| Objective: The clinical control trial was used to evaluate the clinical antihypertensive effect of auricular acupoint compression combined with ear tip bleeding on the treatment of mild to moderate essential hypertension(EH),and to evaluate the changes and effects of the therapy on the quality of life of patients.Methods: The 73 clinically observed patients were divided into auricular acupuncture group and western medicine group.The auricular point treatment group was treated with ear acupoint compression combined with ear tip bloodletting treatment,in which the auricular point was pressed to take unilateral decompression ditch,liver,heart,kidney,and Shenmen,and the matching points were selected according to the accompanying symptoms.The western medicine group was given basic oral medication.The auricular point treatment group was given unilateral auricular point pressure in turn with the tip of the ear bleeding,After one day of rest,the above treatment is repeated.4 weeks of a course of treatment,a total of 8 weeks of treatment.The evaluation index selected arterial systolic and diastolic blood pressure changes and a concise quality of life scale(SF-36)score.The SBP,DBP changes of the two groups were recorded immediately at 30 min,1 h and 24 h after the first treatment.And also recorded The SBP,DBP changes and quality of life scale(SF-36)scores at the following times : before treatment,at the 8th week of treatment,at 4th and 8th week after treatment ended.Results: In terms of immediate hypotension,SBP was significantly lower in the auricular treatment group than the pre-treatment in the 30 min the first treatment(p<0.05),and DBP was significantly lower than the pre-treatment in 1 h the first treatment(p<0.05).SBP and DBP in the western medicine group were significantly lower than the pre-treatment(P<0.05)in 24 hours of the first treatment.Compared with the western medicine group,SBP and DBP in the auricular treatment group were significantly different in 1 hour the first treatment(p<0.05).In terms of blood pressure changes in the near and middle stages,the changes in SBP and DBP between the two groups were compared between groups.The results showed that compared with the blood pressure level before treatment,the SBP and DBP measured at the other three time points were significantly lower(p<0.05).Compared with the medicine,after the first 8 weeks,the SBP in the auricular treatment group having varying levels of significant differences(p <0.05),while changes DBP level is not significant difference(p> 0.05).There were no significant differences in SBP and DBP between the two groups at the 4th week and the 8th week after the end of treatment(p>0.05).There was no significant difference in the quality of life between the two groups in 8 dimensions between the pre-treatment auricular point treatment group and the western medicine group(p>0.05).In Physical-functionl,Role-emotion,bodily pain,General health,Role-physical and Mental health dimensions,the scores of patients in the auricular therapy group were significantly higher than those in the western medicine group(p<0.05)during and after treatment.This indicated that both methods are effective.Conclusion: The total effective rate of auricular point treatment group was 74.3%,while that of western medicine group was 71.4%.There was no statistical significance between the two groups(p>0.05).It indicates that auricular point has the same effect as western medicine in treating mild and moderate EH.Auricular therapy can significantly improve patients’ mental and emotional state and organism function.It suggests the effect of auricular therapy on patients’ psychological intervention and bad emotion mediation.It can obviously improve patients’ physiological and psychological subjective conditions,and has significant therapeutic advantages.During the treatment,patients in auricular therapy group did not have any adverse reactions.It can be seen that auricular therapy has the characteristics and advantages of green,safe and non-toxic side effects,which is worthy of promotion and application in clinical practice. |
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