Yin Changshik, Seo Byungkwan, Park Hi-Joon, Cho Miran, Jung Woosang, Choue Ryowon, Kim Changhwan, Park Hun-Kuk, Lee Hyejung, Koh Hyeonggyun
Department of Acupuncture, CHA Biomedical Center, College of Medicine, Pochon CHA University, Seoul 135-081, Korea.
Neurol Res. 2007;29 Suppl 1:S98-103. doi: 10.1179/016164107X172220.
This study assessed effects of acupuncture as an add-on to conventional antihypertensive managements such as medication or lifestyle modification for hypertensive or pre-hypertensive subjects.
A randomized, double-blind, placebo-controlled trial was conducted at Kyung Hee University Hospital. Forty-one hypertensive or pre-hypertensive (systolic BP> or =120 mmHg or diastolic BP> or =80 mmHg) volunteers were recruited and randomly assigned into real or sham acupuncture groups. The hypertensive subjects on antihypertensive medication continued their medication. Acupuncture point prescriptions were partially individualized, based on the Saam acupuncture theory. Park's sham needle method was adopted for the sham procedure. Measurements were performed at baseline, weeks 4 and 8. BP, scales of overall health and pain, and anticipation or satisfaction for the treatments, were recorded.
Thirty subjects completed the intervention, all of whom were on antihypertensive medication. The sham acupuncture group showed no significant change in mean BP, while the real acupuncture group showed a significant (p<0.01) decrease in mean BP after 8 weeks of intervention from 136.8/83.7 to 122.1/76.8 mmHg. Other factors showed no difference between the groups throughout the study.
Acupuncture seems to offer an additional benefit to the treatment of hypertensive patients.
本研究评估了针刺作为高血压或高血压前期患者常规降压治疗(如药物治疗或生活方式改变)辅助手段的效果。
在庆熙大学医院进行了一项随机、双盲、安慰剂对照试验。招募了41名高血压或高血压前期(收缩压≥120 mmHg或舒张压≥80 mmHg)志愿者,并随机分为真针刺组或假针刺组。正在服用降压药的高血压患者继续服药。针刺穴位处方基于四象针灸理论进行部分个体化。假针刺操作采用朴氏假针法。在基线、第4周和第8周进行测量。记录血压、总体健康和疼痛量表以及对治疗的预期或满意度。
30名受试者完成了干预,他们均正在服用降压药。假针刺组平均血压无显著变化,而真针刺组在干预8周后平均血压从136.8/83.7 mmHg显著降低至122.1/76.8 mmHg(p<0.01)。在整个研究过程中,其他因素在两组之间无差异。
针刺似乎为高血压患者的治疗提供了额外益处。