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1、%462%AcupunctureResearch,Dec.2010,Vol.35,No.6针刺治疗高血压病的疗效观察1陈宁勇周英董勤周春祥1(南京中医药大学,南京210046;德国杜塞尔多夫中医中心,Dsseldorf40215)!摘要∀目的:观察针刺治疗高血压病的临床疗效。方法:高血压患者80人分为针刺组和西药组各40例。针刺组针刺风池、曲池、太溪等穴共4个疗程,西药组口服代文(Diovan)80mg/d,连续30d。监测治疗前后患者的血压值,统计两组的疗效。结果:症状疗效针刺组总有
2、效率为9750%(39/40),西药组总有效率为7500%(30/40),两组总有效率比较差异有统计学意义,针刺组优于西药组(P<001)。降压疗效针刺组总有效率为9500%(38/40),西药组总有效率为8000%(32/40),两组总有效率比较差异有统计学意义,针刺组优于西药组(P<005)。两组各血压监测指标治疗后较治疗前均明显改善(P<005),针刺组治疗后各血压监测指标较西药组明显改善(P<005)。治疗期内西药组的不良反应发生病例数明显高于针刺组(P<001)。结论:针刺
3、疗法的降压疗效优于单一使用Diovan,并且较少发生不良反应。!关键词∀高血压病针刺临床观察!中图分类号∀R5441!文献标志码∀A!文章编号∀10000607(2010)06046204ObservationonTherapeuticEffectofAcupunctureintheTreatmentofGermanHypertensionPatients1CHENNingyong,ZHOUYing,DONGQin,ZHOUChunxiang(NanjingUnivers
4、ityofChineseMedicine,Nanjing210046,China;1DsseldorfCenterforChineseMedicine,Dsseldorf40215,Germany)!ABSTRACT∀ObjectiveToobservetheclinicalefficacyofacupunctureinthetreatmentofhypertensionpatients.MethodsAtotalof80outpatientsandinpatientswithprim
5、aryhypertensionwererandomlyandequallydividedintoacupuncturegroupandmedicationgroup.PatientsoftheacupuncturegroupweretreatedwithacupuncturestimulationofFengchi(GB20),Quchi(LI11),Taichong(LR3),etc.for30min,combinedwithXingjian(LR2),Xiaxi(GB43)forhyperact
6、ivityoftheliveryang,withGanshu(BL18)andFuliu(KI7)forseverephlegmdamp,andwithGuanyuan(CV4)andShenshu(BL23)fordeficiencyofbothyinandyang,onceperday,continuouslyforonemonthexceptweekends.Inaddition,patientsofthemedicationgroupwereorderedtotakeDiovan(80mg
7、)oncedaily,continuouslyfor30days.Bothcasualbloodpressure(CBP)andambulatorybloodpressure(ABP)weredetectedbyusinganausculttypebaumanometerandadynamicbloodmonitor,respectively.ResultsOfthetwo40casesinthemedicationandacupuncturegroups,18(450%)and27(675%
8、)experiencedmarkedimprovementinthereductionofbloodpressure,14(350%)and11(275%)wereimproved,8(200%)and2(50%)failed,withtheeffectiveratesbeing800%and950%,respectively.Thetherapeuticeffectoftheacupuncturegroupwassignificantly
