常用降壓單穴對原發(fā)性高血壓即時降壓效應的對比觀察研究
發(fā)布時間：2019-06-21 10:28
【摘要】：目的:分別觀察針刺曲池、風池、太沖單穴對原發(fā)性高血壓的即時降壓效應,比較各穴組間及組內的療效差異。通過對試驗所得數(shù)據(jù)進行科學統(tǒng)計和客觀評價,驗證所選腧穴對原發(fā)性高血壓的即時效應,為原發(fā)性高血壓的針刺治療提供參考。方法:依據(jù)統(tǒng)計學方法,以原發(fā)性高血壓、針刺、針灸為檢索關鍵詞,分別檢索CNKI、Vip、Wangfang等全文數(shù)據(jù)庫中近三十年來針灸治療原發(fā)性高血壓相關中文期刊文獻,得到應用十四經腧穴針刺治療原發(fā)性高血壓的文獻資料,經統(tǒng)計分析,使用頻次居前三位的腧穴為太沖、曲池、風池。將以上三穴作為本研究臨床試驗針刺用穴。按照納入和排除標準篩選102例原發(fā)性高血壓患者進入本課題。依據(jù)納入先后順序,將患者隨機分為太沖組、曲池組、風池組,分別對各組患者進行單純毫針針刺。以血壓為檢測指標,觀察并記錄針刺前10分鐘、5分鐘和針刺后即刻、10分鐘、20分鐘、30分鐘各組患者的血壓值變化。采用自身對照的辦法,在各穴組內比較針刺對血壓即時效應的影響,并進行組間比較。結果:1.針刺曲池、風池、太沖三穴對原發(fā)性高血壓患者收縮壓和舒張壓均具有明顯即時降壓效應,三組組內比較均具有統(tǒng)計學意義(p0.05)。2.對收縮壓的影響:(1)組內:針刺后即刻收縮壓出現(xiàn)下降,與針刺前比較有顯著統(tǒng)計學差異(P0.01);針刺后10分鐘收縮壓較針刺后即刻明顯下降,統(tǒng)計學處理有顯著差異(P0.01);針刺后20分鐘與針刺后10分鐘比較無明顯差異(P0.05);針刺后30分鐘收縮壓較前有所回升,經統(tǒng)計學處理有明顯差異(P0.05)。(2)組間:針刺后20分鐘收縮壓有明顯差異,經統(tǒng)計學處理有統(tǒng)計學意義(P0.05)。3.對舒張壓的影響:(1)組內:針刺后即刻舒張壓出現(xiàn)下降,與針刺前比較有顯著統(tǒng)計學差異(P0.01);針刺后10分鐘收縮壓較針刺后即刻明顯下降,統(tǒng)計學處理有明顯差異(P0.05);針刺后20分鐘與針刺后10分鐘比較有明顯差異(P0.05);針刺后30分鐘收縮壓較前有所回升,經統(tǒng)計學處理無明顯差異(P0.05)。(2)組間:針刺后20分鐘、30分鐘各時段舒張壓有明顯差異,經統(tǒng)計學處理有統(tǒng)計學意義(P0.05)。結論:1.三穴均有明顯即時降壓效應,且降壓效果在30分鐘內可持續(xù);2.三穴針刺后即時降壓效應的持續(xù)性規(guī)律在收縮壓與舒張壓間不同;3.三穴針刺后組間各時段比較,太沖穴降壓效果優(yōu)于曲池穴,曲池穴優(yōu)于風池穴。
[Abstract]:Objective: to observe the immediate antihypertensive effect of acupuncture at Quchi, Fengchi and Taichong single acupoints on essential hypertension, and to compare the therapeutic effects among and within each acupoint group. Through scientific statistics and objective evaluation of the experimental data, the immediate effect of selected acupoints on essential hypertension was verified, which provided a reference for acupuncture treatment of essential hypertension. Methods: according to the statistical method, taking essential hypertension, acupuncture and acupuncture as retrieval keywords, the Chinese periodical literature related to acupuncture and moxibustion treatment of essential hypertension in recent 30 years were searched in CNKI,Vip,Wangfang and other full-text databases, and the literature data of acupuncture treatment of essential hypertension with acupoints of fourteen meridians were obtained. through statistical analysis, the top three acupoints were Taichong, Quchi and Fengchi. The above three points were used as acupuncture points in this study. 102 patients with essential hypertension were selected according to the inclusion and exclusion criteria. According to the order of inclusion, the patients were randomly divided into Taichong group, Quchi group and Fengchi group. Taking blood pressure as the detection index, the changes of blood pressure in each group were observed and recorded 10 minutes before acupuncture, 5 minutes before acupuncture and immediately, 10 minutes, 20 minutes and 30 minutes after acupuncture. The effect of acupuncture on the immediate effect of acupuncture on blood pressure was compared in each acupoint group by self-control method, and the effects of acupuncture on the immediate effect of acupuncture on blood pressure were compared between the two groups. Result: 1. Acupuncture at Quchi, Fengchi and Taichong had significant immediate hypotension effects on systolic and diastolic blood pressure in patients with essential hypertension (p0.05). The effect on systolic blood pressure: (1) in group 1, systolic blood pressure decreased immediately after acupuncture, which was significantly different from that before acupuncture (P 0.01), and systolic blood pressure decreased significantly at 10 minutes after acupuncture compared with that immediately after acupuncture (P 0.01), but there was no significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05). Systolic blood pressure (SBP) increased at 30 minutes after acupuncture, and there was significant difference between the two groups (P 0.05). (2). There was significant difference in systolic blood pressure at 20 minutes after acupuncture, which was statistically significant (P 0.05). The effect of diastolic blood pressure on diastolic blood pressure: (1) in group 1, diastolic blood pressure decreased immediately after acupuncture, which was significantly different from that before acupuncture (P 0.01), systolic blood pressure decreased significantly at 10 minutes after acupuncture compared with that immediately after acupuncture, and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05), and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05), and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05). Systolic blood pressure increased at 30 minutes after acupuncture, and there was no significant difference between the two groups (P 0.05). (2). There was significant difference in diastolic blood pressure in 20 minutes and 30 minutes after acupuncture, and there was significant difference in diastolic blood pressure in 20 minutes and 30 minutes after acupuncture (P 0.05). Conclusion: 1. All three points had obvious immediate hypotension effect, and the antihypertensive effect was sustainable within 30 minutes. The persistence of immediate hypotension effect after three-point acupuncture is different between systolic blood pressure and diastolic blood pressure. The antihypertensive effect of Taichong point was better than that of Quchi point and Quchi point was better than that of Fengchi point after acupuncture at three points.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.1
本文編號：2504007
[Abstract]:Objective: to observe the immediate antihypertensive effect of acupuncture at Quchi, Fengchi and Taichong single acupoints on essential hypertension, and to compare the therapeutic effects among and within each acupoint group. Through scientific statistics and objective evaluation of the experimental data, the immediate effect of selected acupoints on essential hypertension was verified, which provided a reference for acupuncture treatment of essential hypertension. Methods: according to the statistical method, taking essential hypertension, acupuncture and acupuncture as retrieval keywords, the Chinese periodical literature related to acupuncture and moxibustion treatment of essential hypertension in recent 30 years were searched in CNKI,Vip,Wangfang and other full-text databases, and the literature data of acupuncture treatment of essential hypertension with acupoints of fourteen meridians were obtained. through statistical analysis, the top three acupoints were Taichong, Quchi and Fengchi. The above three points were used as acupuncture points in this study. 102 patients with essential hypertension were selected according to the inclusion and exclusion criteria. According to the order of inclusion, the patients were randomly divided into Taichong group, Quchi group and Fengchi group. Taking blood pressure as the detection index, the changes of blood pressure in each group were observed and recorded 10 minutes before acupuncture, 5 minutes before acupuncture and immediately, 10 minutes, 20 minutes and 30 minutes after acupuncture. The effect of acupuncture on the immediate effect of acupuncture on blood pressure was compared in each acupoint group by self-control method, and the effects of acupuncture on the immediate effect of acupuncture on blood pressure were compared between the two groups. Result: 1. Acupuncture at Quchi, Fengchi and Taichong had significant immediate hypotension effects on systolic and diastolic blood pressure in patients with essential hypertension (p0.05). The effect on systolic blood pressure: (1) in group 1, systolic blood pressure decreased immediately after acupuncture, which was significantly different from that before acupuncture (P 0.01), and systolic blood pressure decreased significantly at 10 minutes after acupuncture compared with that immediately after acupuncture (P 0.01), but there was no significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05). Systolic blood pressure (SBP) increased at 30 minutes after acupuncture, and there was significant difference between the two groups (P 0.05). (2). There was significant difference in systolic blood pressure at 20 minutes after acupuncture, which was statistically significant (P 0.05). The effect of diastolic blood pressure on diastolic blood pressure: (1) in group 1, diastolic blood pressure decreased immediately after acupuncture, which was significantly different from that before acupuncture (P 0.01), systolic blood pressure decreased significantly at 10 minutes after acupuncture compared with that immediately after acupuncture, and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05), and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05), and there was significant difference between 20 minutes after acupuncture and 10 minutes after acupuncture (P 0.05). Systolic blood pressure increased at 30 minutes after acupuncture, and there was no significant difference between the two groups (P 0.05). (2). There was significant difference in diastolic blood pressure in 20 minutes and 30 minutes after acupuncture, and there was significant difference in diastolic blood pressure in 20 minutes and 30 minutes after acupuncture (P 0.05). Conclusion: 1. All three points had obvious immediate hypotension effect, and the antihypertensive effect was sustainable within 30 minutes. The persistence of immediate hypotension effect after three-point acupuncture is different between systolic blood pressure and diastolic blood pressure. The antihypertensive effect of Taichong point was better than that of Quchi point and Quchi point was better than that of Fengchi point after acupuncture at three points.
【學位授予單位】：山東中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R246.1
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