针刺治疗原发性高血压病的临床疗效观察

目的:以24h动态血压监测评价"活血散风、平肝降逆"针法治疗轻、中度原发性高血压患者的疗效。方法:选择107例轻中度高血压患者,予以"活血散风、平肝降逆"针法治疗4周,分别于治疗前后行24h动态血压监测并计算其谷峰比值、平滑指数后进行比较分析。结果:治疗4周后24h平均收缩压、舒张压;日间平均收缩压、舒张压;夜间平均收缩压、舒张压与治疗前比较均有显著性降低(P<0.05),收缩压、舒张压负荷也有显著降低(P<0.05)。收缩压谷峰比值为76%,舒张压谷峰比值72%,收缩压平滑指数为(1.34±0.13),舒张压平滑指数为(1.16±0.22)。结论:"活血散风、平肝降逆"针法具有良好的降压效果及满意的谷峰比值、平滑指数,临床应用安全。

Evaluation of Antihypertensive Effect of Acupuncture Essential Hypertension by Ambulatory Blood Pressure Monitorin

Objective：To evaluate the antihypertensive effects of acupuncture in patients with mild-to-moderate essential hypertension by 24 hour ambulatory blood pressure monitoring. Methods：Fifty patients with mild-to-moderate essential hypertension were treated with telmisartan 80mg,once a day for 4 weeks. 24 h ambulatory blood pressure monitoring（ ABPM） was performed before and affter treatment the trough/peak ratio and smoothness index were calculated. Results：The mean systolic blood pressure （ SBP） and diastolic blood pressure（ DBP） in 24h,day time and nighttime allhad a significantreduction（ P 0.05）. The blood pressure loads of SBP and DBP were decreased significantly also（ P 0. 05）. The trough/peak ratio of SBP was76% ,DBP was 72%. The Smooth-ness index of SBP was （ 1. 34 ± 0. 13） ,The Smooth-ness index of DBP was （ 1. 16 ± 0. 22）. Conclusion：The compound telmisartan is an effective and safe antihypertensive drug with satisfactory trough/peak ratio and smoothness index.