运用西雅图量表评价循经取穴治疗慢性稳定性心绞痛的疗效观察  

Effects observation of curative about electro-acupuncture points along meridians act on chronic stable angina pectoris via the Seattle Angina Questionnaire

作　　者：杨志虹 张宁 孙佳 崔瑾 冯麟 刘娇 杨孝芳 YANG Zhi-hong;ZHANG Ning;SUN Jia;CUI Jin;FENG Lin;LIU Jiao;YANG Xiao-fang(Clinical Medical School of Acupuncture and Rehabilitation,Guangzhou University of Chinese Medicine,Guangzhou 510006,China;College of Acupuncture and Orthopedics,Guizhou University of Traditional Chinese Medicine,Guiyang 550025,China;Ethnomedicine Department,TCM Hospital of Qiannan State,Duyun 558000,China)

机构地区：[1]广州中医药大学针灸康复临床医学院,广州510006 [2]贵州中医药大学针灸骨伤学院,贵阳550025 [3]黔南州中医院民医科,贵州都匀558000

出　　处：《中华中医药杂志》2019年第8期3838-3842,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81460703);贵州省科技支撑计划社会发展攻关项目(No.黔科合SY字[2013]3025号)~~

摘　　要：目的:通过西雅图心绞痛量表(SAQ)评价循经取穴电针治疗慢性稳定性心绞痛(CSAP)的临床疗效。方法:120例CSAP患者随机分为循经组(内关、通里)、他经组(孔最、太渊)、非经组、等待组,每组30例。各组患者均在基础药物治疗的前提下进行电针干预。通过西雅图量表进行治疗前、治疗后及治疗后4、8、12周5个时间点的评分。结果:治疗后,循经组与他经取穴组躯体活动受限程度均显著改善(P<0.01,P<0.05),且两组疗效相当;循经组、他经组、非经组患者心绞痛稳定状态均显著改善(P<0.01),且循经组能维持一定的远期疗效;循经组电针治疗能显著改善患者心绞痛发作情况(P<0.01),并具一定远期疗效;治疗及随访期间,循经取穴电针能改善患者对治疗满意程度(P<0.01);患者对疾病认知程度与干预手段无相关性。结论:循经取穴针刺治疗能较好地改善患者的生活质量,但在疾病认知程度方面由于多因素影响,循经取穴治疗对其改善并不明显。Objective: To evaluate the clinical effect of electro-acupuncture points along meridians on chronic stable angina pectoris(CSAP) by Seattle Angina Questionnaire(SAQ). Methods: A total of 120 cases of patients with CSAP were randomly divided into 4 groups: meridians group(Neiguan P6, Tongli H5), other meridians group(Kongzui L6, Taiyuan L9),non-meridian group and waiting treatment group, 30 cases in each group. All patients received electro-acupuncture intervention on the premise of basic drug treatment. SAQ were measured at 5 time points: before treatment, after treatment and 4, 8, 12 weeks after treatment. Results: The degree of physical activity limitation in meridians group and other meridians group was significantly improved(P<0.01), and the curative effect of the two groups was similar. The stable state of angina pectoris in meridians group,other meridians group and non-meridians group was significantly improved(P<0.01), and meridians group could maintain a certain long-term effect. Acupoint selection along meridians could significantly improve the attack of angina pectoris(P<0.01),and had a certain long-term curative effect. During the period of treatment and follow-up, electro-acupuncture along meridians could improve the treatment satisfaction of CSAP patients(P<0.01). There was no correlation between patients’ awareness of disease and intervention means. Conclusion: Acupuncture along meridians can better improve the life quality significantly for CSAP patients. However, because of multiple factors on the disease perception, acupoint selection along meridians can not significantly improve the quality of life of patients.

关 键 词：循经取穴 慢性稳定型心绞痛 西雅图心绞痛量表 穴位特异性 

分 类 号：R24[医药卫生—中医临床基础]