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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 observe the therapeutic effect of electroacupuncture and western medicine on blood pressure variation in young hypertensive patients. Methods: Sixty young hypertensive patients were randomly divided into electroacupuncture group and western medicine group, 30 cases each. Electroacupuncture group electroacupuncture Qu pool, Taichong; Western medicine group captopril oral. After 14 days of treatment, the ambulatory blood pressure, blood pressure variability and circadian rhythm were observed 24 hours later. Results: Electroacupuncture at Quchi and Taichong could reduce systolic and diastolic blood pressure in young patients with hypertension at different time points (all P <0.01), but no significant difference compared with western medicine group (all P> 0.05) , Taichong can significantly reduce the standard deviation of systolic and diastolic blood pressure at different time points in young patients with hypertension, and the difference was statistically significant compared with that before treatment (P0.01, P0.05). Compared with Western medicine group, the systolic blood pressure Standard deviation at 24 h SSD, 24 h DSD, dSSD, nSSD and nDSD were all statistically significant (P <0.01, P <0.05). The number of dippers and non-dippers in both groups was significantly different between the two groups after treatment (P <0.05). Conclusion: Electro-acupuncture Quchi and Taichong have good long-term antihypertensive effect, which can effectively improve the circadian rhythm of blood pressure in young hypertensive patients.