| Abstract: | Objective: To compare the effects of acupuncture on essential hypertension with and without target-organ damage.Methods: Sixty-six patients with essential hypertension were treated, 36 patients with target-organ damage as the treatment group, and 30 patients without target-organ damage as the control group.All subjects were given the treatment of acupuncture primarily for 4 weeks.In the process of acupuncture treatment, two groups received immediate blood pressure measurement respectively, and 24-hour ambulatory blood pressure monitoring before and after acupuncture treatment.We compared the decreasing-dosage rate and effectiveness between the two groups, the immediate blood pressure, 24-hour ambulatory blood pressure, daytime blood pressure, night blood pressure before and after treatment, and blood pressure variation between daytime and nighttime.Results: 1.The decreasing-dosage rate of the treatment groupis lower than that of the control group, meanwhile, the effective rate of the treatment group is also lower than that of the control group.2.After the acupuncture, patients in both groups have a significant decline in systolic pressure, diastolic pressure, 24-hour average systolic pressure and diastolic pressure, daytime systolic pressure and diastolic pressure, nightly systolic pressure and diastolic pressure.Because of the acupuncture therapy, the variation of the two groups in daytime systolic pressure, diastolic pressure and nocturnal diastolic blood pressure is lower obviously than that of before the treatment.3.After acupuncture for 28 d, the treatment group's immediate systolic blood pressure and diastolic blood pressure were higher than those in the control group, and so did the 24-hour ambulatory systolic pressure, diastolic pressure, daytime systolic pressure, diastolic pressure and mean night systolic pressure after acupuncture treatment.Conclusion: The effect of acupuncture on hypertension is obvious.It shows better effect in primary hypertension with unincorporated merger target-organ damage than in primary hypertension with target-organ damage. |
