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针灸治疗高血压临床研究概况

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针灸治疗高血压的方法有:针刺疗法、灸法、综合疗法.针刺疗法包括毫针、电针、耳针、埋针、头针等,灸法包括艾条灸、艾炷灸、热敏灸,综合疗法包括毫针结合药物、灸药结合、针刺联合穴位贴敷、针刺配合推拿、皮内针结合药物、腹针结合药物等.针灸降压的机制可能与抑制RAAS系统相关酶表达、改善代谢紊乱、抑制迷走神经活性、减少氧化应激反应与恢复损伤内皮细胞受体等有关.目前,针灸治疗高血压的研究存在一定局限性,临床针对针灸降血压的研究主要集中在即时和短期疗效,对其远期疗效随访较少涉及,研究中针灸的选穴、作用频次、施术时间、刺激方式等方案差异较大,可能对结果产生一定影响.
Clinical Research Overview of Acupuncture and Moxibustion for Hypertension
The methods of acupuncture and moxibustion for hypertension include acupuncture therapy,moxibustion therapy and compre-hensive therapy.Acupuncture therapies include acupuncture with filiform needle,electroacupuncture,ear needling,embedded needling and scalp needling.Moxibustion therapies include moxa strip moxibustion,moxa bundle moxibustion and heat-sensitive moxibustion.Comprehensive therapies include acupuncture with filiform needle combined with drugs,combination of moxibustion and drugs,acupunc-ture combined with acupoint application,acupuncture combined with massage,intradermal acupuncture combined with drugs,abdominal acupuncture combined with drugs,etc.The mechanism of acupuncture and moxibustion in reducing blood pressure may be related to in-hibiting the expression of RAAS system related enzymes,improving metabolic disorders,inhibiting vagus nerve activity,reducing oxida-tive stress response and restoring damaged endothelial cell receptors.At present,there are some limitations in the study of acupuncture and moxibustion for hypertension.Clinical studies on acupuncture and moxibustion for reducing blood pressure mainly focus on the im-mediate and short-term effects,and the long-term effects are rarely involved.In the study,there are great differences in acupoint selec-tion,action frequency,operation time,stimulation methods and other schemes,which may have a certain impact on the results.

hypertensionacupuncture and moxibustion therapyacupuncture therapymoxibustion therapycomprehensive therapy

张艳艳、毕颖斐

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天津中医药大学第一附属医院,国家中医针灸临床医学研究中心,天津 300380

高血压 针灸疗法 针刺疗法 灸法 综合疗法

国家中医临床研究基地业务建设科研专项项目国家中医药行业科研专项项目教育部"创新团队发展计划"-中医药防治心血管疾病研究项目天津市科技计划项目

JDZX2015003201407001-6AIRT-16R5415ZXLCSY00020

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(1)
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