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1、提要目的：探討針刺行間、太溪穴對陰虛陽亢型原發(fā)性高血壓患者血壓的影響。并通過與曲泉、太溪穴降壓效果對比，證明滋陰潛陽法較滋水涵木法更適合應用于臨床陰虛陽亢型原發(fā)性高血壓患者的即時降壓治療。方法：篩選符合納入標準的高血壓患者62例。按照隨機分組方法按1：1的比例分為治療組和對照組，每組31例。治療組取雙側行間、太溪穴，對照組取雙側曲泉、太溪穴。選用0.30*40mm毫針（華佗牌）直刺入穴位，針刺深度約為8～12mm，得氣后留針30min。治療前測量記錄血壓，30min后結束治療并立即測量記錄血壓變化。應用統(tǒng)計軟件SPSS17.0對所得數據進行統(tǒng)計學處理。結果：1.兩種方法均可有效降
2、低血壓（P＜O.01），治療組有效率90％，對照組有效率76.67％，組間療效具有顯著性差異(P＜0.05)。2.治療組即時降低收縮壓的效果明顯優(yōu)于對照組（P＜O.05）。3.治療組與對照組即時降低舒張壓的效果無明顯差異(P＞0.05)。結論:1.針刺行間、太溪可以即時降低陰虛陽亢型原發(fā)性高血壓患者的血壓，且在降低收縮壓方面較針刺曲泉、太溪組有更好的療效。2.滋陰潛陽法治療陰虛陽亢型原發(fā)性高血壓的即時效果優(yōu)于滋水涵木法。3.子母補瀉法在原發(fā)性高血壓的臨床治療方面確有其實際應用價值。關鍵詞針刺;高血壓;陰虛陽亢;攻補兼施;子母補瀉Theobservationofimmediatea
3、ntihypertensiveeffectsusingXingjianandTaixiintreatinghypertensionSpecialty:Acupuncture＆ReinforcingandreducingbothAuthor:WeiNaTutor:Prof.HouShuweiAbstractObjective:ToobservetheimmediateantihypertensiveeffectsofXingjianandTaixiintreatinghypertension.ComparedwiththeTaixiandQuquanantihypertensive
4、effect,toprovereinforcingandreducingbothmethodismoresuitableforimmediateantihypertensivetreatment.Methods:60casesofpatientsdiagnosedwithhypertensionwererandomlydividedintotwogroups，XingjiangroupandQuquangroup.Thebloodpressureofthetwogroupsofpatientsbeforetreatmentwasassessedaswellas30minafter
5、thetreatmentandwasanalyzedusingmedicalstatistics，toobservetheimmediateantihypertensiveeffects.Results:1,Twokindsofmethodsbothcanobviouslyreducesystolicanddiastolicbloodpressure(P<0.01),theefficientrateoftreatmentgroupwas90%,andcontrolgroupwas76.67%,thereweresignificantdifferencesbetweengroups
6、(P<0.05).2,Theeffectoftreatmentgroupisbetterthancontrolgrouptoreducethesystolicbloodpressureinimmediate(P<0.01).3,Theeffectoftreatmentgroupandcontrolgrouphavenoobviousdifferencetoreducediastolicpressureinimmediate(P>0.05).Conclusion:1,XingjianandTaixicanreducebloodpressureinpatientswithessent
7、ialhypertension.anditissuperiortoQuquanandTaixiintheregulatingofsystolicbloodpressure.2,Reinforcingandreducingbothismoresuitablethanonlyreinforcing.3,Themethodofzimubuxiedoeshaveitspracticalvalueintheclinicaltreatmentofessentialhypertension.K
