【摘要】 目的:验证辨证取穴针刺治疗原发性高血压病的疗效,探讨针刺治疗原发性高血压病的机制。方法:将135例原发性高血压病患者随机分为观察组(108例)和对照组(27例)。两组均予常规针刺风池、曲池、足三里、三阴交,观察组在此基础上予中医辨证配穴,对照组不取配穴,每日1次。针刺15天后观察患者疗效和甲襞微循环的变化。结果:观察组显效率和总有效率分别为29.6%(32/108)和84.2%(91/108),优于对照组的18.5%(5/27)和70.4%(19/27)(均P<0.05)。两组治疗后甲襞微循环均有改善,其中血液流态积分、襻周状态积分、总积分改善明显(均P<0.05),且观察组较对照组改善更显著(均P<0.05)。结论:针刺治疗原发性高血压病疗效显著,且辨证取穴可提高疗效,其机制可能与改善微循环状态,从而减小血管外周阻力有关。更多还原

【Abstract】 Objective To verify the efficacy of primary hypertension treated with acupuncture at acupoints selected according to syndrome differentiation and probe into the mechanism of acupuncture for primary hypertension.Methods One hundred and thirty-five cases of primary hypertension were randomized into an observation group(108 cases) and a control group(27 cases).In either group,Fengchi(GB 20),Quchi(LI 11),Zusanli(ST 36) and Sanyinjiao(SP 6) were selected conventionally.In observation group,on the basis of the acupoints selected above,the supplementary points were selected according to syndrome differentiation in Chinese medicine and the control group was selected main points only,once per day.After 15 days acupuncture,the efficacy and changes in microcirculation of nail fold were observed.Results The remarkable effective rate and the total effective rate were 29.6%(32/108) and 84.2%(91/108) in observation group respectively,which were superior to 18.5%(5/27) and 70.4%(19/27) as compared with control group separately(both P<0.05).After treatment,the microcirculation of nail fold was all improved in two groups,of which blood flow state integral,peripheral capillary loop state integral and the total integral were all improved obviously(all P<0.05).The improvements in observation group were much more significant than those in control group(all P<0.05).Conclusion Acupuncture is effective significantly on primary hypertension and the point selection according to syndrome differentiation can improve the efficacy,which is probably relevant with the reduction in the peripheral vascular resistance due to the improvements of microcirculatory state in mechanism.更多还原