CAJ | 학술논문

目的：观察推拿手法对高血压患者的血压及血压变异性的影响。方法：选取高血压患者40例，将其随机分为观察组和药物组，每组20例。观察组在常规药物治疗基础上予以“益肾活血通脉”推拿手法治疗，药物组仅采用与观察组相同的常规药物治疗。分别于治疗前及治疗3个月后行24-hour动态血压监测，比较两组患者血压及血压变异性的变化。结果：治疗前两组患者的血压及血压变异系数组间差异无统计学意义(P＞0.05)；治疗3个月后，两组患者血压及血压变异系数均较本组治疗前显著改善(P＜0.05)；观察组改善情况优于对照组，两组间差异有统计学意义(P＜0.05)。结论：“益肾活血通脉”推拿手法结合常规药物对高血压患者的血压及血压变异性改善情况优于单纯常规药物治疗，且操作方便，无毒副作用，适宜临床推广应用。
목적：관찰추나수법대고혈압환자적혈압급혈압변이성적영향。방법：선취고혈압환자40례，장기수궤분위관찰조화약물조，매조20례。관찰조재상규약물치료기출상여이“익신활혈통맥”추나수법치료，약물조부채용여관찰조상동적상규약물치료。분별우치료전급치료3개월후행24-hour동태혈압감측，비교량조환자혈압급혈압변이성적변화。결과：치료전량조환자적혈압급혈압변이계수조간차이무통계학의의(P＞0.05)；치료3개월후，량조환자혈압급혈압변이계수균교본조치료전현저개선(P＜0.05)；관찰조개선정황우우대조조，량조간차이유통계학의의(P＜0.05)。결론：“익신활혈통맥”추나수법결합상규약물대고혈압환자적혈압급혈압변이성개선정황우우단순상규약물치료，차조작방편，무독부작용，괄의림상추엄응용。
Objective:To observe the effect of tuina manipulations on blood pressure and its variability in hypertension patients. Methods:Forty hypertension patients were randomized into an observation group and a medication group, 20 cases in each group. The observation group was intervened by tuina manipulations of kidney-tonifying blood-circulating and collaterals- unblocking in addition to regular medication, while the medication group was by the same medication. The 24-hour blood pressure monitoring was performed before intervention and after 3-month intervention. The blood pressure and its variability were observed and compared. Results:There were no significant differences in comparing the blood pressure and blood pressure variability between the two groups before intervention (P>0.05); after 3-month intervention, the blood pressure and its variability were significantly improved in both groups (P<0.05); the improvements in the observation group were more significant than those in the control group (P<0.05). Conclusion:Tuina manipulations of kidney-tonifying blood-circulating and collaterals-unblocking plus medication can produce a better effect than regular medication in promoting blood pressure and its variability, and this method is worth applying in clinic as it’s easy-to-operate and has no adverse effect.