Yang Dian-Hui
Department of Acupuncture and Moxibustion, Affiliated Hospital of Shandong University of TCM, Jinan 250011, China.
Zhongguo Zhen Jiu. 2010 Jul;30(7):547-50.
To compare the therapeutic effect of electroacupuncture and western medication on blood pressure variability in young patients with hypertension.
Sixty cases of hypertension in young patients were randomized into an electroacupuncture group and a western medication group, 30 cases in each one. In electroacupuncture group, electroacupuncture was applied on Quchi (LI 11) and Taichong (LR 3). In western medication group, Captopril was taken orally. Twenty-four hour dynamic blood pressure, blood pressure variability and day-night rhythm were observed after 14 days treatment in two groups.
Electroacupuncture on Quchi (LI 11) and Taichong (LR 3) reduced systolic pressure and diastolic pressure at different time phases in young patients with hypertension (all P < 0.01), which did not present significant statistical difference as compared with western medication group (all P > 0.05). Electroacupuncture on Quchi (Li, 11) and Taichong (LR 3) reduced apparently the standard deviations of systolic pressure and diastolic pressure at different time phases in young patients with hypertension, indicating significant statistical differences as compared with the deviations before the treatment (P < 0.01, P < 0.05). The statistical significance presented in 24 h systolic standard deviation (24 h SSD), 24 h diastolic standard deviation (24 h DSD), daytime SSD (dSSD), nighttime SSD (nSSD) and nighttime DSD (nDSD) between two groups (P < 0.01, P < 0.05). In comparison of the numbers of Dippers and non-Dippers in two groups, the significant statistical difference presented between two groups after treatment (P < 0.05).
Electroacupuncture on Quchi (LI 11) and Taichong (LR 3) has long-term antihypertensive effect and improves effectively day-night rhythm variation in young patients with hypertension. Quchi (LI 11) and Taichong (LR 3) are the effective pair points for hypertension treated with acupuncture.
比较电针与西药对青年高血压患者血压变异性的治疗效果。
将60例青年高血压患者随机分为电针组和西药组，每组30例。电针组取曲池（LI 11）、太冲（LR 3）进行电针治疗。西药组口服卡托普利。两组治疗14天后观察24小时动态血压、血压变异性及昼夜节律。
电针曲池（LI 11）、太冲（LR 3）可降低青年高血压患者不同时段的收缩压和舒张压（均P < 0.01），与西药组比较差异无统计学意义（均P > 0.05）。电针曲池（LI 11）、太冲（LR 3）可明显降低青年高血压患者不同时段收缩压和舒张压的标准差，与治疗前比较差异有统计学意义（P < 0.01，P < 0.05）。两组24小时收缩压标准差（24 h SSD）、24小时舒张压标准差（24 h DSD）、日间SSD（dSSD）、夜间SSD（nSSD）及夜间DSD（nDSD）比较差异有统计学意义（P < 0.01，P < 0.05）。比较两组杓型与非杓型人数，治疗后两组差异有统计学意义（P < 0.05）。
电针曲池（LI 11）、太冲（LR 3）对青年高血压患者有长期降压作用，并能有效改善昼夜节律变化。曲池（LI 11）、太冲（LR 3）是针刺治疗高血压的有效穴位配伍。
