CAJ | 학술논문

原发性高血压是临床常见慢性疾病之一，也是中医防治的重点。作者检索PubMed数据库关于针灸治疗原发性高血压的RCT文献加以分析，表明国外针灸治疗原发性高血压临床试验方法学质量较高，然而和其他针灸临床试验一样，存在治疗方案的中医理论不足，这可能是研究者中医学习不充分和文化背景的差异所致，加之样本量较少，治疗干预方式较多，未设立空白对照，且大部分为采用24 h动态血压指标，难以客观评价针灸临床疗效。因此本研究团队在国家“973课题”的资助下，采纳严格的研究方法学时结合中医传统循经和辨证结合的干预方案基础上加以改进，进行高质量的RCT研究，以期进一步探讨经穴效应特异性的临床疗效规律。
원발성고혈압시림상상견만성질병지일，야시중의방치적중점。작자검색PubMed수거고관우침구치료원발성고혈압적RCT문헌가이분석，표명국외침구치료원발성고혈압림상시험방법학질량교고，연이화기타침구림상시험일양，존재치료방안적중의이론불족，저가능시연구자중의학습불충분화문화배경적차이소치，가지양본량교소，치료간예방식교다，미설립공백대조，차대부분위채용24 h동태혈압지표，난이객관평개침구림상료효。인차본연구단대재국가“973과제”적자조하，채납엄격적연구방법학시결합중의전통순경화변증결합적간예방안기출상가이개진，진행고질량적RCT연구，이기진일보탐토경혈효응특이성적림상료효규률。
Primary hypertension is one of the common chronic diseases, as well as the key disease for prevention and treatment by traditional Chinese medicine (TCM). The authors searched and analyzed RCTs studies on primary hyper-tension treatment with acupuncture in the PubMed. It showed that primary hypertension treatment with acupuncture abroad had high quality methodologies. However, the deficiencies of TCM theories in the treatment plan in these studies were the same as RCTs of acupuncture treatment design of other diseases. It may due to the insufficiency of TCM knowledge and culture differences of researchers aboard. Besides, the small sample amount, various interven-tions, no blank control, and the using of 24-hour ambulatory blood pressure most of the time, may difficult to objec-tively evaluate the clinical effect of acupuncture. Therefore, our research team will carry out high quality RCT stud-ies under the guidance of TCM theories of meridians and syndrome differentiation to further discuss the specificity of acupoints.