内热针治疗腰椎间盘突出症合并高血压病的血压心率变化

Blood pressure and heart rate fluctuation during dry needle of inner heating treating on patients with lumbar disc herniation complicated with hypertension

  • 摘要: 目的 对腰椎间盘突出症合并高血压病患者行内热针治疗的安全性进行评价。 方法 2015年3 - 10月来解放军总医院康复医学中心就诊的腰椎间盘突出症患者107例,按有无合并高血压病分为两组,高血压患者48例作为观察组,非高血压患者59例作为对照组,全程在心电监护下行内热针治疗,观察并比较两组内热针治疗过程中血压和心率的变化情况。 结果 两组血压在麻醉时和针刺时明显高于入室时和治疗后,观察组在治疗过程中波动幅度:收缩压(3.27±13.98)mmHg (1 mmHg=0.133 kPa),舒张压(2.08±8.15) mmHg,心率2.48±6.58/min;对照组在治疗过程中波动幅度:收缩压(2.03±12.51) mmHg,舒张压(0.41±9.61) mmHg,心率1.34±8.18/min,两组波动幅度差异无统计学意义(P> 0.05)。治疗过程中血压和心率升高超过基础值20%的发生率两组差异无统计学意义(P> 0.05)。所有患者顺利完成治疗,无意外发生。 结论 腰椎间盘突出症合并高血压病患者行内热针治疗血压心率波动平稳,个别高血压病患者血压出现一过性升高,治疗过程中应严密进行动态心电监护。

     

    Abstract: Objective To monitor the fluctuations of blood pressure and heart rate during dry needle of inner heating treating on lumbar disc herniation patients with hypertension, analyze the safety of dry needle of inner heating treating on such diseases. Methods Clinical data about 107 patients with lumbar disc herniation admitted to rehabilitation department of Chinese PLA General Hospital from March to October in 2015 were enrolled and divided into two groups according to whether complicated with hypertension disease, 48 hypertension patients were served as observation group and 59 non-hypertensive patients as control group. Patients had undergone dry needle of inner heating treatment, and the changes of heart rate and blood pressure during treatment were compared. Results The blood pressure of patients in two groups was higher during acupuncture and anesthesia compared with before and after treatment. The systolic blood pressure, diastolic blood pressure, heart rate of observation group during treatment was (3.27±13.98) mmHg, (2.08±8.15) mmHg, 2.48±6.58/min, respectively, while it was (2.03±12.51) mmHg, (0.41±9.61) mmHg, 1.34±8.18/min in control group, with no significant differences between two groups (P> 0.05). The incidence of blood pressure and heart rate rising above a base value of 20% showed no significant difference between two groups (P> 0.05). All patients completed treatment successfully without obvious discomfort and cardiovascular accident. Conclusion Patients with hypertension disease undergoing dry needle of inner heating treatment proves to be safe, few patients complicating with hypertension disease have transient increases, and dynamic ECG monitoring should be used during treatment.

     

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