| 郑毅敏 吴峰 张帅 王燕华 周巍 俞峰 孙俊波 冯金忠.针刺治疗对原发性高血压患者血压和心率变异性的影响[J].实用中西医结合临床,2016,16(7):1-3 |
| 针刺治疗对原发性高血压患者血压和心率变异性的影响 |
| Effect of Acupuncture on Blood Pressure and Heart Rate Variability in Patients with Essential Hypertension |
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| DOI： |
| 中文关键词: 原发性高血压 针刺 血压变异性 心率变异性 |
| 英文关键词: Acupuncture Essential hypertension Blood pressure variability Heart rate variability |
| 基金项目:国家自然基金（编号：81400207） |
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| 中文摘要: |
| 目的：探讨针刺治疗对原发性高血压患者血压变异性和心率变异性的影响。方法：选择符合条件的60例原发性高血压患者进行针刺治疗，疗程为30 d，采用自身前后对照，分别于治疗前后完善24 h动态血压及24 h动态心电图检查。结果：针刺治疗后血压变异性各指标（24 h平均收缩压、24 h平均舒张压、24 h收缩压标准差、24 h舒张压标准差、白昼收缩压标准差、白昼舒张压标准差、夜间收缩压标准差、夜间舒张压标准差）均较治疗前降低，差异具有统计学意义（P＜0.05）；心率变异性各指标（连续RR间期标准差、平均5 min RR间期标准差、平均5 min RR间期标准差的平均值、连续RR间期差值的均方根值、相邻RR间期大于50 ms的百分数）均较治疗前有所改善，差异具有统计学意义（P＜0.05）。结论：针刺治疗能显著降低原发性高血压患者的血压变异性，改善心率变异性，从而可能改善高血压患者的靶器官损害。 |
| 英文摘要: |
| Objective: To investigate the effects of acupuncture on blood pressure and heart rate variability in patients with essential hypertension. Methods: 60 Hypertensive patients were selected to be treated with acupuncture for 30 days. Before and after acupuncture treatment, 24 hour ambulatory blood pressure and 24 hours Holter were performed. Results: After acupuncture treatment, blood pressure variability indexes (24 h average systolic and diastolic blood pressure, standard deviations of 24 h systolic and diastolic blood pressure, standard deviations of systolic and diastolic blood pressure at daytime, standard deviations of systolic and diastolic blood pressure at night) were significantly lower than those before treatment (P＜0.05). Compared with baseline level, heart rate variability indexes (standard deviation of all RR intervals, standard deviation of RR intervals in all 5 minute segments of the entire recording, the mean of standard deviation of RR intervals in all 5 minutes segments of the entire recording square root of standard deviation of all RR intervals, the percentage of adjacent RR intervals greater than 50 ms) were improved after acupuncture treatment (P＜0.05). Conclusion: Acupuncture treatment can significantly reduce blood pressure variability in patients with essential hypertension, and improve heart rate variability, which may improve the target organ damage in patients with hypertension. |
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