择时选穴针刺治疗高血压病肝阳上亢证临床观察论文

择时选穴针刺治疗高血压病肝阳上亢证临床观察【中图分类号】r256 【文献标识码】a 【文章编号】1672－3783(2011)09－0042－02

【摘要】目的 :观察择时选穴治疗一、二级原发性高血压病的疗效。方法 :将60例一级或二级原发性高血压病患者随机分成2组，治疗组30例采用针刺子午流注纳甲法开穴为主穴，配穴曲池、太冲；对照组30例采用不同时辰针刺与当天治疗组相同的腧穴，每日1次,10次为1疗程,连续治疗两个疗程。结果:治疗前后临床积分:治疗组分别为7.70±0.87、 2.23±1.86, 对照组分别为7.66±0.92、 3.30±1.62, 两组治疗2疗程后与治疗前比较, 差异具有统计学意义（p＜0.01）;两疗程前后舒张压降低:两组均比治疗前降低（p＜0.01）,两组间比较,治疗组舒张压降低甚于对照组（p ＜0.01）。两疗程前后收缩压降低：两组均比治疗前降低（p＜0.01）,两组间比较,治疗组收缩压降低方面与对照组相当（p＞0.05）。两疗程后,择时选穴组症状疗效优于同穴不同时组（p<0.05）。两疗程后择时选穴组降压总疗效优于同穴不同时组(p<0.01)。结论 : 择时选穴针刺治疗原发性高血压病肝阳上亢证效果良好,其可能是治疗原发性高血压病的一种简便可行的方法和手段。不同时间针刺相同穴位，对原发性高血压病的疗效具有明显差异，提示腧穴具有时间特性，值得进一步研究。

【关键词】原发性高血压病子午流注纳甲法针刺

clinical observation on acupuncture treatment to

hypertention of gan yang shang kang syndrome

【abstract】purpose : to observe the therapeutic effect of acupuncture according to zi wu liu zhu na jia theory to cure primary hypertention。 methods: 60 cases of patients with first or second grade primary hypertention were randomly divided into 2 groups.30 patients in the treatment group were treated by acupuncture according to zi wu liu zhu theory to cure hypertention;30 patients in the compared group were treated by the same acupoints in the same day but at a different time, once daily, with 10 days being one therapeutic course, and 2 courses all together.results: clinic score before and after treatment:treatment group: 7.70±0.8、 2.23±1.86;control group: 7.66±0.92、 3.30±pared with before and after two therapeutic courses treatment,the difference is statistically significant（p＜0.01).compared between the two groups, treatment group’s clinlic score declining is better than the compared group（p＜0.05).dbp declining: two groups’dbp both declined,both better than before（p＜0.01),compared between the two groups,treatment group dbp declining is better than the compared group（p＜0.01).sbp declining:two groups’ sbp both declined after two courses of treatment（p＜0.01), compared between the two

groups,the treatment group is not better than the compared group（p＞0.05）. after two periods of treatment,the efficient of treatment group is better than the compared

group.conclusion: acupointing according to zi wu liu zhu theory has a good clinical efficient on first and second primary hypertension.it can be a good way to cure first and

second primary hypertension.

【key words】primary hpertention acupuncture zi wu liu zhu na jia fa

引言

据2004年国家公布的“中国居民营养与健康现状”显示：我国l8岁以上的居民高血压患病率为l8.8％，估计全国高血压患者有1.6亿，与1991年相比患病率上升3l％，患病人数增加约7000多万人。

血压升高是脑卒中和冠心病发病的独立危险因素，会增加心力衰竭和肾脏疾病的发生。最近发表的我国≥49岁17万人群8年随访结果表明，总死亡的危险因素第一位是高血压，心脏病占总死亡的23.1﹪，恶性肿瘤占22.3﹪,脑血管病占21.3﹪,心脑血管病合并占总死亡的44.4﹪。

我国高血压病人众多，其并发症多，严重影响患者的生活质量，其医疗费用高昂，给国家及患者家庭带来沉重的负担。因而研究高血压病的有效方便的治疗方法具有重要的现实意义。本研究采用择