推拿手法治疗Ⅰ期原发性高血压病规范化整理研究
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摘要
目的:形成一套以推拿手法(拿五经、推桥弓、揉梁门、按降压点)来治疗Ⅰ期原发性高血压病的诊疗技术。
方法:对符合本研究方案纳入标准的Ⅰ期原发性高血压病患者60例,采用随机平行对照方法,随机分为两组,一组采用推拿手法(拿五经、推桥弓、揉梁门、按降压点)治疗,一组采用药物对照治疗,推拿手法每日1次,另嘱患者每日晨起后可依照本法自我按摩1次,时间为20分钟,10次为1个疗程,连续2个疗程症状无任何改善者应视为无效。进行临床疗效对比,对两组治疗前后的临床症状、血压、心率、药物用量等进行比较研究,并且进行两组间比较。
结果:推拿手法治疗组总体疗效明显优于普通药物对照组。治疗组临床总有效率为96.7%,对照组总有效率为93.3%,经Ridit分析,两组疗效相近且具有差异性(P﹤0.05)。
结论:临床观察证实推拿手法治疗Ⅰ期原发性高血压病的疗效可与药物治疗的效果相近或略好于药物治疗。
Objective:The formation of a set of manipulation (Take the Five Classics, pushing the bridge arch, rubbing beam gate, according to step-down point) for the treatment of essential hypertension clinic stageⅠtechnology.
Methods:Research programs that meet the inclusion criteria of this PhaseⅠ60 patients with essential hypertension, using randomized parallel control method, were randomly divided into two groups, one group received manipulation (Take the Five Classics, pushing the bridge arch, rubbing beam gate, according to descending pressure point) therapy, a group of drugs used in treatment, massage techniques 1 a day, another early morning Zhu Huanzhe daily self-massage after a meeting in accordance with this Law, the time is 20 minutes, 10 times as a course of treatment for 2 a course of treatment without any improvement in symptoms should be considered invalid. Clinical efficacy comparison of two groups before and after treatment of clinical symptoms, blood pressure, heart rate, drug use and other comparative studies and conducting a comparison between the two groups.
Results:Manipulation treatment group was significantly better than the average overall efficacy of drug control group. Treatment group clinical total effective rate was 96.7% in the control group, the total effective rate was 93%, by Ridit analysis, the two groups was significant difference in efficacy (P <0.05).
Conclusion:Clinical observations confirm the manipulation therapy for stageⅠ, primary hypertension and drug treatment efficacy may be similar or slightly better than drug treatment.
方法:对符合本研究方案纳入标准的Ⅰ期原发性高血压病患者60例,采用随机平行对照方法,随机分为两组,一组采用推拿手法(拿五经、推桥弓、揉梁门、按降压点)治疗,一组采用药物对照治疗,推拿手法每日1次,另嘱患者每日晨起后可依照本法自我按摩1次,时间为20分钟,10次为1个疗程,连续2个疗程症状无任何改善者应视为无效。进行临床疗效对比,对两组治疗前后的临床症状、血压、心率、药物用量等进行比较研究,并且进行两组间比较。
结果:推拿手法治疗组总体疗效明显优于普通药物对照组。治疗组临床总有效率为96.7%,对照组总有效率为93.3%,经Ridit分析,两组疗效相近且具有差异性(P﹤0.05)。
结论:临床观察证实推拿手法治疗Ⅰ期原发性高血压病的疗效可与药物治疗的效果相近或略好于药物治疗。
Objective:The formation of a set of manipulation (Take the Five Classics, pushing the bridge arch, rubbing beam gate, according to step-down point) for the treatment of essential hypertension clinic stageⅠtechnology.
Methods:Research programs that meet the inclusion criteria of this PhaseⅠ60 patients with essential hypertension, using randomized parallel control method, were randomly divided into two groups, one group received manipulation (Take the Five Classics, pushing the bridge arch, rubbing beam gate, according to descending pressure point) therapy, a group of drugs used in treatment, massage techniques 1 a day, another early morning Zhu Huanzhe daily self-massage after a meeting in accordance with this Law, the time is 20 minutes, 10 times as a course of treatment for 2 a course of treatment without any improvement in symptoms should be considered invalid. Clinical efficacy comparison of two groups before and after treatment of clinical symptoms, blood pressure, heart rate, drug use and other comparative studies and conducting a comparison between the two groups.
Results:Manipulation treatment group was significantly better than the average overall efficacy of drug control group. Treatment group clinical total effective rate was 96.7% in the control group, the total effective rate was 93%, by Ridit analysis, the two groups was significant difference in efficacy (P <0.05).
Conclusion:Clinical observations confirm the manipulation therapy for stageⅠ, primary hypertension and drug treatment efficacy may be similar or slightly better than drug treatment.
引文
[1]唐忠志,唐瑛.丹参对自发性高血压病大鼠左心室心肌病变及血液流变学的影响.第四军医大学学报2004,25(2):100-103.
[2]谭元生,邓圣明,谭超.复方七芍降压片治疗高血压病的临床疗效及机理研究.中成药,2004,(1):2761-2673
[3]金龙,周文泉.络活胶囊治疗痰瘀阻络型高血压病的临床研究.中国中西医结合杂志.2004.24(7):610-612
[4]韩宇萍,王宁生,宓穗卿,等.五苓散对肾性高血压病大鼠降压作用的实验研究.中西医结合学报,2003,1(1):285-288.
[5]刘发,魏苑,杨新中.红花黄素对高血压病大鼠的降压作用药学学报,1992,27(10).785-787.
[6]王映辉.火针活疗高血压病的初步临床床观察,针灸临床杂志,l995.11(6):32
[7]魏建平.贴压耳廓敏感点治疗高血压病的疗效观察,针灸临床杂志,1995,l(3):20
[8]罗兴中.耳压治疗高血压病l24例临床观察,针灸临床杂志,1995,11(6):8
[9]高齐崧.头针治疗高血压病危象37例.中国针灸,1994(增刊):7
[10]黄效增.温针灸足三里治疗高血压病.山西中医,1994,10(61):38
[11]赵军,蒋涛.按摩对心率和血压的影响,中国康复医学杂志,1995,l0(5):232
[12]邝安望主编.高血压病在中国.长沙:湖南科学技术出版社,1 989,217
[13]高敏.颈动脉窦与胸锁乳哭肌去神经支配相关关系新认识的评价,国外医学心血管疾病分册,1998,25(5):127
[14]韦贵康,陈忠和,贺俊民,等.手法治疗颈椎性血压异常的研究.中医正骨,1991, 3(3):l
[15]陈忠和,李昌仪,韦责康,等.114例高血压病与颈椎病关系的调查.广西中医药,1982,(2):17
[16]俞兴群.推拿与放松功肩井治疗高血压病78例临床观察,按摩与导引,1989,(3):6
[17]谭远高.循经推拿治疗高血压病按摩与导引,l994,(5):l4
[18]潘崇海,郏风胡,何玉辉,等.从推拿治疗高血压病46例探讨推拿的降压作用,上海中医药杂志,1984,(6):18
[19]王吉耀,廖二元,胡品津.内科学,第1版,北京,人民卫生出社,2001,241.
[20]编辑部述评.恢复利尿剂做为第一线降血压药物的地位.高血压病杂志,1995,3(2):89-90.
[21]徐成斌.论现代抗高血压病药物的合理应用(上).中国医刊,1999,34(10):26.
[22]高海青,陆延菡,赵长芹,等.氨氯地平治疗原发性高血压病的临床研究,高血压病杂志,1995,3(1):66-69
[23]张路平,李燕,高会茹,等.非洛地平缓释片逆转左室肥厚及对舒张功能的影响.临床荟萃,2000,l5(14):647.
[24]胡光,赵长龙.非洛地平与赖诺普利的降压效应及对左室肥厚逆转作用的对比,临床血管病杂志,1999,15(6):250-253
[25]邵磊,黄兴华,齐季民,等.依那普利对高血压病患者胰岛素水平的影响,临床荟萃,1999,14(8):344.
[26]龚辉.张象贤,刘国平,等.非洛地平缓释剂对高血压病患者的疗效及尿徽蛋白排泄的影响,临床荟萃,2000,17(8):435
[27]周智林,林汀,李琳,等.卡托普利含服治疗高血压病急症的疗效观察,高血压病杂志,1996,4(3):232
[28]何添旺.针刺配合穴位贴敷治疗高血压病89例.中国针灸,1999,1 8(11):678
[29]殷之放.中药穴位散贴治疗高血压病94例.上海针灸杂志,1995,14(5):200
[30]金龙,周文全.降压胶囊治疗老年高血压病痛患者(阴虚阳亢型)的临床研究,中国中西医结合杂志,2002,22(11):832-834
[31]汤日鹏,宋顺福.耳尖放血疗法治疗高血压病肝阳上亢证临床观察.中医药学刊,2006,24,12
[32]陈国林.肝阳上亢证辨证标准探讨.中西医结合杂志.1988:(9):549
[33]清·叶天士.临证指南医案,上海:上海人民出版社,1976,6-17
[34]黎杏群.肝阳上亢患者血栓素B2和6-酮前列腺F10.湖南医科大学学报,1989,14(1):
[35]龚一萍.肝阳上亢与高血压病关系的探讨,长春中医学院学报,2000,(2)1
[36]张文康.中西医结合医学,北京:中国中医药出版社,2000,1827-1828.
[37]朱虹.肝阳上亢证植物神经功能及其递质的实验研究,辽宁中医杂志,1993(3):3
[38]李炜.气功对肝阳上亢型高血压病患者交感-肾上腺髓质功能的影响.中西医结合杂志.1990;(2):85
[2]谭元生,邓圣明,谭超.复方七芍降压片治疗高血压病的临床疗效及机理研究.中成药,2004,(1):2761-2673
[3]金龙,周文泉.络活胶囊治疗痰瘀阻络型高血压病的临床研究.中国中西医结合杂志.2004.24(7):610-612
[4]韩宇萍,王宁生,宓穗卿,等.五苓散对肾性高血压病大鼠降压作用的实验研究.中西医结合学报,2003,1(1):285-288.
[5]刘发,魏苑,杨新中.红花黄素对高血压病大鼠的降压作用药学学报,1992,27(10).785-787.
[6]王映辉.火针活疗高血压病的初步临床床观察,针灸临床杂志,l995.11(6):32
[7]魏建平.贴压耳廓敏感点治疗高血压病的疗效观察,针灸临床杂志,1995,l(3):20
[8]罗兴中.耳压治疗高血压病l24例临床观察,针灸临床杂志,1995,11(6):8
[9]高齐崧.头针治疗高血压病危象37例.中国针灸,1994(增刊):7
[10]黄效增.温针灸足三里治疗高血压病.山西中医,1994,10(61):38
[11]赵军,蒋涛.按摩对心率和血压的影响,中国康复医学杂志,1995,l0(5):232
[12]邝安望主编.高血压病在中国.长沙:湖南科学技术出版社,1 989,217
[13]高敏.颈动脉窦与胸锁乳哭肌去神经支配相关关系新认识的评价,国外医学心血管疾病分册,1998,25(5):127
[14]韦贵康,陈忠和,贺俊民,等.手法治疗颈椎性血压异常的研究.中医正骨,1991, 3(3):l
[15]陈忠和,李昌仪,韦责康,等.114例高血压病与颈椎病关系的调查.广西中医药,1982,(2):17
[16]俞兴群.推拿与放松功肩井治疗高血压病78例临床观察,按摩与导引,1989,(3):6
[17]谭远高.循经推拿治疗高血压病按摩与导引,l994,(5):l4
[18]潘崇海,郏风胡,何玉辉,等.从推拿治疗高血压病46例探讨推拿的降压作用,上海中医药杂志,1984,(6):18
[19]王吉耀,廖二元,胡品津.内科学,第1版,北京,人民卫生出社,2001,241.
[20]编辑部述评.恢复利尿剂做为第一线降血压药物的地位.高血压病杂志,1995,3(2):89-90.
[21]徐成斌.论现代抗高血压病药物的合理应用(上).中国医刊,1999,34(10):26.
[22]高海青,陆延菡,赵长芹,等.氨氯地平治疗原发性高血压病的临床研究,高血压病杂志,1995,3(1):66-69
[23]张路平,李燕,高会茹,等.非洛地平缓释片逆转左室肥厚及对舒张功能的影响.临床荟萃,2000,l5(14):647.
[24]胡光,赵长龙.非洛地平与赖诺普利的降压效应及对左室肥厚逆转作用的对比,临床血管病杂志,1999,15(6):250-253
[25]邵磊,黄兴华,齐季民,等.依那普利对高血压病患者胰岛素水平的影响,临床荟萃,1999,14(8):344.
[26]龚辉.张象贤,刘国平,等.非洛地平缓释剂对高血压病患者的疗效及尿徽蛋白排泄的影响,临床荟萃,2000,17(8):435
[27]周智林,林汀,李琳,等.卡托普利含服治疗高血压病急症的疗效观察,高血压病杂志,1996,4(3):232
[28]何添旺.针刺配合穴位贴敷治疗高血压病89例.中国针灸,1999,1 8(11):678
[29]殷之放.中药穴位散贴治疗高血压病94例.上海针灸杂志,1995,14(5):200
[30]金龙,周文全.降压胶囊治疗老年高血压病痛患者(阴虚阳亢型)的临床研究,中国中西医结合杂志,2002,22(11):832-834
[31]汤日鹏,宋顺福.耳尖放血疗法治疗高血压病肝阳上亢证临床观察.中医药学刊,2006,24,12
[32]陈国林.肝阳上亢证辨证标准探讨.中西医结合杂志.1988:(9):549
[33]清·叶天士.临证指南医案,上海:上海人民出版社,1976,6-17
[34]黎杏群.肝阳上亢患者血栓素B2和6-酮前列腺F10.湖南医科大学学报,1989,14(1):
[35]龚一萍.肝阳上亢与高血压病关系的探讨,长春中医学院学报,2000,(2)1
[36]张文康.中西医结合医学,北京:中国中医药出版社,2000,1827-1828.
[37]朱虹.肝阳上亢证植物神经功能及其递质的实验研究,辽宁中医杂志,1993(3):3
[38]李炜.气功对肝阳上亢型高血压病患者交感-肾上腺髓质功能的影响.中西医结合杂志.1990;(2):85