针刺曲池穴得气和捻转补泻手法对原发性高血压患者血压的影响

摘要

Objective: To observe the effect of acupuncture of Quchi (LI 11) on the blood pressure of essential hypertension(EH) patients, and to evaluate the efficacy of failure of the arrival of Qi, arrival of Qi and the method of reinforcing —reducing by twirling and rotating the needle. Methods:Single -blind, randomized and controlled method were adopted in the present study and a total of 293 EH patients were randomly divided into failure of the arrival of Qi group, arrival of Qi group, arrival of Qi and left twirl group, arrival of Qi and right twirl group. The blood pressure was measured before acupuncture, 10 minutes after needle insertion, just after withdrawing the needle, 10 minutes after withdrawing the needle. Results:The blood pressure in each group was significantly lower after acupuncture than it was before acupuncture ( P <0. 01) ;the effects of arrival of Qi group, arrival of Qi and left twirl group, arrival of Qi and right twirl group, reinforcing deficiency and reducing excess group (including deficiency pattern of arrival of Qi and left twirl group and excess pattern of arrival of Qi and right twirl group) , reducing deficiency and reinforcing excess group (including excess pattern of arrival of Qi and left twirl and deficiency pattern of arrival of Qi and right twirl group) were significantly superior to those of failure of the arrival of Qi group in reducing blood pressure (P <0.01). There were no significant differences in reducing blood pressure between arrival of Qi group, arrival of Qi and left twirl group, arrival of Qi and right twirl group, reinforcing deficiency and reducing excess group, reducing deficiency and reinforcing excess(P >0. 05). Conclusion:In the acupuncture treatment, failure of the arrival of Qi is also effective, but the effect of arrival of Qi is better than failure of the arrival of Qi; The method of reinforcing - reducing by left Twirling or right Twirling does not show a corresponding reinforcing - reducing effect in this study.%目的:观察针刺曲池穴后原发性高血压患者的血压变化,评价不得气、得气、捻转补法和捻转泻法的效应.方法:采用单盲、随机、对照试验研究方法将符合纳入标准的293例患者随机分为不得气组、得气组、得气左转组和得气右转组,分别于针刺前、进针10min、起针即刻和起针10min测量血压.结果:与针刺前相比,针刺后各组血压明显降低(P＜0.01)；得气组、得气左转组、得气右转组、虚补实泻(“得气左转组”中的虚证和“得气右转组”中的实证)、虚泻实补(“得气左转”中的实证和“得气右转”中的虚证)的降压效果明显优于不得气组(P＜0.01)；得气组、得气左转组、得气右转组、虚补实泻、虚泻实补之间的降压效果无显著性差异(P＞0.05).结论:在针刺治疗中,不得气也有效,但得气比不得气效果好；以针的捻转方向的不同来区分的捻转补泻手法即“左转为补,右转为泻”在本研究中未显示相应的补泻效应.