腹针疗法治疗高血压病的临床观察
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摘要
理论背景:
高血压病是临床常见病与多发病。在我国人口疾病构成中,心血管病发病率占居第一位(约占40%),而高血压又是引起心血管疾病最重要的危险因素。现代医学治疗本病已研制出多种控制血压的一线用药,如利尿剂、β-受体阻滞剂、钙离子拮抗剂(CCB)、血管紧张素转换酶抑制剂(ACEI)、血管紧张素Ⅱ受体拮抗剂(ARB)及α-受体阻滞剂等,并且已达到较好的临床疗效。
在祖国医学中,已有较多、较好的方法治疗高血压病。而针灸疗法是祖国传统医学的重要组成部分,是一种疗效肯定的治疗方法。大量临床研究表明,中医针刺治疗原发性高血压病(Essential Hypertension,EH)能够取得良好疗效,降压平稳,并且已从微观角度阐明针灸降压的机理是多方面、多水平、多环节的调整作。
腹针疗法是由北京中医药进修学院教授、腹针疗法培训中心主任薄智云教授创立的。通过20余年的临床证实,腹针对临床各系统疾病有着良好的疗效。本课题通过观察腹针治疗高血压病临床疗效,初步探讨其疗效的作用机理,以推广中医特色疗效在治疗慢性疾病方面的应用,提高临床疗效及患者生活质量。
目的:
观察腹针疗法治疗高血压病的临床疗效,并探讨其疗效的作用机理。
方法:
采用简单随机化方法将符合诊断纳入标准的60例患者分为治疗组与对照组,对照组30例予西医基础治疗,治疗组30例在西医基础治疗上予腹针治疗。腹针取穴:中脘(深刺),下脘(深刺),气海(深刺),关元(深刺),滑肉门(双侧,中刺),外陵(双侧,中刺),神灯照神阙穴。治疗一个疗程,共7天。分别在第1、2、3、5、7天进行腹针治疗,5次为一个疗程。观察治疗前后主要指标变化情况。治疗一个疗程后进行疗效评定,并进行临床安全性评价。
结果:
临床症状疗效:腹针组在改善高血压患者常见症状如头痛、失眠与对照组相比,P<0.05,有显著性差异。在有效率方面,腹针组显效19例,占63.3%,有效10例,占33.3%,无效1例,占3.3%,总有效率96.7%;对照组显效12例,占40.0%,有效14例,占46.7%,无效4例,占13.3%,总有效率86.7%。两组相互比较P<0.05,差异有显著性意义。
临床降压疗效:腹针组显效15例,占50.0%,有效15例,占50.0%,总有效率100%;对照组显效14例,占46.7%,有效16例,占53.3%,总有效率100%,两组降压疗效比较P>0.05,差异无显著性意义。
Theory Background:Hypertension sickness is the common and frequently occurring illness in the clinic. Constitutes at our country population disease, angiocardiopathy disease incidence rate occupies ranks first (approximately composes 40%), but hypertension is the most important dangerous factor in causing the cardiovascular disease. In the modern medicine many kinds of controls blood pressure have been developed, such as the diuretic, β-blocker, CCB,ACEI,ARB and the α-blocking agent, and has achieved the good clinical curative effect.In the traditional medicine, there have many good methods to treat hypertension. And the acupuncture and moxibustion treatment is a part of traditional medicine science in the motherland, and a kind of treatment method with definite curative effect. In recent years, lots of clinical research indicated that the treatment of Essential Hypertension (EH) had gained good effect and steady blood pressure by acupuncture and moxibustion treatment, elucidated mechanism from microangle that acupuncture and moxibustion treatment step down pressure in many aspects, multilevel, many adjustment function of link.Abdominal Acupuncture Therapy is established by professor zhiyun Bo, which is the professor of Beijing advanced study institution of traditional Chinese medicine(TCM) and the master of training center of Abdominal Acupuncture Therapy. Through more than 20 years clinical confirmations, the clinical case vivificated that the Abdominal Acupuncture Therapy has a good treatment to many diseases. After observing the clinical effective of the
abdominal acupuncture to the EH, we will explore the mechanism action in initial, this will do good to the application of the characteristic treatment of TCM in treating the chronic disease, enhancing the clinical curative effect and the patient quality of life.Objective:Observing the clinical effect of the abdominal acupuncture therapy to the EH, and discussing the action mechanism. Method:We will use the simple randomization method to divide the 60 cases to treatment group and control group which conforms to the diagnosis and brings into line standard, the control group(30 cases) will provided the basic medical drug treatment, the treatments group(30 cases) will provided abdominal acupuncture therapy at the foundation treatment of the basic medical drug. Acupucture point of abdominal acupuncture group: Middle Epigastrium(deep puncture), pylorus Xiawan point (deep puncture), Qihai region (deep puncture), Guanyuan(deep puncture), Huaroumen(twice, deep puncture), wailing (twice, deep puncture) , Shenque point(irradiated by lamp). It is a courses of treatment in 1 week, 5 times a course , one times a day, it will given treatment by abdominal acupuncture at the number one*, two, three, five and seven day. We will observe major targets transformation in before or after the treatment. When a course of the treatment is finished, we will evaluate curative effect and the clinic security. Result:Clinical effect in symptom: in improving the common symptom such as headache, agrypnia,the abdominal acupuncture group have a significant difference compare with the control group, P<0. 05. In the effective power, significant effect cases of abdominal acupuncture group is 19 and the rate is 63. 3%, effect rate cases is 10 and the rate is 33.3%, total effective rate is 96.7%;significant effect cases of control group is 12 and the rate is 40. 0%, effect cases is 14 and the rate is 46.7%, total effective rate is 86. 7%, there have a significant difference between the two groups, P<0.05.Clinical effect in cut down blood pressure: significant effect cases of abdominal acupuncture group is 15 and the rate is 50. 0%, effect rate cases is 15 and the rate is 50.0%, total effective rate is 100%;significant effect cases of control group is 14 and the rate is 46. 7%, effect cases is 16 and
the rate is 53. 3%, total effective rate is 100%, there have not a significantdifference between the two groups, P>0. 05.Conclusion:The abdominal acupuncture group have a preferably effect in improving the common symptom of the hypertensive patient such as headache, dizziness, agrypnia compared with the control group though the total effect is equal. And the abdominal acupuncture has its own characteristic: handling convenie, anodynia, have no adverse reaction and this can be regarded as one of the characteristic treatment of TCM.
高血压病是临床常见病与多发病。在我国人口疾病构成中,心血管病发病率占居第一位(约占40%),而高血压又是引起心血管疾病最重要的危险因素。现代医学治疗本病已研制出多种控制血压的一线用药,如利尿剂、β-受体阻滞剂、钙离子拮抗剂(CCB)、血管紧张素转换酶抑制剂(ACEI)、血管紧张素Ⅱ受体拮抗剂(ARB)及α-受体阻滞剂等,并且已达到较好的临床疗效。
在祖国医学中,已有较多、较好的方法治疗高血压病。而针灸疗法是祖国传统医学的重要组成部分,是一种疗效肯定的治疗方法。大量临床研究表明,中医针刺治疗原发性高血压病(Essential Hypertension,EH)能够取得良好疗效,降压平稳,并且已从微观角度阐明针灸降压的机理是多方面、多水平、多环节的调整作。
腹针疗法是由北京中医药进修学院教授、腹针疗法培训中心主任薄智云教授创立的。通过20余年的临床证实,腹针对临床各系统疾病有着良好的疗效。本课题通过观察腹针治疗高血压病临床疗效,初步探讨其疗效的作用机理,以推广中医特色疗效在治疗慢性疾病方面的应用,提高临床疗效及患者生活质量。
目的:
观察腹针疗法治疗高血压病的临床疗效,并探讨其疗效的作用机理。
方法:
采用简单随机化方法将符合诊断纳入标准的60例患者分为治疗组与对照组,对照组30例予西医基础治疗,治疗组30例在西医基础治疗上予腹针治疗。腹针取穴:中脘(深刺),下脘(深刺),气海(深刺),关元(深刺),滑肉门(双侧,中刺),外陵(双侧,中刺),神灯照神阙穴。治疗一个疗程,共7天。分别在第1、2、3、5、7天进行腹针治疗,5次为一个疗程。观察治疗前后主要指标变化情况。治疗一个疗程后进行疗效评定,并进行临床安全性评价。
结果:
临床症状疗效:腹针组在改善高血压患者常见症状如头痛、失眠与对照组相比,P<0.05,有显著性差异。在有效率方面,腹针组显效19例,占63.3%,有效10例,占33.3%,无效1例,占3.3%,总有效率96.7%;对照组显效12例,占40.0%,有效14例,占46.7%,无效4例,占13.3%,总有效率86.7%。两组相互比较P<0.05,差异有显著性意义。
临床降压疗效:腹针组显效15例,占50.0%,有效15例,占50.0%,总有效率100%;对照组显效14例,占46.7%,有效16例,占53.3%,总有效率100%,两组降压疗效比较P>0.05,差异无显著性意义。
Theory Background:Hypertension sickness is the common and frequently occurring illness in the clinic. Constitutes at our country population disease, angiocardiopathy disease incidence rate occupies ranks first (approximately composes 40%), but hypertension is the most important dangerous factor in causing the cardiovascular disease. In the modern medicine many kinds of controls blood pressure have been developed, such as the diuretic, β-blocker, CCB,ACEI,ARB and the α-blocking agent, and has achieved the good clinical curative effect.In the traditional medicine, there have many good methods to treat hypertension. And the acupuncture and moxibustion treatment is a part of traditional medicine science in the motherland, and a kind of treatment method with definite curative effect. In recent years, lots of clinical research indicated that the treatment of Essential Hypertension (EH) had gained good effect and steady blood pressure by acupuncture and moxibustion treatment, elucidated mechanism from microangle that acupuncture and moxibustion treatment step down pressure in many aspects, multilevel, many adjustment function of link.Abdominal Acupuncture Therapy is established by professor zhiyun Bo, which is the professor of Beijing advanced study institution of traditional Chinese medicine(TCM) and the master of training center of Abdominal Acupuncture Therapy. Through more than 20 years clinical confirmations, the clinical case vivificated that the Abdominal Acupuncture Therapy has a good treatment to many diseases. After observing the clinical effective of the
abdominal acupuncture to the EH, we will explore the mechanism action in initial, this will do good to the application of the characteristic treatment of TCM in treating the chronic disease, enhancing the clinical curative effect and the patient quality of life.Objective:Observing the clinical effect of the abdominal acupuncture therapy to the EH, and discussing the action mechanism. Method:We will use the simple randomization method to divide the 60 cases to treatment group and control group which conforms to the diagnosis and brings into line standard, the control group(30 cases) will provided the basic medical drug treatment, the treatments group(30 cases) will provided abdominal acupuncture therapy at the foundation treatment of the basic medical drug. Acupucture point of abdominal acupuncture group: Middle Epigastrium(deep puncture), pylorus Xiawan point (deep puncture), Qihai region (deep puncture), Guanyuan(deep puncture), Huaroumen(twice, deep puncture), wailing (twice, deep puncture) , Shenque point(irradiated by lamp). It is a courses of treatment in 1 week, 5 times a course , one times a day, it will given treatment by abdominal acupuncture at the number one*, two, three, five and seven day. We will observe major targets transformation in before or after the treatment. When a course of the treatment is finished, we will evaluate curative effect and the clinic security. Result:Clinical effect in symptom: in improving the common symptom such as headache, agrypnia,the abdominal acupuncture group have a significant difference compare with the control group, P<0. 05. In the effective power, significant effect cases of abdominal acupuncture group is 19 and the rate is 63. 3%, effect rate cases is 10 and the rate is 33.3%, total effective rate is 96.7%;significant effect cases of control group is 12 and the rate is 40. 0%, effect cases is 14 and the rate is 46.7%, total effective rate is 86. 7%, there have a significant difference between the two groups, P<0.05.Clinical effect in cut down blood pressure: significant effect cases of abdominal acupuncture group is 15 and the rate is 50. 0%, effect rate cases is 15 and the rate is 50.0%, total effective rate is 100%;significant effect cases of control group is 14 and the rate is 46. 7%, effect cases is 16 and
the rate is 53. 3%, total effective rate is 100%, there have not a significantdifference between the two groups, P>0. 05.Conclusion:The abdominal acupuncture group have a preferably effect in improving the common symptom of the hypertensive patient such as headache, dizziness, agrypnia compared with the control group though the total effect is equal. And the abdominal acupuncture has its own characteristic: handling convenie, anodynia, have no adverse reaction and this can be regarded as one of the characteristic treatment of TCM.
引文
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