| 摘要: |
| 目的：观察耳尖放血疗法对不同中医证型高血压患者的降压效果及证候改善情况。方法：选取143 例2级和3级的高血压患者，按中医辨证标准将其分为肝火亢盛组（60 例）、阴虚阳亢组（48 例）、痰湿壅盛组（20 例）和阴阳两虚组（15 例）。采用双耳尖放血疗法，观察治疗前、治疗后15 min、治疗后30 min和治疗后1 h患者的血压变化及证候积分变化。结果：耳尖放血疗法的降压疗效总有效率为81.8%（117 /143），证候疗效总有效率为72.0%（103/143），肝火亢盛组的证候和降压疗效均为100.0%（60/60），显著优于其他组（P＜0.01）。治疗后15 min，肝火亢盛组、阴虚阳亢组和痰湿壅盛组血压显著下降（P＜0.05），而阴阳两虚组需30 min后血压才显著下降。1 h后，除阴阳两虚组外，其余组血压仍显著下降。结论：耳尖放血疗法能有效改善不同证型高血压患者的证候及血压，尤其对肝火亢盛证患者效果显著，可作为高血压急救的有效辅助治疗手段。 |
| 关键词: 高血压 中医证型 耳尖放血疗法 降压疗效 证候疗效 高血压急救 |
| DOI： |
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| Comparative Study on the Hypotensive Efficacy of Ear Tip Bloodletting Therapy for Different Types of Hypertension |
| RAO Wenjuan,WANG Dongsheng,HONG Haiyan |
| (Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine，Changsha 410006，Hunan，China;Xiangya Hospital of Central South University，Changsha 410008，Hunan，China;Qinzhuhu Community Health Service Center of Kaifu District，Changsha 410201，Hunan，China) |
| Abstract: |
| Objective：To investigate the clinical effect of auricular tip bloodletting therapy in reducing blood pressure and improving symptoms in hypertensive patients with different traditional Chinese medicine (TCM) syndrome types.Methods: A total of 143 patients with grade 2/3 hypertension were enrolled，and according to TCM syndrome differentiation，they were divided into liver-fire excess group with 60 patients，Yin-deficiency and Yang-hyperactivity group with 48 patients，phlegm-dampness stagnation group with 20 patients，and Yin-Yang deficiency group with 15 patients.All patients underwent bilateral auricular tip bloodletting therapy，and blood pressure and TCM syndrome score were observed before treatment and at 15 minutes，30 minutes，and 1 hour after treatment.Results: Auricular tip bloodletting therapy had an overall response rate of 81.8% (117/143) in reducing blood pressure and 72.0% (103/143) in improving symptoms，and the liver-fire excess group had a response rate of 100.0% (60/60) for improving TCM syndrome and reducing blood pressure，with a significantly better response rate than the other groups (P < 0.01).At 15 minutes after treatment，there was a significant reduction in blood pressure in the liver-fire excess group，the Yin-deficiency and Yang-hyperactivity group，and the phlegm-dampness stagnation group，while the Yin-Yang deficiency group had a significant reduction in blood pressure at 30 minutes after treatment.At 1 hour after treatment，all groups except the Yin-Yang deficiency group had a significant reduction in blood pressure.Conclusion: Auricular tip bloodletting therapy effectively improves symptoms and lowers blood pressure in hypertensive patients with different TCM syndrome types，with a significant effect on patients with liver-fire excess syndrome，and therefore，it can be used as an effective adjunctive emergency treatment for hypertension management. |
| Key words: hypertension traditional Chinese medicine syndrome type auricular tip bloodletting therapy antihypertensive effect therapeutic effect on symptoms emergency treatment of hypertension |
