Lei Yun, Jin Jiu, Ban Haipeng, Du Yuzheng
Department of Acupuncture and Moxibustion, the First Teaching Hospital of Tianjin University of TCM, Tianjin 300381, China.
Zhongguo Zhen Jiu. 2017 Nov 12;37(11):1157-61. doi: 10.13703/j.0255-2930.2017.11.005.
To observe the effects of acupuncture combined with medication on circadian rhythm of blood pressure in patients with essential hypertension.
Sixty-four patients of essential hypertension were randomly divided into an observation group and a control group, 32 cases in each group. All the patients maintained original treatment (taking antihypertensive medication); the patients in the observation group were treated with acupuncture method of ", ", once a day, five times per week, for totally 6 weeks (30 times). The circadian rhythm of blood pressure and related dynamic parameters were observed before and after treatment in the two groups.
(1) The differences of daytime average systolic blood pressure (dASBP), daytime average diastolic blood pressure (dADBP), nighttime average systolic blood pressure (nASBP) and circadian rhythm of systolic blood pressure before and after treatment were significant in the observation group (all <0.05); the differences of circadian rhythm of blood pressure and related dynamic parameters before and after treatment were insignificant in the control group (all >0.05). The nASBP and circadian rhythm of systolic blood pressure in the observation group were significantly different from those in the control group (all <0.05). (2) After the treatment, the spoon-shaped rate of circadian rhythm of blood pressure in the observation group was higher than that in the control group (<0.05).
The acupuncture combined with medication could effectively improve the circadian rhythm of blood pressure and related dynamic parameters in patients with essential hypertension.
观察针刺联合药物治疗对原发性高血压患者血压昼夜节律的影响。
将64例原发性高血压患者随机分为观察组和对照组,每组32例。所有患者维持原治疗(服用降压药物);观察组患者采用“ ”针刺法治疗,每日1次,每周5次,共6周(30次)。观察两组治疗前后血压昼夜节律及相关动态参数。
(1)观察组治疗前后日间平均收缩压(dASBP)、日间平均舒张压(dADBP)、夜间平均收缩压(nASBP)及收缩压昼夜节律差异均有统计学意义(均<0.05);对照组治疗前后血压昼夜节律及相关动态参数差异无统计学意义(均>0.05)。观察组nASBP及收缩压昼夜节律与对照组比较差异有统计学意义(均<0.05)。(2)治疗后,观察组血压昼夜节律勺型率高于对照组(<0.05)。
针刺联合药物治疗可有效改善原发性高血压患者血压昼夜节律及相关动态参数。