針灸治療原發性高血壓病臨床研究.pptVIP

研究背景 研究背景 長期高血壓可引起心、腦、腎等靶器官的嚴重損害，是腦卒中,冠心病的主要危險因素。近年來許多循證醫學研究證實，抗高血壓藥物的主導作用是控制高血壓本身，而對降低心腦事件的發生率及死亡率作用不大。 The long-term high BP can cause target organ damage such as heart, brain, kidney and so on, which also is the major risk factors of stoke and coronary heart disease. In recent years, many EBM research said that the main effect of the antihypertensive drugs is to control BP but has little effect on reducing incidence rate and mortality of cardiovascular and cerebrovascular events. 以往的高血壓治療只強調降壓是抗高血壓治療的唯一目標，但有效控制血壓後，其併發症的罹患與死亡率仍是普通人群的2～6倍。所以尋求一種既能控制血壓，又能改善預後的降壓新途徑十分重要。 We always pay attention to lowering the BP, but when the BP is controlled the complications and mortality occurred 2 to 6 times than the normal human. So a new therapy that can control BP as well as improve the prognosis is necessary. 隨著醫學的發展和時代的進步，對高血壓的治療也提出了更高的要求，其治療目的已不再是僅僅降低升高的血壓，而防治靶器官損害、提高患者生活品質，有效減免心腦事件的發生已成為高血壓治療的最終目的。With the development of medicine, the purpose of the hypertension treatment are not only on controlling the BP but protecting target organ, improving quality of life and reduce the heart and cerebrovascular events. 因此，如何在有效控制血壓的同時，減少靶器官的損害及併發症的發生，成為高血壓病防治工作中的重點，尋求一種既能控制血壓，又能改善預後的降壓新途徑十分重要。 So a new therapy that can control BP as well as improve the prognosis is necessary. 针法介绍Acupuncture Method 直刺1～1.5寸，見針體隨動脈搏動而擺動，施用撚轉補法第二定義1分鐘；留針30分鐘 Perpendicular puncture for 1~1.5 cun, with needle waving with the arterial pulse. Manipulate for 1 minute with the second definition twirling reinforcing method. Retain for 30 minutes. 均直刺0.8~1寸，施用撚轉瀉法第一定義1分鐘，留針30分鐘Perpendicular puncture for 0.8~1 cun. Manipulate for 1 minute with the first definition twirling reducing method. Retain for 30 minutes. 直刺1寸，施用撚轉補法第一定義1分鐘，留針30分鐘Perpendicular puncture for 1 cun. Manipulate for 1 minute with the second definition twirling reinforcing method. Retain for 30 minutes. 臨床研究 Clinical Research 2009年2月-2010年6月間，針灸病房收集病例數986例， 將依從性差，病程過短，資料不全156例作為脫落例，共收集830例患者。男性495例，女性335例。平均病程11.49±9.72年。平均年齡61.6