| 引用本文:童芬芬，马振.腹针对原发性高血压疗效及其对昼夜节律与自主神经功能及心肌能量消耗的研究[J].世界中医药,2017,(12):. |
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| 腹针对原发性高血压疗效及其对昼夜节律与自主神经功能及心肌能量消耗的研究 |
| Study on Therapeutic Effects of Abdominal Acupuncture on Essential Hypertension and its Effects on Circadian Rhythm, Autonomic Nervous Function and Myocardial Energy Expenditure |
| 投稿时间：2017-05-11 |
| DOI：10.3969/j.issn.1673-7202.2017.12.060 |
| 中文关键词: 原发性高血压 昼夜节律 自主神经功能 腹针 |
| English Keywords:Essential hypertension Circadian rhythm Autonomic nerve function Abdominal acupuncture |
| 基金项目:陕西省中医管理局科研课题（15-SCJH024） |
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| 中文摘要: |
| 目的：观察腹针对原发性高血压疗效，同时探讨腹针对血压昼夜节律与自主神经功能及心肌能量消耗的影响。方法：选取2011年10月至2015年1月陕西省西安市中医医院收治的原发性高血压患者200例，随机分为对照组和观察组，每组100例，其中对照组接受常规降压药物处理，观察组在对照组治疗基础上加腹针干预，2组均以4周为疗程，疗程结束后观察2组患者24 h动态血压、心率变异性以及心脏结构指标（MEE）的变化。结果：1）治疗后2组收缩压(Systolic Blood Pressure，SBP）和舒张压（Diastole Pressure，DBP）均见明显下降，差异有统计学意义（P<0.05），其中观察组SBP降压效果显著优于对照组，差异有统计学意义（P<0.05），而DBP则未见明显差异，差异无统计学意义（P>0.05）。2）治疗后2组SDANN和SDANNIndex均见明显下降，差异有统计学意义（P<0.05），其中观察组升高程度显著优于对照组，差异有统计学意义（P<0.05）。3）治疗后2组MEE评定中MEE/sys、MEE/min和cESS均见明显降低，差异有统计学意义（P<0.05），其中观察组降低程度显著优于对照组，差异有统计学意义（P<0.05）。4）MEE评定中的MEE/sys、MEE/min和cESS与心率变异性SDANN呈负相关，差异有统计学意义（P<0.05）。结论：腹针对可理想控制血压昼夜节律，其作用机制可能与调节机体自主神经有关，从而降低心肌能量消耗。 |
| English Summary: |
| To observe the therapeutic effects of abdominal acupuncture on essential hypertension, and to explore the effects of abdominal acupuncture on circadian rhythm of blood pressure, autonomic nervous function and myocardial energy expenditure. Methods:A total of 200 cases of primary hypertension patients who were treated in our hospital from October 2011 to January 2015 were randomly divided into control group and observation group, with 100 cases in each group. The control group received conventional antihypertensive drug treatment, and the observation group was added abdominal acupuncture intervention. Both groups were treated for 4 weeks. 24 h ambulatory blood pressure, heart rate variability and the change of MEE after the end of treatment of 2 groups were observed. Results:1) After treatment, the systolic blood pressure (SBP) and diastolic blood pressure (DBP) of both groups decreased significantly (P<0.05), and the effect of SBP in the observation group was significantly better than that of the control group (P<0.05), but not significantly different in DBP (P>0.05). 2) After treatment, the SDANN and SDANNIndex of both groups decreased significantly (P<0.05), and the observation group was significantly higher than that of the control group (P<0.05). 3) MEE/sys, MEE/min and cESS were significantly lower in the MEE group after treatment (P<0.05), and the observation group was significantly lower than the control group (P<0.05). 4) MEE/sys, MEE/min and cESS in MEE were negatively correlated with heart rate variability SDANN (P<0.05). Conclusion:Abdominal acupuncture can control the circadian rhythm of blood pressure, and its mechanism may be related to the regulation of the autonomic nervous system, which can reduce the energy consumption of the myocardium. |
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