针刺颈部夹脊穴治疗颈源性高血压的疗效分析

目的:探讨治疗颈源性高血压的有效针刺方法。方法:将60例颈源性高血压患者随机分为治疗组(颈部夹脊穴)和对照组(传统取穴),采用血压、临床症状、体征等指标评价,并于1个疗程后对两组治疗前后的降压及症状疗效进行比较分析。结果:治疗组降压的总有效率为93.3%,对照组降压的总有效率为73.3%,两组结果经统计学处理具有显著性差异(P<0.01),表明治疗组的降压疗效明显优于对照组。症状积分比较显示,治疗组治疗前后具有显著性差异(P<0.05),对照组治疗前后无显著性差异(P>0.05),且治疗后治疗组症状积分改善明显优于对照组(P<0.05)。治疗组证候疗效的总有效率为90.0%,对照组证候疗效的总有效率为70.0%,两组具有显著性差异(P<0.05)。结论:针刺颈部夹脊穴治疗颈源性高血压,具有治愈率高、疗效显著的特点。

Analysis on the Therapeutic Effect of Acupuncture of Jiaji (EX-B 2) for Treatment of Cervical Hypertension

Objective:To observe the therapeutic effect of acupuncture therapy for treatment of cervical hypertension.Methods: Sixty cases of cervical hypertension patients were randomly divided into treatment group and control group by using random table method.For patients of treatment group bilateral cervical Jiaji(EX-B 2) were punctured,and for those of control group,Fengchi(GB 20),Taichong(LR 3),Quchi(LI 11),Zusanli(ST 36) and Sanyinjiao(SP 9) were punctured.Changes of blood pressure and clinical symptoms were recorded before and after the treatment.Results: Of the two 30 cases in treatment and control groups,18(60.0%) and 13(43.3%) had a remarkable hypotensive effect,10(33.3%) and 9(30.0%) had a hypotensive effect,2(6.7%) and 8(26.7%) had no apparent changes in blood pressure;12(40.0%) and 5(16.7%) experienced marked improvement in clinical symptoms,15(50.0%) and 16(53.3%) were effective,3(10.0%) and 9(30.0%) failed in the treatment,with the effective rates being 90.0% and 70.0% respectively.The therapeutic effect of treatment group was apparently superior to that of control group in lowering blood pressure and the cumulative scores of clinical symptoms and in improving clinical symptoms(P<0.05,0.01).Conclusion: Acupuncture of Jiaji(EX-B 2) is an effective therapy in the treatment of cervical hypertension.