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[活血祛风针刺法对高血压前期患者血压的影响]

[Effects of Blood Activating Wind Dissipating Acupuncture on Blood Pressure of Prehypertension Patients].

作者信息

Gu Wen-long, Liu Chang-xi, Wang Zeng-rong, Gong Feng-mei, Wang Tao, Du Yu-zheng

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2015 Nov;35(11):1318-21.

Abstract

OBJECTIVE

To observe the effects of blood activating wind dissipating acupuncture (BAWDA) on blood pressure (BP) of prehypertension (PHT) patients.

METHODS

Totally 60 PHT patients were assigned to the control group and the acupuncture group according to random digit table, 30 in each group. All patients were intervened by life style. BAWDA was additionally performed in patients in the acupuncture group for 6 weeks (30 times). The improvement of BP after intervened by acupuncture was observed. BP success rates and the proportion of PHT progressing to hypertension (HT) were also observed after 6-week intervention of acupuncture and at 1-year follow-up.

RESULTS

Systolic blood pressure (SBP) and diastolic blood pressure (DBP) decreased after 6-week intervention in the acupuncture. The BP control rate was 56.7% (17/30 cases) in the acupuncture group vs.10.0% (3/30 cases) in the control group with statistical difference (chi2 = 14.70, P < 0.01). At 1-year follow-up BP success rate was 36.7% (11/30 cases) in the acupuncture group, remarkably higher than that of the control group [13.3%, (4/30 cases)] (chi2 = 4.36, P < 0.05).

CONCLUSIONS

BAWDA showed BP regulating roles in a gradually stable decreasing tendency. It also could elevate BP success rate of PHT, and reduce the risk of PHT progressing to HT.

摘要

目的

观察活血祛风针法对高血压前期(PHT)患者血压(BP)的影响。

方法

将60例PHT患者按随机数字表法分为对照组和针刺组,每组30例。所有患者均进行生活方式干预。针刺组患者加用活血祛风针法治疗6周(30次)。观察针刺干预后血压的改善情况。针刺干预6周后及随访1年时,观察血压达标率及PHT进展为高血压(HT)的比例。

结果

针刺组干预6周后收缩压(SBP)和舒张压(DBP)均下降。针刺组血压控制率为56.7%(17/30例),对照组为10.0%(3/30例),差异有统计学意义(χ2 = 14.70,P < 0.01)。随访1年时,针刺组血压达标率为36.7%(11/30例),显著高于对照组[13.3%,(4/30例)](χ2 = 4.36,P < 0.05)。

结论

活血祛风针法对血压具有调节作用,呈现出逐渐稳定下降的趋势。它还能提高PHT的血压达标率,并降低PHT进展为HT的风险。

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