王理康　崔槟川　吴照凤

[摘要] 目的 观察针刀治疗颈性高血压的效果，探讨其治疗该病的机制。 方法 收集武警总医院疼痛科2014年2月～2016年12月诊断明确的颈性高血压患者62例，按随机数字表将其分为两组，每组31例。实验组采取针刀治疗，间隔3 d治疗1次，每周2次，共治疗8次；对照组采取针灸治疗，每天1次，7次为1个疗程，共4个疗程。观察两组患者治疗前后血压变化情况，并评价两组临床疗效。 结果 两组患者治疗前收缩压和舒张压水平比较差异均无统计学意义（P > 0.05）。两组治疗后收缩压、舒张压均较治疗前显著下降（P < 0.01），且实验组治疗后收缩压、舒张压明显低于对照组（P < 0.01）。实验组总有效率明显高于对照组，差异有统计学意义（P < 0.05）。 结论 通过针刀松解颈部软组织治疗颈性高血压病可显著改善患者的血压状况以及颈部症状，疗效确切。

[关键词] 针刀；颈性高血压；疗效

[中图分类号] RR544.1；R246.2 [文献标识码] A [文章编号] 1673-7210（2017）05（c）-0163-04

[Abstract] Objective To observe the clinical efficacy of acupotomy in treating cervical spinal hypertension， and to investigate the pathogenesis of it. Methods Sixty-two cases of patients diagnosed as cervical hypertension in General Hospital of Armed Police Forces from February 2014 to December 2016 were collected and divided into two groups in accordance with the random number table， each group had 31 cases. The experimental group was treated with the acupotomy therapy every three days， 2 times a week， for 8 times. The control group was treated with acupuncture， once a day， 7 times were as a course， total for 4 courses. The changes of blood pressure of the two groups before and after treatment were observed， and the clinical efficacy of the two groups was evaluated. Results There were no significant differences of systolic and diastolic blood pressure between the two groups before treatment （P > 0.05）. The systolic blood pressure and diastolic blood pressure in the two groups after treatment were significantly lower than those before treatment （P < 0.01）， and the systolic blood pressure and diastolic blood pressure in the experimental group were significantly lower than those in the control group （P < 0.01）. The total effective rate of the experimental group was higher than that of the control group， the difference was statistically significant （P < 0.05）. Conclusion The treatment of cervical hypertensive disease by manipulation with acupotomy for cervical soft tissue can significantly release the blood pressure and cervical symptoms， the curative effect is definite.

[Key words] Acupotomy； Cervical spinal hypertension； Curative effect

頸性高血压特指颈椎病所导致的血压升高，发病时主要表现为高血压临床症状，如头胀、头闷、眩晕、眼花、耳鸣、心悸、失眠、健忘等，以及颈椎病相关症候群，如颈部疼痛、活动受限、酸楚、单侧或双侧上肢不适等，体检均有不同程度的血压升高，临床极易误诊为高血压病，部分患者已经被诊断为高血压病而终日服药[1]。流行病学调查显示原发性高血压占高血压人群90%以上，而继发性高血压只占高血压人群5%～10%。近年来，随着针刀一线医务工作者的不断临床实践摸索，针刀疗法的适应证不断扩大。随着对高血压研究的不断深入，发现所谓原发性高血压并非原因不明，大部分通过仔细问诊、查体、检验均可找到病因，其中颈椎源性高血压占高血压的比例高达20%。武警总医院（以下简称“我院”）疼痛科采用针刀非直视下松解颈椎周围病变软组织，改变颈椎周围组织应力失衡状态，治疗颈性高血压获得肯定疗效。为……