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福建中医药大学附属第三人民医院治未病科,福州 350100
南京中医药大学附属南京中医院心血管科
黄云婷,住院医师。E-mail:20211271@njucm.edu.cn
收稿:2024-08-20,
网络首发:2025-10-15,
纸质出版:2025-12-12
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黄云婷, 顾宁. 穴位磁疗法辅助治疗阴虚阳亢证轻中度高血压病:随机对照试验[J]. 中国针灸, 2025,45(12):1711-1716.
HUANG Yunting, GU Ning. Acupoint magnetotherapy as an adjunctive treatment for mild to moderate hypertension with
黄云婷, 顾宁. 穴位磁疗法辅助治疗阴虚阳亢证轻中度高血压病:随机对照试验[J]. 中国针灸, 2025,45(12):1711-1716. DOI: 10.13703/j.0255-2930.20240820-k0004.
HUANG Yunting, GU Ning. Acupoint magnetotherapy as an adjunctive treatment for mild to moderate hypertension with
目的:
2
观察穴位磁疗法辅助治疗阴虚阳亢证轻中度高血压病的临床疗效。
方法:
2
将66例阴虚阳亢证轻中度高血压病患者随机分为磁疗组(33例,脱落3例)和非磁疗组(33例,脱落4例)。两组均根据患者情况应用降压药物。磁疗组与非磁疗组分别采用含有磁极和不含磁极的表式磁疗带于单侧内关、外关进行干预,均每日1次,每次8 h,持续干预4周。分别于干预前后观察两组患者中医证候积分、杜氏高血压生活质量评分、诊室血压、24 h动态血压,并于干预后评定临床疗效。
结果:
2
干预后,两组患者中医证候积分及收缩压(SBP)、舒张压(DBP)均较干预前降低(
P
<
0.001),杜氏高血压生活质量评分均较干预前升高(
P
<
0.001);磁疗组患者中医证候积分及诊室SBP、DBP低于非磁疗组(
P
<
0.001),杜氏高血压生活质量评分高于非磁疗组(
P
<
0.001)。干预后,磁疗组患者24 h动态血压各项指标均较干预前降低(
P
<
0.05),非磁疗组患者24 h平均舒张压(24hDBP)、夜间平均收缩压(nSBP)及夜间平均舒张压(nDBP)均较干预前降低(
P
<
0.05);磁疗组患者24 h平均收缩压(24hSBP)、24hDBP、日间平均收缩压(dSBP)、日间平均舒张压(dDBP)及nSBP均低于非磁疗组(
P
<
0.05)。磁疗组总有效率为93.3%(28/30),高于非磁疗组的75.9%(22/29,
P
<
0.05)。
结论:
2
穴位磁疗法辅助治疗可有效改善阴虚阳亢证轻中度高血压病患者的临床症状、中医证候,提高患者的生活质量,降低患者的血压水平。
Objective
2
To observe the clinical efficacy of acupoint magnetotherapy as an adjunctive treatment for mild to moderate hypertension with
yin
deficiency and
yang
hyperactivity.
Methods
2
A total of 66 patients with mild to moderate hypertension of
yin
deficiency and
yang
hyperactivity were randomly divided into a magnetotherapy group (33 cases
3 cases dropped out) and a non-magnetotherapy group (33 cases
4 cases dropped out). Both groups were given antihypertensive drugs based on their clinical conditions. The magnetotherapy group and the non-magnetotherapy group wore surface magnetic therapy bands with or without magnetic poles
respectively
at unilateral Neiguan (PC6) and Waiguan (TE5). Intervention was administered once daily
8 h each time
for a continuous period of 4 weeks. Traditional Chinese Medicine (TCM) syndrome score
Duʹs hypertension quality of life (QOL) scale score
office blood pressure
and 24-hour ambulatory blood pressure were assessed before and after the intervention
and the clinical efficacy was evaluated after intervention.
Results
2
After the intervention
both groups showed reductions in
TCM syndrome scores
office systolic blood pressure (SBP)
and diastolic blood pressure (DBP) compared with those before intervention (
P
<
0.001)
and their Duʹs QOL scores increased (
P
<
0.001). The magnetotherapy group had lower TCM syndrome score and office SBP and DBP than those in the non-magnetotherapy group (
P
<
0.001)
while Duʹs QOL score was higher (
P
<
0.001). After the intervention
all 24-hour ambulatory blood pressure indexes in the magnetotherapy group were reduced compared with those before intervention (
P
<
0.05); in the non-magnetotherapy group
24-hour average diastolic blood pressure (24hDBP)
nighttime average systolic blood pressure (nSBP)
and nighttime average diastolic blood pressure (nDBP) were reduced (
P
<
0.05). The 24-hour average systolic blood pressure (24hSBP)
24hDBP
daytime average systolic blood pressure (dSBP)
daytime average diastolic blood pressure (dDBP)
and nSBP after intervention in the magnetotherapy group were lower than those in the non-magnetotherapy group (
P
<
0.05). The total effective rate in the magnetotherapy group was 93.3% (28/30)
which was higher than 75.9% (22/29) in the non-magnetotherapy group (
P
<
0.05).
Conclusion
2
Acupoint magnetotherapy as an adjunctive treatment for mild to moderate hypertension with
yin
deficiency and
yang
hyperactivity could effectively alleviate clinical symptoms and TCM syndromes
improve quality of life
and reduce blood pressure level.
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