原发性高血压病论文子午流注纳甲法论文：择时选穴针刺治疗高血压病肝阳上亢证临床观察.doc

原发性高血压病论文子午流注纳甲法论文：择时选穴针刺治疗高血压病肝阳上亢证临床观察 【摘要】目的 :观察择时选穴治疗一、二级原发性高血压病的疗效。方法 :将60例一级或二级原发性高血压病患者随机分成2组，治疗组30例采用针刺子午流注纳甲法开穴为主穴，配穴曲池、太冲；对照组30例采用不同时辰针刺与当天治疗组相同的腧穴，每日1次,10次为1疗程,连续治疗两个疗程。结果:治疗前后临床积分:治疗组分别为7.70±0.87、 2.23±1.86, 对照组分别为7.66±0.92、 3.30±1.62, 两组治疗2疗程后与治疗前比较, 差异具有统计学意义（p＜0.01）;两疗程前后舒张压降低:两组均p＜0.01）,两组间比较,治疗组舒张压降低甚于对照组（p＜0.01）。两疗程前后收缩压降低：两组均比治疗前降低（p＜0.01）,两组间比较,治疗组收缩压降低方面与对照组相当（p＞0.05）。两疗程后,择时选穴组症状疗效优于同穴不同时组（p0.05）。两疗程后择时选穴组降压总疗效优于同穴不同时组(p0.01)。结论 : 择时选穴针刺治疗原发性高血压病肝阳上亢证效果良好,其可能是治疗原发性高血压病的一种简便可行的方法和手段。不同时间针刺相同穴位，对原发性高血压病的疗效具有明显差异，提示腧穴 【关键词】原发性高血压病 子午流注纳甲法 针刺 clinical observation on acupuncture treatment to hypertention of gan yang shang kang syndrome abstract】purpose : to observe the therapeutic effect of acupuncture according to zi wu liu zhu na jia theory to cure primary hypertention。 methods: 60 cases of patients with first or second grade primary hypertention were randomly divided into 2 groups.30 patients in the treatment group were treated by acupuncture according to zi wu liu zhu theory to cure hypertention;30 patients in the compared group were treated by the same acupoints in the same day but at a different time, once daily, with 10 days being one therapeutic course, and 2 courses all together.results: clinic score before and after treatment:treatment group: 7.70±0.8、 2.23±1.86;control group: 7.66±0.92、 3.30±1.62.compared with before and after two therapeutic courses treatment,the difference is statistically significant（p＜0.01).compared between the two groups, treatment group’s clinlic score declining is better than the compared group（p＜0.05).dbp declining: two groups’dbp both declined,both better than before（p＜0.01),compared between the two groups,treatment group dbp declining is better than the compared group（p＜0.01).sbp declining:two groups’ sbp both declined after two courses of treatment（p＜0.01), compared between the two groups,the treatment group is not better than the compared group（p＞0.05）. after two periods of treatment,the efficient of treatment