| ObjectiveBy monitoring the hemodynamic parameters of the patients with essential hypertension,it is shown that acupuncture with the method of regulating the spirit can affect the hemodynamic indexes such as cardiac output and vascular elasticity of the patients;by evaluating the anxiety state and PSQI of the patients with essential hypertension,it is shown that acupuncture with the method of regulating the spirit can improve the anxiety state of the patients;reflecting acupuncture with the method of regulating the spirit can alleviate the clinical symptoms of the patients with essential hypertension.Methods67 patients with essential hypertension were randomly divided into two groups:acupuncture group(33 cases)and drug group(34 cases).The acupuncture and medicine group was treated with western medicine and acupuncture with the method of regulating the spirit at the same time.The acupuncture with the method of regulating the spirit:Yintang(EX-HN3),shenting(GV24),Sishencong(EX-HN1),Baihui,Neiguan(P6),Sany in jiao(SP6),blood pressure point(Double),Zhongwan(CV12),Tianshu(S25),Guanyuan(CV4).The drug group was prescribed western medicine by experienced doctors according to the Chinese hypertension prevention and control guidelines(2018).Before and after treatment,the ICG(noninvasive hemodynamic monitoring)value range of the two groups were measured,and the scores of blood pressure,TCM clinical symptom score of hypertension,HAMA,PSQI were recorded.ResultsAfter treatment,ICG indexes such as cardiac output,vascular resistance,systolic blood pressure,etc.in the two groups were reduced,and the scores of each scale were also reduced,the difference was statistically significant(P<0.05);after treatment,the difference of SSVR and LSW was statistically significant(P<0.05)in the acupuncture and drug group compared with the drug group,and the difference was statistically significant in the total score of clinical symptoms,HAMA,PSQI scores in the acupuncture and drug group compared with the drug group Statistical significance(P<0.05).In the treatment group,after treatment,there were 13 significant,16 effective and 4 ineffective blood pressure effects,the total effective rate was 87.88%.In the control group,after treatment,there were 13 effective,14 effective,7 ineffective,and the total effective rate was 79.41%.There was no significant difference in the total effective rate of blood pressure(P>0.05).In the treatment group,after treatment,27 patients were judged to be effective,6 patients were ineffective,and the total effective rate was 81.82%.After treatment,there were 20 effective and 14 ineffective in the control group,the total effective rate was 58.82%.The total effective rate of TCM symptom score was significantly different(P<0.05).After treatment,there were 17 patients without anxiety in the treatment group,9 patients with possible anxiety,7 patients with positive anxiety,and 0 patients with obvious anxiety in the treatment group;7 patients without anxiety in the control group,16 patients with possible anxiety,9 patients with positive anxiety,and 2 patients with obvious anxiety in the control group.There was a statistically significant difference in the distribution of anxiety after treatment between the two groups(P<0.05).ConclusionAcupuncture with the method of regulating the spirit has obvious effect on reducing vascularresistance and left ventricular work in patients with hypertension,and can improve the hemodynamics of patients;acupuncture with the method of regulating the spirit can improve the clinical symptoms,anxiety and sleep quality of patients with hypertension.The treatment and prevention of hypertension is between "lowering blood pressure" and "effects other than lowering blood pressure",which is very important for the treatment of hypertension and its complications.The external effect of antihypertensive therapy should not be limited to hypotension,but also to reduce arterial stiffness,improve arterial elasticity and reduce symptoms,so as to prevent cardiovascular and cerebrovascular events and improve the quality of life of patients.There is a lot of evidence that hypotension itself can not solve all the problems in the process from risk factors to end events,and can not fully explain the cardiovascular benefits of hypotension treatment.Therefore,the standard of treatment of hypertension can not be unilaterally understood as lowing blood pressure,but also as activity interventive cardiovascular risk factors and related diseases.Only in this way can effectively reduce the incidence and mortality of cardiovascular and cerebrovascular diseases. |
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