| Objective In patients with primary hypertensive for the study object,observing Taichong(LR3) plus Taixi(KI3) of antihypertensive effect for primary hypertension.Methods A randomized controlled clinical trials,135 hypertensive patients were divided into non-acupuncture points group, Taichong(LR3) group, Taixi(KI3) group, Taichong plus non-acupoint group, Taichong(LR3) group plus Taixi(KI3) When received the conventional therapy on hypertension, each group was operated in different methods. After getting the needling sensation in acupuncture pionts(except non-acupoint group), needles were retained for 30 min and were lift and hrusted for 1 min in every 10 min. once every other day, three times a week for 4 weeks in total 12 times. The blood pressure was examined before and after the every acupuncture, and the 24h ambulatory BP monitoring was examined before and at the end of the treatment, and 4 weeks after the treatment. The observation indexs:Immediate blood pressure and 24-hour ambulatory blood pressure standard (standard deviation, SD).Result 1. Compared the hypertensive effect among the needle retaining time of 1 min and 30 min:①After needle retaining for 1 min,the SBP reducted were statistically significant in Taichong with non-acupoint group and non-acupoint group compared to before(P<0.05), there were significances in statistics except non-acupoint group after needle retaining for 30min compared to before(P<0.05), On the needle retaining time for 30 min,the reduction of SBP besiden non-acupoint group and Taixi group were statistically significant compared with 1 min(P<0.05), In general, the reductions on the needle retaining time of 30 min were superior to those of 1 min. ②After needle retaining for 30 min,the DBP reducted in all groups compared to before,and there were significances in statistics(P<0.05);On the needle retaining time of 30 min,the reduction of DBP in all groups were statistically significant compared with 1 min(P<0.05),and the reductions on the needle retaining time of 30 min were significantly better than those on the time of 1 min.2.①The results change of SBP after 3,6,9,and 12 acupuncture treatments:there were significant in statistics after 6,9,12 treatments compared to before in all groups of SBP(P<0.05); and SBP decrease were the most superior after 12 treatments. the reduction of SBP were statistically significant compared with 6,9 treatments after 12 treatments in Taichong plus Taixi group, Taichong plus non-acupoint group and Taichong group(P<0.05). Comparision between groups:there were significant in statistics Taichong plus Taixi group compared with non-acupoint group and Taichong group,after 6 and 9 treatments, Taichong plus Taixi group were statistically significant compared with the others group after 12 treatments about the reduction of SBP (P<0.05); and each group compared with non-acupoint group was statistically significant (P<0.05).②The results change of DBP after 3,6,9,and 12 acupuncture treatments:non-acupoint group showed no significant (P>0.05) after and before each time treatment; unless the outer hole group, and the others groups were statistically significant compared with before treatment (P<0.05),The DBP decline of Taichong plus Taixi group was the largest after treatment, non-acupoint group was the least in the decline of DBP. Acupuncture 12 times, Taichong plus Taixi group of the decline of DBP compared with each group was statistically significant(P<0.05), The DBP decline of Taichong plus Taixi group was the largest after 12 treatments, and the others groups were superior than non-acupoint group.3. Comparison of standard deviation of blood pressure:compared with pretreatment of acupuncture, average standard deviation of blood pressure in Taichong(LR3) group,Taixi(KI3) group, Taichong plus Taix group, Taichong plus non-acupoint group of 24h, day-time, night-time both decreased obviously post-treatment with statistical significance(P<0.05); compared with post-treatment of acupuncture, average standard deviation of blood pressure in Taichong(LR3) group, Neiguan(PC6) group, Taichong plus Neiguan group, Taichong plus non-acupoint group of 24h, day-time, night-time both increased obviously when followed up(P<0.05), however it was lower than pretreatment(P<0.05); non-acupoint group didn’t change obviously pretreatment, post-treatment and when followed up (P>0.05). When course of treatment ended, compared average standard deviation of SBP of 24h and day-time among groups, Taichong plus Taixi group was lower than non-acupoint group,Taichong(LR3) group, Taixi (KI3) group, Taichong plus non-acupoint group (P<0.05); average standard deviation of blood pressure of day-time and night-time of non-acupoint group was higher than other groups (P<0.05). At follow-up, in addition to Taichong plus Taixi group of average standard deviation of SBP of day-time compared with non-acupoint group (P<0.05), the rest of groups average standard deviation of SBP of 24h day-time and night-time were no significant when followed up (P>0.05).Conclusions 1.anti-hypertension effect of the first time acupuncture treatment,30 min was more superior than 1 min.2. Comprehensive analysis of blood pressure instantly and the standard deviation of blood pressure, antihypertensive effect of Taichong plus Taixi group was more superior than non-acupoint group and the single-point groups, and the others groups also more superior than non-acupoint group.3.The antihypertensive effect of the acupuncture has the accumulation effect to some extent and a certain acupuncture after effect. |
PDF Full Text Request