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目的:观察电针及西药治疗对青年高血压患者血压变异的疗效差异.方法:选择60例青年高血压患者随机分为电针组和西药组各30例.电针组电针曲池、太冲;西药组口服卡托普利.两组均治疗14天后观察24 h动态血压、血压变异性及昼夜节律.结果:电针曲池、太冲能降低青年高血压患者各时段收缩压和舒张压水平(均P＜0.01),与西药组比较差异无统计学意义(均P＞0.05);电针曲池、太冲可明显降低青年高血压患者各时段的收缩压和舒张压的标准差,与治疗前相比差异有统计学意义(P＜0.01,P＜0.05),与西药组比较24 h收缩压标准差(24 h SSD)、24 h舒张压标准差(24 h DSD)、白天收缩压标准差(dSSD)、夜间收缩压标准差(nSSD)、夜间舒张压标准差(nDSD)差异均有统计学意义(P＜0.01,P＜0.05);两组患者中杓型与非杓型者人数进行比较,治疗后两组差异有统计学意义(P＜0.05).结论:电针曲池、太冲具有较好的长时降压效果,可有效改善青年高血压患者的血压昼夜节律变化,是针灸降压的有效穴对组方.“,”Objective To compare therapeutic effects of electroacupuncture and western medicine on blood pressure variability in young patients with hypertension. Methods Sixty cases of young patients of hypertension were randomly divided into an electroacupuncture group and a western medicine group, 30 cases in each group. In the electroacupuncture group, electroacupuncture was applied at Qūchí (曲池 LI 11) and Tàichōng (太冲 LR 3). In the western medicine group, Captopril was taken orally. Twenty-four hour dynamic blood pressure, and blood pressure variability and circadian rhythms were observed after treatment for 14 days in the two groups. Results Electroacupuncture at Qūchí (曲池 LI 11) and Tàichōng (太冲 LR 3) significantly decreased systolic pressure and diastolic pressure at different time phases in the young patients with hypertension (all P＜0.01), with no significant difference as compared with the western medicine group (all P＞0.05); electroacupuncture at Qūchí (曲池 LI 11) and Tàichōng (太冲 LR 3) significantly reduced the standard deviations of systolic pressure and diastolic pressure at different time phases in the young patients with hypertension as compared with those before the treatment (P＜0.01,P＜0.05). There were statistically significant differences between the two groups in 24 h systolic standard deviation (24 h SSD), 24 h diastolic standard deviation (24 h DSD), daytime SSD (dSSD), nighttime SSD (nSSD) and nighttime DSD (nDSD) (P＜0.01, P＜0.05); and there was significant difference between the two groups in numbers of the Dipper and the non-Dipper after treatment (P＜0.05). Conclusion Electroacupuncture at Qūchí (曲池 LI 11) and Tàichōng (太冲 LR 3) has a better long-term effect of decreasing blood pressure and improves effectively changes of circadian rhythms in young patients with hypertension, which are an effective point pair for hypertension.