Exploring the Effect of Combined Chinese and Western Treatment on Home Medical Care

Study Overview
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Brief Summary
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combine antihypertensive drugs and acupuncture to isolated systolic hypertension elderly patients at home

Detailed Description
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The investigators would like to compare the effectiveness of acupuncture and drug therapy on blood pressure. The investigators chose acupuncture point according the Traditional Chinese Medicine theory, besides, each patient was using 1-3 antihypertensive drug of a heterogeneous pharmacological group ranging from angiotensin-converting enzyme inhibitor (ACE inhibitor), diuretics, and beta blockers.

Official Title
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Effectiveness of Combining Antihypertensive Drugs and Acupuncture on Isolated Systolic Hypertension of Elderly Patients at Home

Conditions
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Hypertension

Intervention / Treatment
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* Other: acupuncture


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patient with isolated blood pressure diagnosis by physicians and BP >140/<90 mmHg patient took the drug to control blood pressure for more than one year age>65 years old Willing to participate in this study Exclusion Criteria: Suspected acute stroke chest pain or dyspnea ingestion of short-acting antihypertensive medication within 2 h prior to the beginning of the study body temperature >37.5∘C(99.5∘F)

Ages Eligible for Study
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Minimum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: drug use<br>routine drug use, each patient was using 1-3 antihypertensive drug of a heterogeneous pharmacological group ranging from ACE inhibitors, diuretics, and beta blockers | |
| Experimental: drug combine acupuncture<br>routine drug use combine acupuncture twice a week for 3 months | Other: acupuncture<br>* antihypertension drug, acupuncture twice a week for 3 months<br>* Other names: drug;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| blood pressure | measure blood pressure after the treatment compare the initial blood pressure | change from Baseline Systolic Blood Pressure at 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Traditional Chinese Medicine constitution | use The Constitution in Chinese Medicine Questionnaire | use the questionnaire at Baseline, 1.5 month, and three month later | 
| heart rate variability | use autonomic nervous system (ANS) watch to monitor patient's heart rate variability, Low Frequency/High Frequency ratio | use ANS watch to monitor patient's condition at Baseline, 1.5 month, and three month later | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acupuncture, hypertension, elderly, home health care