中国针灸

目的：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：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：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（n SBP）及夜间平均舒张压（n DBP）均较干预前降低（P<0.05）；磁疗组患者24 h平均收缩压（24h SBP）、24h DBP、日间平均收缩压（d SBP）、日间平均舒张压（d DBP）及n SBP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：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 To observe the clinical efficacy of acupoint magnetotherapy as an adjunctive treatment for mild to moderate hypertension with yin deficiency and yang hyperactivity. Methods 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, Du?s 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 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 Du?s 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 Du?s 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(24 hDBP), nighttime average systolic blood pressure(n SBP), and nighttime average diastolic blood pressure(nDBP) were reduced(P<0.05). The 24-hour average systolic blood pressure(24 hSBP), 24h DBP, daytime average systolic blood pressure(d SBP), daytime average diastolic blood pressure(d DBP), 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 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.