Clinical Study on the Combination of Acupuncture and Medication to Improve Blood Pressure Variability in Patients with Primary Hypertension
Objective To evaluate the effectiveness of acupuncture combined with medication in regulating short,medium,and long-term blood pressure variability in patients with primary hypertension,and to observe its antihypertensive effect and improvement of clinical accompanying symptoms.Methods From May 2022 to November 2022,64 patients with primary hypertension who were treated in the acupuncture and moxibustion Rehabilitation Department and the Cardiology Department of Jiangsu Provincial Hospital of Chinese Medicine were selected and randomly divided into the treatment group and the control group,with 32 patients in each group.The control group received oral amlodipine besylate tablets combined with general treatment(hypertension health education),while the treatment group received electroacupuncture treatment in addition to the control group.Both groups were treated for 8 weeks.Observe the comparison of 24-hour dynamic blood pressure,home self measured blood pressure,clinic blood pressure,and hypertension quality of life scale between two groups before and after treatment.Results After 8 weeks of treatment,the 24-hour BPV,dBPV,and nBPV in the ABPM of patients in the treatment group were significantly lower than those in the control group(P＜0.05);The levels of M-SSD,M-DSD,M-SCV,and M-DCV in HBPM were significantly lower than those in the control group(P＜0.05);The blood pressure levels of L-SSD,L-DSD,L-SCV,and L-DCV in the consultation room were significantly lower than those in the control group(P＜0.05);The scores of the DU's Hypertension Quality of Life Scale(physiological symptoms,sleep status,anger and vitality,anxiety,depression,work status,hostility score dimensions)in the treatment group increased significantly after treatment compared to before treatment,and the difference was statistically significant(P＜0.05);Both groups showed an increase compared to the control group,and the difference was statistically significant(P＜0.05).Conclusion The combination of acupuncture and medication can effectively improve the short,medium,and long-term blood pressure variability in patients with primary hypertension,enhance the stability of blood pressure reduction,effectively improve clinical accompanying symptoms,and improve quality of life.
Combination of acupuncture and medicationBlood pressure variabilityHypertensionHypertension quality of lifeClinical efficacy
万方数据
维普
