针灸临床杂志2025,Vol.41Issue(4):18-23,6.DOI:10.19917/j.cnki.1005-0779.025065
"和脉调神"针法治疗高血压伴失眠患者血压变异性及睡眠情况的临床研究
Clinical Study on Effect of'Hemai Tiaoshen'Acupuncture on Blood Pressure Variability and Sleep Quality in Treatment of Hypertension Accompanied by Insomnia
摘要
Abstract
Objective:To observe the clinical effect of'Hemai Tiaoshen'acupuncture on blood pressure variability and sleep quality in treatment of hypertension accompanied by insomnia.Methods:60 hypertensive patients with insomnia were randomly assigned into the trial group and the control group.The control group was treated with routine western medication and health education;on which basis,the trial group was treated with'Hemai Tiaoshen'needling Baihui(DU20),Neiguan(PC6),Jueyinshu(BL14),Shenmen(HT7)and Taichong(LR3).The changes of blood pressure variability(BPV),mean blood pressure(MBP),the total score of insomnia severity index(ISI),and the total score of Pittsburgh sleep quality index(PSQI)and the subscale scores were observed before and after 8 weeks of the treatment in the two groups.Results:24 h-SSD,d-SSD,n-SSD,24 h-DSD,d-DSD,n-DSD,24 h-SCV,d-SCV,n-SCV,24 h-DCV,d-DCV and n-DCV were all significantly lower after 8 weeks of the treatment than those before the treatment in the treatment group(P<0.05);which were lower in the treatment group than those in the control group after the treatment(P<0.05).24 h-MSBP,d-MSBP,n-MSBP,24 h-MDBP,d-MDBP and n-MDBP were all significantly lower after the treatment than those before the treatment in the trial group(P<0.05).The ISI score,total PSQI score,and all subscale scores were all significantly improved in the group compared to those in the control group after the treatment(P<0.05).Conclusion:'Hemai Tiaoshen'acupuncture can effectively improve the blood pressure variability and sleep quality of the patients with hypertension and insomnia.关键词
高血压/失眠/和脉调神/血压变异性Key words
Hypertension/Insomnia/Hemai Tiaoshen/Blood pressure variability分类
中医学引用本文复制引用
石鸿伟,任飞,周浩玲,赖思华,张聪,陈理.."和脉调神"针法治疗高血压伴失眠患者血压变异性及睡眠情况的临床研究[J].针灸临床杂志,2025,41(4):18-23,6.基金项目
江苏省科技计划专项资金(重点研发计划社会发展)项目,编号:BE2023794 (重点研发计划社会发展)
江苏省研究生科研与实践创新计划,编号:SJCX23_0894 ()
江苏省中医院科主任学术提升专项课题,编号:Y2022ZR31. ()