Acupuncture for essential hypertension: a meta-analysis of randomized sham-controlled clinical trials.
Acupuncture for essential hypertension: a meta-analysis of randomized sham-controlled clinical trials.
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针灸治疗原发性高血压：随机假对照临床试验的荟萃分析
DOI：
10.1155/2014/279478
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Lao L
中科院分区：
文献类型：
--
作者：
Li DZ;Zhou Y;Yang YN;Ma YT;Li XM;Yu J;Zhao Y;Zhai H;Lao L
背景资料。针灸经常被认为是治疗高血压的辅助疗法。本综述的目的是评估其在治疗高血压方面的辅助效果。方法：研究方法。我们检索了截至2012年11月的PubMed、Cochrane图书馆、EMBASE和中文数据库China-Med、CNKI、Wanfang和VIP，以寻找比较针灸和假针灸的合格随机对照试验。观察指标为舒张压(DBP)和收缩压(SBP)的变化。结果。共纳入4个随机对照试验。与假针刺相比，针刺治疗后SBP无明显改善(n=386，平均差值=−3.80 −，95%CI=−10.0 3~2.44 mm Hg；I2=99%)，对舒张压无明显改善(n=386，平均差值=−2.82 mm Hg，95%CI=−5.2 2~(−0.43) mm Hg；I2=97%)。在亚组分析中，针灸显著改善了服用降压药的患者的SBP和DBP。只有轻微的针灸相关不良事件被报道。结论。我们的结果与针灸显著降低服用降压药的患者的血压是一致的。我们没有发现在没有降压药物的情况下针灸可以显著改善这些高血压患者的血压。
Background. Acupuncture is frequently advocated as an adjunct treatment for essential hypertension. The aim of this review was to assess its adjunct effectiveness in treating hypertension. Methods. We searched PubMed, the Cochrane Library, EMBASE, and the Chinese databases Sino-Med, CNKI, WanFang, and VIP through November, 2012, for eligible randomized controlled trials that compared acupuncture with sham acupuncture. Outcome measures were changes in diastolic (DBP) and systolic blood pressure (SBP). Results. A total of 4 randomized controlled trials were included. We found no evidence of an improvement with the fact that acupuncture relative to sham acupuncture in SBP change (n = 386; mean difference = −3.80 mmHg, 95% CI = −10.03–2.44 mmHg; I 2 = 99%), and an insignificant improvement in DBP change (n = 386; mean difference = −2.82 mmHg, 95% CI = −5.22–(−0.43) mmHg; I 2 = 97%). In subgroup analyses, acupuncture significantly improved both SBP and DBP in patients taking antihypertensive medications. Only minor acupuncture-related adverse events were reported. Conclusions. Our results are consistent with acupuncture significantly lowers blood pressure in patients taking antihypertensive medications. We did not find that acupuncture without antihypertensive medications significantly improves blood pressure in those hypertensive patients.
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影响因子：
3.3
作者：
Zhou, W;Fu, LW;Longhurst, JC
通讯作者：
Longhurst, JC
DOI：
10.1155/2012/878673
发表时间：
2012
期刊：
Evidence-based complementary and alternative medicine : eCAM
影响因子：
--
作者：
Zhou W;Longhurst JC
通讯作者：
Longhurst JC
影响因子：
3.2
作者：
Lee, Hyangsook;Kim, Song-Yi;Park, Hi-Joon
通讯作者：
Park, Hi-Joon
DOI：
10.1016/0197-2456(95)00134-4
发表时间：
1996-02-01
期刊：
CONTROLLED CLINICAL TRIALS
影响因子：
--
作者：
Jadad, AR;Moore, RA;McQuay, HJ
通讯作者：
McQuay, HJ
影响因子：
2.9
作者：
Guo, Zhi-Ling;Longhurst, John C.
通讯作者：
Longhurst, John C.