摘要
血压变异性(BPV)是情志刺激、饮食、运动等多种外部环境因素作用于人体心血管系统的相互影响的结果,高血压诊治多倾向血压数值变化评估,认识BPV危害尚不够,血压管理工作尚欠缺,个体化治疗目标及要求尚不完善。西药治疗降压成绩突出,对血压变异改善效果欠佳,中医药多从子午流注学说阐述,中药汤剂内服、中成药及针灸、刮痧、耳穴压豆、中药浴足等在改善血压变异性方面具有显著疗效,可更好控制24h动态血压,保护心、脑、肾等靶器官,预防和减少不良事件发生率和病死率。运用中医中药多环节、多靶点、低毒和高效的优势,达到平稳降压,改善血压变异性,保护靶器官是亟待解决的问题。改善血压变异性存多家之言,临床试验研究数据仍缺乏。丰富和完善血压变异性中医诊疗方法,中西医结合降低血压变异性,防止心脑血管并发症意义重大,利用现代医学试验研究方法及成果,全面发掘中医中药优势是重要方向。
Blood pressure variability is the mutual influence of emotional stimulation,diet,exercise and other external environmental factors on human cardiovascular system results, diagnosis and treatment of hypertension are prone to blood pressure change assessment, understanding the harm of BPV is still not enough, the blood pressure management is still lacking, individual treatment objectives and requirements is not perfect. Western medicine in the treatment of blood pressure on blood pressure variability scores, poor effect, traditional Chinese medicine from the Ziwuliuzhu theory, clinical research proved that Decoction of traditional Chinese medicine, Chinese medicine and acupuncture, scraping, auricular beans, foot bath with traditional Chinese medicine in improving the blood pressure variability has obvious curative effect, can better control the 24h ambulatory blood pressure, protect the heart, the brain, kidney and other target organs, prevent and reduce the incidence of adverse events and mortality. The use of multi link, multi target, low toxicity and high efficiency of traditional Chinese medicine, to achieve stable blood pressure, improve blood pressure variability, to protect the target organ is an urgent problem to be solved. Improvement of blood pressure variability is still a number of words, the data is still lack of clinical trials. To enrich and improve the blood pressure variability in TCM diagnosis and treatment methods, reduce blood pressure variability with combination of TCM and Western medicine, prevention of cardiovascular complications of major significance, using the method of experimental research and achievements of modern medicine, to explore the full advantages of Chinese medicine Chinese medicine is an important direction.
出处
《实用中医内科杂志》
2016年第10期89-92,共4页
Journal of Practical Traditional Chinese Internal Medicine
关键词
血压变异性
高血压
中药汤剂
内服
中成药
中医特色疗法
针灸
刮痧
耳穴压豆
足浴
综述
Blood pressure variability
hypertension
Chinese medicine decoction
oral administration
Chinese medicine
TCM therapy
acupuncture
scraping
ear
foot
review
