| 摘要: |
| 目的：观察雷火灸联合常规疗法治疗老年阳虚型高血压病的效果。方法：采用回顾性临床研究方法，选择100 例老年阳虚型高血压病患者的临床资料，根据是否使用雷火灸辅助治疗分为雷火灸组和基础治疗组各50 例。2 组患者均使用口服降压药物及健康与饮食指导进行治疗，雷火灸组联合雷火灸治疗。2 组均观察7 d。比较2 组的临床疗效。治疗前后测量晨起血压，评定中医证候积分。结果：治疗7 d 后，雷火灸组显效率74.0%，基础治疗组显效率14.0%，差异有统计学意义（P＜0.01）。雷火灸组总有效率为100%，基础治疗组总有效率为94.0%，2 组总有效率比较，差异无统计学意义（P＞0.05）。2 组收缩压、舒张压均较治疗前下降（P＜0.05）。雷火灸组收缩压、舒张压均低于基础治疗组，差异均有统计学意义（P＜0.05）。2 组头痛头晕、神疲乏力、畏寒肢冷、大便溏薄、胸闷气短、腰膝酸冷6 项证候的中医证候积分与总分均较治疗前下降（P＜0.05）。雷火灸组6 项中医证候积分与总分均低于基础治疗组（P＜0.05）。结论：使用雷火灸联合常规疗法可有效降低老年阳虚型高血压病患者的血压水平，改善患者的临床症状，提高临床疗效。 |
| 关键词: 高血压病 老年 阳虚型 中西医结合疗法 雷火灸 回顾性研究 |
| DOI： |
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| 基金项目: |
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| Clinical Study on Thunder-Fire Moxibustion Combined with Routine Therapy forHypertension of Yang Deficiency Type in Senile Patients |
| XIAO Yingying,WU Shaoxia,LUO Na,SUN Jing |
| (单篇PDF全文查阅请上中国知网下载阅读（中国知网电子版刊出时间：纸刊刊出日期一个月左右）) |
| Abstract: |
| Abstract：Objective：To observe the effect of thunder-fire moxibustion combined with routine therapy on hypertension
of yang deficiency type in senile patients. Methods： The method of retrospective clinical study was applied to select the
clinical data of 100 cases of senile patients with hypertension of yang deficiency type. According to whether or not use
thunder-fire moxibustion as adjuvant treatment，the patients were divided into the thunder-fire moxibustion group and the
basic treatment group，50 cases in each group. Both groups were given the oral administration of antihypertensive drugs as
well as health and diet guidance， and the thunder- fire moxibustion group was additionally treated with thunder- fire
moxibustion. Both groups were observed for seven days. The clinical effect in the two groups was compared. Before and after
treatment，morning blood pressures were measured and Chinese medicine syndrome scores were evaluated. Results：After
treatment for seven days， the obvious effective rate was 74.0% in the thunder- fire moxibustion group and 14.0% in the
basic treatment group， the difference being significant(P＜0.01). The total effective rate was 100% in the thunder- fire
moxibustion group and 94.0% in the basic treatment group；there was no significant difference being found in the comparison
of the total effective rates between the two groups(P＞0.05). Systolic and diastolic blood pressures in the two groups were
decreased when compared with those before treatment(P＜0.05). Both systolic and diastolic blood pressures in the thunderfire
moxibustion group were lower than those in the basic treatment group，differences being significant(P＜0.05). The scores
of six Chinese medicine syndromes including headache and dizziness，mental fatigue and lack of strength，fear of cold and
cold limbs，loose stool，oppression in the chest and shortness of breath，and soreness and coldness in waist and knees as
well as the total scores in the two groups were decreased when compared with those before treatment(P＜0.05)；the above
scores in the thunder- fire moxibustion group were all lower than those in the basic treatment group(P＜0.05). Conclusion：
Thunder- fire moxibustion combined with routine therapy can effectively reduce the blood pressure levels of senile patients
with hypertension of yang deficiency type，and improve their clinical symptoms as well as the clinical effect. |
| Key words: Keywords：Hypertension Senile Yang deficiency type Integrated Chinese and western medicine therapy Thunder-
Fire moxibustion Retrospective study |
