针药结合治疗痰浊血瘀型心肌梗死临床观察  

Clinical Observation of Acupuncture Combined with Medicine in Treatment of Phlegm Turbid-Blood Stasis Type of Myocardial Infarction

作　　者：肖冠楠 王颖[1] XIAO Guannan;WANG Ying(Liaoning University of TCM,Shenyang 110847,Liaoning,China)

机构地区：[1]辽宁中医药大学,辽宁沈阳110847

出　　处：《实用中医内科杂志》2020年第6期57-60,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：辽宁省自然科学基金计划重点项目(20180530079)。

摘　　要：目的观察针药结合治疗痰浊血瘀型心肌梗死的疗效。方法将纳入的100例心肌梗死患者,随机分为四组,西药组25例、西药加中药组25例、西药加针刺组25例、针药结合组25例。西药组采用常规单硝酸异山梨酯、阿司匹林、瑞舒伐他汀;西药加中药组在西药组治疗的基础上加自拟活血通脉汤治疗;西药加针刺组在西药组的治疗基础上加针刺治疗;针药结合组在西药组的基础上运用自拟通脉活血汤加针刺治疗。结果总有效率针药结合组显著高于其他组。西药组治疗前中医证候积分为(15.26±5.21)分,治疗后为(7.34±1.42)分;西药加中药组治疗前中医证候积分为(16.12±4.52)分,治疗后为(4.85±1.67)分;西药加针刺组治疗前中医证候积分为(15.47±5.19)分,治疗后为(5.67±1.26)分;针药结合组治疗前中医证候积分为(16.72±5.08)分,治疗后为(3.25±1.64)分。西药组VAS疼痛评分治疗前为(6.52±1.25)分,治疗后为(4.76±1.05)分;西药加中药组VAS疼痛评分治疗前为(6.32±1.45)分,治疗后为(2.96±1.32)分;西药加针刺组VAS疼痛评分治疗前为(7.05±1.67)分,治疗后为(3.26±1.23)分;针药结合组VAS疼痛评分治疗前为(6.72±1.34)分,治疗后为(1.87±1.19)分;四组结果均具有统计学差异(P<0.05)。结论针药结合治疗痰浊血瘀型心肌梗死效果明显优于其他三组的治疗,其方法值得在临床推广,为治疗痰浊血瘀型心肌梗死提供新思路。Objective To observe the therapeutic effect of acupuncture combined with Chinese medicine in the treatment of phlegm turbid-blood stasis type of myocardial infarction.Methods A total of 100 patients with myocardial infarction were randomly divided into four groups:25 patients in the western medicine group,25 patients in the western medicine and Chinese medicine group,25 patients in the western medicine and acupuncture group,and 25 patients in the combination of acupuncture and Chinese medicine group.In the western medicine group,isosorbide mononitrate,aspirin and rosuvastatin were used as the conventional western medicine.Western medicine and traditional Chinese medicine group on the basis of western medicine group added Self-Designed Huoxue Tongmai Decoction.Western medicine and acupuncture group on the basis of western medicine group added acupuncture treatment.The combination of acupuncture and Chinese medicine group was treated with Self-Designed Tongmai Huoxue Decoction and acupuncture.Results The total effective rate was 44%in the western medicine group,72%in the western medicine and traditional Chinese medicine group,60%in the western medicine and acupuncture group,and 84%in the combination of acupuncture and Chinese medicine group.The TCM syndrome score of the western medicine group was(15.26±5.21)before treatment and(7.34±1.42)after treatment.The TCM syndrome score of the western medicine and Chinese medicine group was(16.12±4.52)before treatment and(4.85±1.67)after treatment.The TCM syndrome score of the western medicine and acupuncture group was(15.47±5.19)before treatment and(5.67±1.26)after treatment.The TCM syndrome score of the combination of acupuncture and Chinese medicine group was(16.72±5.08)before treatment and(3.25±1.64)after treatment.VAS pain score in western medicine group was(6.52±1.25)before treatment and(4.76±1.05)after treatment.VAS pain score of western medicine and Chinese medicine group was(6.32±1.45)before treatment and(2.96±1.32)after treatment.VAS pain score of wester

关 键 词：心肌梗死 针刺 中药 痰浊血瘀型 针药结合 

分 类 号：R256[医药卫生—中医内科学]