医药大学学报,2016,18(8):185 -188.
[8]杨玥,周桂桐. 针灸组方治疗原发性高血压临床研究[J]. 中医药学报,2010,38(5):106 -107.
[9]张春红,卞金玲,杜宇征,等. 针刺治疗高血压 60 例[J]. 上海针灸杂志,2010,29(8):490 -491.
[10]刘鹏,陈艳芬,刘凯,等. 推拿治疗高血压 71 例临床效果观察[J]. 中国民康医学,2010,22(21):2771.
[11]黄谷,蔡黎,周端. 推拿治疗轻度高血压的临床研究[J]. 光明中医,2010,25(5):867 -869.
[12]周粉峰,袁有才,段筱妍,等. 点压五穴联合中药枕治疗肝阳上亢型高血压 43 例疗效观察[J]. 陕西中医药大学学报,2018,41(1):39 -41.
[13]王伟瑛. 中医针灸治疗高血压的临床价值分析[J]. 心血管病防治知识,2015,(12):24.
[14]段颖华,洪文. 原发性高血压针灸治疗规律探讨[J].陕西中医,2002, 23 (8) :723 -725.
[15]陈骥,吴曦,梁繁荣. 针刺治疗原发性高血压临床对照试验 分 析 [ J]. 辽 宁 中 医 杂 志,2017,44 (8):1580-1585.
[16]刘元华. 传统手法治疗高血压的机理探讨[J]. 中医外治杂志,2005,14(2):32 -33.
[17]娄晓峰. 头面部推拿与推桥弓辅助治疗高血压临床疗效比较[J]. 浙江中西医结合杂志,2009,19(4):209-210.
[18]冯跃,杨洁,杨馨. 桥弓穴源流简考[J]. 杏林中医药,2010,30 (6):542 -543.
[19]孙静文,王朝阳,温又霖,等. 药物贴敷涌泉穴治疗高血压病的临床疗效观察[J]. 中华中医药杂志,2016,31(3):1116 -1120.
[20]唐望海,张李兴,李莉芳. 吴茱萸穴位贴敷治疗高血压病 56 例[J]. 深圳中西医结合杂志,2013,23(6):375-376.
[21]王丽萍. 穴位贴敷治疗老年阴虚阳亢型高血压疗效观察[J]. 上海针灸杂志,2015,34(5):421 -423.
[22]孙静,于玲. 吴茱萸贴敷涌泉穴治疗原发性高血压 40例[J]. 云南中医中药杂志,2015,36(11):26 -27.
[23]王丽丽. 复方吴茱萸散涌泉穴穴位贴敷干预晨峰高血压的临床研究[D]. 济南:山东中医药大学,2017.
[24]吴川丽,林娴,薛兰霞. 耳穴压豆联合吴茱萸贴敷涌泉穴治疗原发性高血压疗效观察[J]. 海南医学,2017:28(2):287 -288.
[25]李娜,李金花,陈飞娟,等. 耳穴埋豆与穴位贴敷辅助治疗原发性高血压的疗效观察[J]. 陕西中医药大学学报,2018,41(5):38 -40.

相似文献/References:

[1]王先永 王 豆 李明亮.针刺联合中药解郁宁神汤治疗卒中后抑郁 ３０例[J].陕西中医药大学学报,2019,(05):078.[doi:10.13424/j.cnki.jsctcm.2019.05.018]
[2]李晓阳 陈扬贺书萌苏同生.针刺治疗腰椎管狭窄症的取穴规律研究[J].陕西中医药大学学报,2021,44(05):091.[doi:10.13424/j.cnki.jsctcm.2021.05.019]

备注/Memo

备注/Memo:
基金项目:四川省科技厅科技计划项目(2019YJ0490)
通讯作者:冯跃,副教授,硕士研究生导师。 E - mail:76149732@ qq. Com
更新日期/Last Update: 2021-03-29