|本期目录/Table of Contents|

[1]郑毅敏,张帅,王燕华,等.针刺治疗对原发性高血压患者血压变异性和心率变异性的影响[J].医学研究与战创伤救治(原医学研究生学报),2016,18(06):563-565,571.[doi:10.3969/j.issn.1672-271X.2016.06.001]
　ZHENG Yi-min,ZHANG Shuai,WANG Yan-hua,et al.Effect of acupuncture on blood pressure and heart rate variability in patients with essential hypertension[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(06):563-565,571.[doi:10.3969/j.issn.1672-271X.2016.06.001]
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针刺治疗对原发性高血压患者血压变异性和心率变异性的影响()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年06期
页码:
563-565,571
栏目:
出版日期:
2016-11-20

文章信息/Info

Title:
Effect of acupuncture on blood pressure and heart rate variability in patients with essential hypertension
作者:
郑毅敏; 张帅; 王燕华; 周巍; 俞峰; 孙俊波; 冯金忠; 吴峰
313000浙江湖州，解放军98医院心血管内科
Author(s):
ZHENG Yi-min;  ZHANG Shuai;  WANG Yan-hua;  ZHOU Wei;  YU Feng;  SUN Jun-bo;  FENG Jin-zhong;  WU Feng.
Department of Cardiology, 98 Hospital of PLA, Huzhou, Zhejiang 313000, China
关键词:
针刺; 原发性高血压; 血压变异性; 心率变异性
Keywords:
acupuncture;  essential hypertension;  blood pressure variability;  heart rate variability
分类号:
R541.4
DOI:
10.3969/j.issn.1672-271X.2016.06.001
文献标志码:
A
摘要:
目的 探讨针刺治疗对原发性高血压患者血压变异性和心率变异性的影响。方法 选择符合条件的60例原发性高血压患者进行针刺治疗，疗程为30 d，采用自身前后对照，分别于治疗前后完善24 h动态血压及24 h动态心电图检查。结果 针刺治疗后血压变异性各指标（24 h平均收缩压、24 h平均舒张压、24 h收缩压标准差、24 h舒张压标准差、白昼收缩压标准差、白昼舒张压标准差、夜间收缩压标准差、夜间舒张压标准差）均较治疗前降低，差异具有统计学意义（P＜0.05）；心率变异性各指标（连续RR间期标准差、平均5 min RR间期标准差、平均5 min RR间期标准差的平均值、连续RR间期差值的均方根值、相邻RR间期大于50 ms的百分数）均较治疗前有所改善，差异具有统计学意义（P＜0.05）。结论 针刺治疗能显著降低原发性高血压患者的血压变异性，改善心率变异性，从而可能改善高血压患者的靶器官损害。
Abstract:
Objective To investigate the effects of acupuncture on blood pressure and heart rate variability in patients with essential hypertension. Methods 60 hypertensive patients were selected to be treated with acupuncture for 30 days. Before and after acupuncture treatment, 24-hour ambulatory blood pressure and 24 hours Holter were detected. Results After acupuncture treatment, blood pressure variability indexes (24 h average systolic and diastolic blood pressure, standard deviations of 24 h systolic and diastolic blood pressure, standard deviations of systolic and diastolic blood pressure at daytime, standard deviations of systolic and diastolic blood pressure at night) were significantly lower than those before treatment (P＜0.05). Compared with original level, heart rate variability indexes (standard deviation of all RR intervals, standard deviation of the averages of RR intervals in all 5-minute segments of the entire recording, standard deviation of difference between adjacent RR intervals, square root of the mean of the sum of the squares of difference between adjacent RR interval, percent of difference between adjacent RR intervals that are greater than 50 ms) were improved after acupuncture treatment (P＜0.05 ). Conclusion Acupuncture treatment can significantly reduce blood pressure variability in patients with essential hypertension, and improve heart rate variability, which may improve the target organ damage in patients with hypertension.

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备注/Memo

备注/Memo:
国家自然科学基金项目（81400207）
更新日期/Last Update: 2016-11-20