艾灸丰隆、足三里治疗痰湿壅盛证高血压患者的疗效

摘要

目的 探讨艾灸双侧丰隆、足三里治疗痰湿壅盛证高血压患者的疗效.方法 2015年3-11月,便利抽样法选择在福州市某三级甲等医院心血管内科门诊治疗的59例痰湿壅盛证1级高血压患者为研究对象.按随机数字表法将其分为对照组和观察组.对照组30例患者进行常规治疗和健康教育,而观察组29例患者在此基础上给予艾灸疗法,取双侧丰隆、足三里,艾灸1次/d,每穴施灸5 min/次,共20 min,干预期为30 d.记录干预期间两组患者的血压、血脂、中医证候积分,并评价其疗效.结果 干预30 d后,两组患者的收缩压差异有统计学意义(t=-2.021,P=0.043).两组患者的血清总胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)水平差异均有统计学意义(均P<0.05).干预后,两组患者的中医证候积分均比干预前低,差异均有统计学意义(均P<0.05),且干预后观察组患者得分低于对照组,差异有统计学意义(P<0.05).结论 艾灸疗法对降低痰湿壅盛证高血压患者的收缩压、调节血脂水平、改善中医证候具有一定的效果.%Objective To observe the influence of moxibustion in essential hypertension(EH)patients with phlegm dampness.Methods By convenience sampling,59 cases were selected and randomly divided into control group and observation group.The 30 cases in control group received routine treatment and health education,while the 29 cases in observation group received moxibustion on points Fenglong and Zusanli once a day,5 minutes a time,20 minutes in total and 30 days.The changes of blood pressure,blood lipid and TCM syndromes in the two groups during the intervention period were recorded and evaluated.Results The significant differences of systolic blood pressure were found between two groups after 30 days of treatment (t=-2.021,P=0.043).The statistical differences of total cholesterol(TC)and triglyceride(TG) level were found in two groups(all P<0.05).After intervention,the TCM symptom score in two groups were significantly decreased than before treatments(allP<0.05).After the intervention,TCM syndromes in observation group was lower than which in control group(P<0.05).Conclusions Moxibustion therapy can help reduce the systolic blood pressure and regulate blood lipid level,and can ameliorate the TCM syn-drome of essential hypertension patients with phlegm dampness.