刺络泻血配合中药体质调理治疗原发性高血压临床观察
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摘要
目的:探讨刺络泻血疗法配合中药体质调理治疗原发性高血压的临床疗效。方法:筛选120例I、II级原发性高血压患者,随机分成两组,各60例,治疗组在基础降压治疗的前提下在特定部位刺络泻血(每周1次),并结合体质辨识原则指导下内服中药(每天1剂、每月服用10剂);对照组常规口服联合降血压西药。治疗3个月后比较两组患者血压、体重、体重指数、血脂(TC、TG、HDL-C、LDL-C)及中医证候积分等相关指标以评价疗效。结果:治疗后两组患者除了血脂中高密度脂蛋白外,其余指标均比治疗前明显降低(P<0.01),且治疗组优于对照组(P<0.05)。结论:刺络泻血配合中药体质调理疗法可明显改善患者血压、体脂、血脂各项指标,说明刺络泻血疗法配合中药体质调理不仅是治疗高血压的治标之法,也是改善高血压易发体质的治本之法。
Objective: To investigate the clinical effect of Ciluo Xiexue( 刺络泻血) with TCM medicine on primary hypertension. Methods: 120 patients were randomly divided into two groups, 60 cases in each. The treatment group was given Ciluo Xiexue with TCM medicine plus basic antihypertensive therapy. The control group took western medicine. Results: The indicators, expect for high-density lipoprotein cholesterol were significantly lower than before treatment(P<0.01), and those in the treatment group were better than those in the control group(P<0.05). Conclusion: Ciluo Xiexue with TCM medicine can improve various indicators, indicating that Ciluo Xiexue with TCM medicine is not only a method of treating hypertension, but also improving constitution.
Objective: To investigate the clinical effect of Ciluo Xiexue( 刺络泻血) with TCM medicine on primary hypertension. Methods: 120 patients were randomly divided into two groups, 60 cases in each. The treatment group was given Ciluo Xiexue with TCM medicine plus basic antihypertensive therapy. The control group took western medicine. Results: The indicators, expect for high-density lipoprotein cholesterol were significantly lower than before treatment(P<0.01), and those in the treatment group were better than those in the control group(P<0.05). Conclusion: Ciluo Xiexue with TCM medicine can improve various indicators, indicating that Ciluo Xiexue with TCM medicine is not only a method of treating hypertension, but also improving constitution.
引文
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[13]涂伟钦.针刺治疗对血脂影响的观察[J].山西中医,2004,20(5):29.
[14]许余良.高血压病的中医临床用药原则及方法研究[J].中国实用医药,2014,9(22):245-246.
[15]苗凌娜.益气健脾平肝法在高血压病中的应用[J].中医临床研究,2011,3(22):63.
[2]中国高血压防治指南修订委员会.高血压防治指南2010[J].中华高血压杂志,2011,19(8):701-743.
[3]中国成人血脂异常防治指南修订联合委员会.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,10(31):937-953.
[4]中国肥胖问题工作组.中国成人超重和肥胖症预防与控制指南[J].营养学报,2004,1(26):1-4.
[5]GB/T15657-1995,中华人民共和国行业标准.中医病证分类代码[S].国家技术监督局发布,中国标准出版社出版,1995:69,71.
[6]郑筱萸,等.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:73-74.
[7]中华中医药学会.中医体质分类与判定(ZYYXH/T157-2009)[J].世界中西医结合杂志,2009,4(4):303-304.
[8]代玲玲,汪承芳,董昌武,等.原发性高血压中医体质学研究概况[J].中医药临床杂志,2017,29(10):1583-1585.
[9]赵荣.针罐配合刺络放血治疗高脂血症20例[J].上海针灸杂志,2010,29(10):652-653.
[10]方跃屏,吴如飞,等.耳尖放血治疗肝阳上亢证高血压病98例[J].浙江中医杂志,2017,52(11):838.
[11]李晓硕,于若凡,等.化痰开窍辨证配穴的理论探讨[J].环球中医药杂志,2017,10(5):607.
[12]李志.针刺对急性脑梗死合并血脂异常患者血脂水平的影响[J].中医药学报,2006,24(4):744-745.
[13]涂伟钦.针刺治疗对血脂影响的观察[J].山西中医,2004,20(5):29.
[14]许余良.高血压病的中医临床用药原则及方法研究[J].中国实用医药,2014,9(22):245-246.
[15]苗凌娜.益气健脾平肝法在高血压病中的应用[J].中医临床研究,2011,3(22):63.