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针刺治疗肝阳上亢型高血压的临床研究。

Clinical study on acupuncture treatment of hypertension with hyperactivity of liver yang.

机构信息

School of Acupuncture-Moxibustion and Tuina, Beijing University of Chinese Medicine.

Dongzhimen Hospital, Beijing University of Chinese Medicine, Beijing, China.

出版信息

Medicine (Baltimore). 2021 Apr 30;100(17):e25668. doi: 10.1097/MD.0000000000025668.

Abstract

INTRODUCTION

Hypertension can lead to different degrees complications of cardiovascular and cerebrovascular, and increase the risk of sudden death. Acupuncture has become a complementary alternative therapy for hypertension because of its antihypertensive and nontoxic side effects. However, there is still lack of evidence-based medicine evidence for an effective acupuncture antihypertensive prescription. The purpose of this study is to evaluate the effect of a special acupuncture prescription on hypertension with hyperactivity of liver yang.

METHODS

In this randomized controlled trial, we will recruit 56 hypertensive patients with hyperactivity of liver yang. Then the patients will be randomly divided into control group and experimental group. The control group will be treated with western medicine, and the experimental group will be treated with medicine combined with acupuncture. The intervention will last 4 weeks. The indices will be collected before acupuncture, after acupuncture, and 2 weeks after acupuncture. The primary outcome will be 24-hour ambulatory blood pressure. The secondary outcomes will be clinic blood pressure, anxiety and depression score, and the syndrome score of hyperactivity of liver yang. The auxiliary indicators will be blood pressure load values and salt sensitivity risk rate. The exploratory indicator will be acupoint diagnosis. The safety evaluation indicator will be incidence of adverse events.

DISCUSSION

The results of this study will provide favorable evidence for the efficacy and safety of acupuncture in reducing blood pressure, and explore the positive reaction acupoints which related to hypertension.

摘要

简介

高血压可导致心血管和脑血管的不同程度并发症,并增加猝死的风险。由于其具有降压和无毒副作用,针灸已成为治疗高血压的一种补充替代疗法。然而,对于有效的针灸降压处方,仍然缺乏循证医学证据。本研究的目的是评估一种特殊的针灸处方对肝阳上亢型高血压的疗效。

方法

在这项随机对照试验中,我们将招募 56 名肝阳上亢型高血压患者。然后,患者将被随机分为对照组和实验组。对照组将接受西药治疗,实验组将接受药物联合针灸治疗。干预将持续 4 周。在针灸前、针灸后和针灸后 2 周收集指标。主要结局将是 24 小时动态血压。次要结局将是临床血压、焦虑和抑郁评分以及肝阳上亢的证候评分。辅助指标将是血压负荷值和盐敏感性风险率。探索性指标将是穴位诊断。安全性评估指标将是不良事件的发生率。

讨论

这项研究的结果将为针灸降低血压的疗效和安全性提供有利证据,并探讨与高血压相关的阳性反应穴位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67d4/8084090/609b9afc9aed/medi-100-e25668-g001.jpg

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