首页> 中文期刊> 《浙江中医药大学学报》 >平肝疏肝滋肾针刺法结合络苯磺酸氨氯地平治疗肝阳上亢型高血压

平肝疏肝滋肾针刺法结合络苯磺酸氨氯地平治疗肝阳上亢型高血压

         

摘要

Objective] To analyse the effect of combining acupuncture of soothing liver, smooth liver and nourishing kidney with Amlodipine Besylate Tablets on light, medium hyperactivity of liver-YANG syndrome hypertension. [Methods] From January 2013 to January 2014, we collected 60 patients with hyperactivity of liver-YANG syndrome meeting the criterion. 30 patients in control group, taking Amlodipine Besylate Tablets, 14 male, 16 female, average age was 62.0 years old(54~72 years old); 30 cases in treatment group, on the basis of control group using soothing liver, smooth liver and nourishing kidney acupuncture, 13 males, 17 females, average age was 61.5 years old(53~73 years old). Patients were collected 24 hours ambulatory blood pressure, anxiety, TCM syndrome integral before and after treatment. [Results] After treatment, control group and the treatment group of ambulatory blood pressure, anxiety and TCM syndrome integral was significantly improved, the differences were statistically significant( P<0.05). In treatment group, daytime systolic blood pressure, daytime diastolic blood pressure, nighttime systolic blood pressure, nighttime diastolic blood pressure, 24h diastolic blood pressure and 24h systolic blood pressure were decreased significantly lower than the control group, and anxiety value, TCM syndrome integral was also improved better than control group(P<0.05). [Conclusion] Soothing liver, smooth liver and nourishing kidney acupuncture combined with oral drug can effectively control blood pressure for hyperactivity of liver-YANG syndrome hypertension patients; meantime it also can significantly relieve the TCM syndrome and anxiety symptom.%[目的]分析平肝疏肝滋肾法针刺法结合络苯磺酸氨氯地平(络活喜)治疗轻、中型肝阳上亢型高血压患者的临床疗效。[方法]纳入2013年1月至2014年1月符合标准的60例轻、中型肝阳上亢型原发性高血压患者,其中对照组30例口服苯磺酸氨氯地平,治疗组30例在对照组基础上采用平肝疏肝滋肾针刺法,收集患者治疗前后24小时动态血压、焦虑情况、中医证候积分。治疗2个疗程后进行统计学比较分析。[结果]治疗后,对照组及治疗组的动态血压、焦虑值及中医证候积分均较治疗前有所改善,差异具有统计学意义(P<0.05);治疗组的白天收缩压、白天舒张压、夜间收缩压、夜间舒张压、24h收缩压、24h舒张压明显低于对照组,并且治疗组患者焦虑值及中医证候积分的改善情况也优于对照组,差异具有统计学意义(P<0.05)。[结论]平肝疏肝滋肾针刺法配合药物口服治疗肝阳上亢型高血压患者,可以起到有效控制血压的效果,同时能够显著改善中医证候及焦虑症状。

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