电针内关穴为主治疗无症状心肌缺血疗效观察  

Observation on therapeutic effects of electroacupuncture at Neiguan(PC 6) on silent myocardial ischemia

作　　者：刁利红 杨宗保[2] 周国祥 陈燕 范丽英 张园园 刘辉 刘书田 

机构地区：[1]深圳市南山区蛇口人民医院康复科,广东深圳518067 [2]江西中医学院现代中药制剂教育部重点实验室,南昌330004 [3]深圳市龙岗区南岭人民医院

出　　处：《中国针灸》2011年第7期591-594,共4页Chinese Acupuncture & Moxibustion

基　　金：广东省中医药强省科研课题项目:2008025;深圳市南山区卫生科技项目:2009022

摘　　要：目的:观察针刺内关穴为主治疗无症状心肌缺血(SMI)的临床疗效。方法:将40例SMI患者随机分为电针组和药物组,每组20例。电针组以手厥阴心包经内关穴为主,结合辨证分型选穴,予电针治疗;药物组口服复方丹参滴丸,比较两组患者总有效率和治疗前后心率、血压、24 h动态心电图的变化情况。结果:电针组总有效率为95.0%(19/20),优于药物组75.0%(15/20,P<0.05);两组治疗后心率、收缩压和舒张压明显降低(P<0.01,P<0.05),电针组较药物组降低明显(均P<0.05);24 h动态心电图示,两组治疗后SMI段压低持续时间和ST段压低次数均明显减少(P<0.01,P<0.05),且电针组优于药物组(P<0.05)。结论:针刺内关穴对SMI具有很好的临床疗效,能减低心率和体循环动脉血压、减轻左室后负荷,优于口服复方丹参滴丸。Objective To observe the therapeutic effects of acupuncture at Neiguan （PC 6） on silent myocardial ischemia （SMI）. Methods Forty patients with SMI were randomly divided into an electroacupuncture group and a medicine group, 20 cases in each group. The Electroaeupuncture group was treated with electroacupuncture and Neiguan （PC 63 was selected as the main acupoint, and the other acupoints were selected by syndrome differentiation. The medicine group was treated with oral administration of compound Danshen dripping pill. The total effective rate, heart rate, blood pressure and dynamic electrocardiogram in 24 h were compared. Results The total effective rate of 95.0% （19/20） in the electroacupuncture group was better than that of 75. 0% （15/20） in the medicine group （P〈0.05）. After treatment, the heart rate, systolic blood pressure and diastolic blood pressure in the two groups were decreased significantly （P〈0. 01, P〈0.05） and the electroacupuncture group was superior to the medicine group （all P〈0.05）. The SMI duration and the number of ST segment depression were decreased significantly in both groups after treatment （P〈0. 01, P〈0.05） and the electroacupuncture group was superior to the medicine group （P〈0.05）. Conclusion Acupuneture at Neiguan （PC 6） has a good therapeutic effect on SMI. It can decrease the heart rate and blood pressure, reduce the afterload in left ventricular and is superior to that of compound Danshen dripping pill.

关 键 词：无症状心肌缺血 电针 穴 内关 动态 心电图 

分 类 号：R246.1[医药卫生—针灸推拿学]