穴位埋线治疗更年期高血压和对雌二醇影响的临床研究.pdfVIP

提 要 目的：观察穴位埋线治疗更年期高血压阴虚阳亢型的临床疗效及对雌二醇的改善 作用，比较与常规针刺的疗效差异。 方法：筛选更年期高血压阴虚阳亢型患者60例，随机分为治疗组与对照组，每组 30例。治疗组采用穴位埋线，选取双侧三阴交、太溪、太冲、肝俞、曲池，每周治疗 一次，连续治疗四周；对照组采用常规针刺，选取双侧曲池、太冲、三阴交、太溪、 肝俞，每周治疗六次，连续治疗四周，观察每位患者治疗前后症状、血压及雌二醇的 水平。 结果：1.两组降压疗效显著，治疗组总有效率93.33%，对照组总有效率 80.00%，治疗组与对照组相比经秩和检验，P=0.03(P﹤0.05)，有显著性差异，治疗 组优于对照组。 2.两组均可有效降压，治疗后治疗组与对照组血压组间比较经 t 检验， P=0.000(P0.01)，有非常显著性差异，治疗组优于对照组。 3. 两组均可改善临床症状，治疗组总有效率93.33%，对照组总有效率 86.67%，治疗组与对照组比较经秩和检验，P=0.023(P0.05)有显著性差异，治疗组 优于对照组。 4. 两组均可调节血雌二醇水平，治疗后治疗组与对照组雌二醇组间比较经t检 验，P=0.097(P＞0.05)无统计学意义。 5.治疗结束3月后电话随访，治疗组与对照组血压组间比较经t检验，P=0.00， （P0.01），有非常显著性差异，治疗组优于对照组。 结论：穴位埋线有效降低血压，改善临床症状，调节血雌二醇水平；其降压效果 及维持血压稳定性疗效显著，且治疗更简便、省时。 关键词 穴位埋线；更年期高血压；雌二醇；阴虚阳亢型 Acupoint catgut embedding therapy for climacteric hypertension and clinical study on the effect of estradiol Speciality: Acupuncture and moxibustion Author: Xia de Peng Tutor: Zhang Tong Abstract Objective: To observe the clinical effects of catgut implantation at acupoint in the treatment of hypertension which is the type of deficiency of YIN leading to hyper activity of YANG,happened in climacteric period. and to compare the dieparity of curative effect with routine needled.meanwhile to observe the improvement of estradiol. Methods: sixty patients who suffer from hypertension which is the type of deficiency of YIN leading to hyper activity of YANG,happened in climacteric period were divided randomly into treatment group and control group; each has 30 patients, and were treated with catgut embedding in acupoint and acupuncture respectively. Control group needled bilateral Hegu (LI 4) ，Taichong (LR 3), Sanyinjiao (SP 6) Quchi (LI 11) Taixi （KI3 ） Ganshu （BL18 ） and Baihui （DU20 ）6 days a week