中医外治法治疗高血压合并失眠的临床研究进展
Clinical Research Progress of Traditional Chinese Medicine Treatment for Hypertension Combined with Insomnia
DOI: 10.12677/tcm.2025.146376, PDF,   
作者: 杨建萍:广西中医药大学研究生院,广西 南宁;朱 英*:广西中医药大学附属瑞康医院针灸科,广西 南宁
关键词: 高血压失眠中医外治法综述Hypertension Insomnia Chinese Medicine External Treatment Review
摘要: 高血压是常见心血管疾病,其患病率呈上升趋势,而失眠作为常见睡眠障碍,二者共存现象普遍,相互影响。目前治疗高血压伴失眠患者的常规方法通常涉及联合使用抗高血压药物和安眠药,但安眠药的副作用和药物依赖性限制了此类药物的长期临床使用。近年来中医外治法作为中医特色疗法之一,在治疗高血压合并失眠方面取得显著疗效。现归纳了包括针刺、耳穴压豆、中药贴敷等外治法治疗高血压合并失眠的研究进展,旨在为临床治疗高血压合并失眠提供参考。
Abstract: Hypertension is a common cardiovascular disease, with its prevalence on the rise. Insomnia, as a common sleep disorder, often coexists and influences each other. The conventional treatment of patients with hypertension and insomnia usually involves the combination of antihypertensive drugs and sleeping pills, but the side effects and drug dependence of sleeping pills limit the long-term clinical use of such drugs. In recent years, traditional Chinese medicine external therapies, as one of the distinctive treatments, have shown significant efficacy in treating hypertension combined with insomnia. This paper summarizes the research progress on external therapies for hypertension combined with insomnia, including acupuncture, auricular bean pressing, and herbal patches, aiming to provide a reference for clinical treatment.
文章引用:杨建萍, 朱英. 中医外治法治疗高血压合并失眠的临床研究进展[J]. 中医学, 2025, 14(6): 2550-2555. https://doi.org/10.12677/tcm.2025.146376

参考文献

[1] Mills, K.T., Stefanescu, A. and He, J. (2020) The Global Epidemiology of Hypertension. Nature Reviews Nephrology, 16, 223-237. [Google Scholar] [CrossRef] [PubMed]
[2] 刘明波, 何新叶, 杨晓红, 等.《中国心血管健康与疾病报告2023》要点解读[J]. 临床心血管病杂志, 2024, 40(8): 599-616.
[3] Vgontzas, A.N., Fernandez-Mendoza, J., Liao, D. and Bixler, E.O. (2013) Insomnia with Objective Short Sleep Duration: The Most Biologically Severe Phenotype of the Disorder. Sleep Medicine Reviews, 17, 241-254. [Google Scholar] [CrossRef] [PubMed]
[4] Ostroumova, T.M., Parfenov, V.A., Ostroumova, O.D. and Kochetkov, A.I. (2020) Hypertension and Insomnia. Terapevticheskii Arkhiv, 92, 69-75. [Google Scholar] [CrossRef] [PubMed]
[5] Liu, D., Yu, C., Huang, K., Thomas, S., Yang, W., Liu, S., et al. (2022) The Association between Hypertension and Insomnia: A Bidirectional Meta-Analysis of Prospective Cohort Studies. International Journal of Hypertension, 2022, Article 4476905. [Google Scholar] [CrossRef] [PubMed]
[6] 顾颖敏, 冼绍祥, 黄宇新, 等. 中医药疗法治疗高血压合并失眠的进展中国中医药现代远程教育[J]. 中国中医药现代远程教育, 2019, 17(24): 128-130.
[7] 陈禹嘉, 赵新元, 黄荣发, 等. 中医外治法治疗高血压患者失眠的网状Meta分析[J]. 世界中西医结合杂志, 2025, 20(1): 59-67.
[8] 陈志强, 杨关林, 王飞, 刘维, 孙玉凤, 张腾, 林谦, 吴伟, 马红珍, 王小琴, 王秀阁, 毛兵, 邓弈辉, 等. 中西医结合内科学 新世纪第3版[M]. 北京: 中国中医药出版社, 2016.
[9] 李爽, 赵玉洁, 魏瑶, 等. 郑宏基于卫气昼夜运行规律论治高血压伴失眠经验[J]. 中医药导报, 2025, 31(2): 165-168.
[10] 吉星, 戴雁彦, 辛玉, 等. 郭维琴教授从“心主血脉”论治高血压伴失眠症经验[J]. 中西医结合心脑血管病杂志, 2024, 22(14): 2679-2682.
[11] 郭雪松, 黄进学, 解欢欢, 等. 高血压伴失眠的发病机制及与气郁质关联的研究进展[J]. 中国医药, 2021, 16(3): 467-469.
[12] Li, P., Tjen-A-Looi, S.C., Cheng, L., Liu, D., Painovich, J., Vinjamury, S., et al. (2015) CME Article: Long-Lasting Reduction of Blood Pressure by Electroacupuncture in Patients with Hypertension: Randomized Controlled Trial. Medical Acupuncture, 27, 253-266. [Google Scholar] [CrossRef] [PubMed]
[13] Li, J., Sun, M., Ye, J., Li, Y., Jin, R., Zheng, H., et al. (2019) The Mechanism of Acupuncture in Treating Essential Hypertension: A Narrative Review. International Journal of Hypertension, 2019, Article 8676490. [Google Scholar] [CrossRef] [PubMed]
[14] Zhao, H., Liu, C., Ye, H., Shi, K., Yao, Y. and Wang, M. (2024) Advancements in the Physiopathological Study of Acupuncture Treatment for Insomnia: A Review. Medicine, 103, e38476. [Google Scholar] [CrossRef] [PubMed]
[15] 石鸿伟, 任飞, 周浩玲, 等. “和脉调神”针法治疗高血压伴失眠患者血压变异性及睡眠情况的临床研究[J]. 针灸临床杂志, 2025, 41(4): 18-23.
[16] 李佳, 田利芳, 梁燕. 子午流注针法对痰热型失眠合并高血压患者睡眠及血压水平的影响[J]. 西部中医药, 2024, 37(4): 155-158.
[17] 陶丽, 徐美婷, 樊小农, 等. 针刺治疗原发性高血压伴失眠临床医案[J]. 云南中医中药杂志, 2018, 39(7): 59-61.
[18] 李永聪, 黄秀, 周丽, 等. 基于子午流注理论指导行揿针疗法对肝阳上亢型高血压失眠患者的影响[J]. 当代护士(下旬刊), 2024, 31(1): 32-36.
[19] 潘佳佳, 王飞凤. 耳穴揿针结合情志护理于痰瘀阻络证高血压伴失眠患者中的应用[J]. 中西医结合护理(中英文), 2023, 9(5): 49-52.
[20] 戚圆圆, 薛雯丹, 楚喆悠, 等. 基于数据挖掘技术分析耳穴疗法治疗高血压伴失眠的选穴规律[J]. 实用心脑肺血管病杂志, 2024, 32(8): 89-96
[21] 刘萌萌. 耳穴压豆治疗原发性高血压病合并失眠症的应用[J]. 实用中医内科杂志, 2021, 35(11): 76-78.
[22] 陈荣梅, 李阿琼, 李秋兰. 耳穴压豆结合穴位按摩对老年高血压伴失眠患者的护理效果观察[J]. 中国医药指南, 2025, 23(10): 182-185.
[23] 王真, 樊雅欣, 陈复娜, 等. 吴茱萸穴位贴敷联合耳穴压豆对高血压伴失眠患者血压水平与睡眠质量的影响[J]. 临床医学研究与实践, 2024, 9(22): 158-161+178.
[24] 茹英, 沈仲夏, 董丽萍. 穴位贴敷疗法联合佐匹克隆治疗失眠症伴高血压病临床研究[J]. 新中医, 2023, 55(22): 180-183.
[25] 裴娅玲, 马丽. 中药熏洗治疗高血压合并失眠患者的临床疗效[J]. 新疆中医药, 2024, 42(5): 19-21.
[26] 董晓燕, 甘培英, 姚晓红. 激光针灸联合中药熏洗在高血压伴失眠患者睡眠康复中的应用效果观察[J]. 医学理论与实践, 2023, 36(21): 3762-3765.
[27] 何荷, 韦卓, 王丽. “枢-督”推拿治疗高血压伴失眠的临床疗效观察[J]. 中华养生保健, 2025, 43(2): 65-68.
[28] 李琴. 对高血压合并失眠患者进行穴位推拿和协同护理的效果研究[J]. 当代医药论丛, 2020, 18(3): 275-276.