神道八阵穴隔药灸联合西药治疗气虚血瘀型慢性心力衰竭疗效观察  

Therapeutic Observation of Partitioned Moxibustion at Shendao Bazhen Points Combined with Western Medication for Chronic Heart Failure Due to Qi Deficiency and Blood Stagnation

作　　者：刘海立 张卫丽 高晨[1] 李劼 李淑欣 李文青[1] 郑艳 LIU Hai-li;ZHANG Wei-li;GAO Chen;LI Jie;LI Shu-xin;LI Wen-qing;ZHENG Yan(Tangshan Hospital of Traditional Chinese Medicine,Tangshan 063000,China;North China University of Science and Technology Affiliated Hospital,Tangshan 063000,China)

机构地区：[1]唐山市中医医院,唐山063000 [2]华北理工大学附属医院,唐山063000

出　　处：《上海针灸杂志》2020年第3期269-273,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：河北省中医药管理局中医药类科研计划课题(2018327)。

摘　　要：目的观察神道八阵穴隔药灸联合西药治疗气虚血瘀型慢性心力衰竭的临床疗效。方法将108例气虚血瘀型慢性心力衰竭患者随机分为对照组和观察组,每组54例。对照组接受规范西药治疗(螺内酯片、盐酸贝那普利片、富马酸比索洛尔片、地高辛片),观察组在对照组的基础上给予神道八阵穴隔药灸治疗。观察两组治疗前后Lee氏心衰计分、中医症状积分、6 min步行距离、心脏彩超检查指标变化,检测治疗前后血清N末端B型利钠肽原(NT-proBNP)水平,并比较两组临床疗效。结果观察组和对照组总有效率分别为90.9%、76.4%,两组总有效率比较差异有统计学意义(P<0.05)。两组治疗后Lee氏心衰计分、血清NT-pro BNP、中医症状积分(心悸、心痛、气短、浮肿、倦怠乏力)、左室收缩末期内径(LVEDs)、左室舒张末期内径(LVEDd)、室间隔厚度(IVSd)、左室心肌质量指数(LVMI)、6 min步行距离、左室射血分数(LVEF)与同组治疗前比较,差异有统计学意义(P<0.05);观察组治疗后Lee氏心衰计分、血清NT-pro BNP、中医症状积分(心悸、心痛、气短、浮肿、倦怠乏力)、LVEDs、LVEDd、IVSd、LVMI均低于对照组,6 min步行距离、LVEF高于对照组,差异均有统计学意义(P<0.05)。结论在规范西药治疗基础上联合神道八阵穴隔药灸能明显提高气虚血瘀型慢性心力衰竭患者的临床疗效,改善患者的左室收缩功能。Objective To observe the clinical efficacy of partitioned moxibustion at Shendao Bazhen points[eightpoints taking Shendao(GV11)as the center]combined with Western medication in treating chronic heart failure due toqi deficiency and blood stagnation.Method A total of 108 patients with chronic heart failure due to qi deficiency andblood stagnation were randomized into a control group and an observation group,with 54 cases in each group.Thecontrol group received standardized Western medicine treatment(Spironolactone tablet,Benazepril hydrochloride tablet,Bisoprolol fumarate tablet and Digoxin tablet);the observation group was given partitioned moxibustion at ShendaoBazhen points in addition to the treatment given to the control group.The changes in Lee’s heart failure score,symptomscores of traditional Chinese medicine(TCM),6 min walking distance,cardiac color Doppler ultrasound scanningindexes and the level of serum N-terminal pro-B-type natriuretic peptide(NT-proBNP)were observed in the two groups.The clinical efficacy was compared between the two groups.Result The total effective rate was 90.9%in the observation group and 76.4%in the control group,and the between-group difference was statistically significant(P<0.05).After treatment,the Lee’s heart failure score,serum NT-proBNP,TCM symptom scores(palpitation,heartache,shortness of breath,edema and lassitude),left ventricular end systolic diameter(LVEDs),left ventricular end diastolic diameter(LVEDd),interventricular septum thickness at diastole(IVSd),left ventricular mass index(LVMI),6 min walking distance and left ventricular ejection fraction(LVEF)changed significantly in both groups(P<0.05);the Lee’s heart failure score,serum NT-proBNP,TCM symptom scores(palpitation,heartache,shortness of breath,edema and lassitude),LVEDs,LVEDd,IVSd and LVMI were lower in the observation group than in the control group,and the 6 min walking distance and LVEF were higher in the observation group than in the control group,all with statistical significance(P<0.05).Conclusio

关 键 词：药饼灸疗法 神道八阵穴 气虚血瘀 心力衰竭 

分 类 号：R246.1[医药卫生—针灸推拿学]