背俞穴温针灸在冠心病无症状性心肌缺血患者中的应用  

Application of Needle Warming Moxibustion at Back-shu Points for Patients with Silentmyocardial Ischemia of Coronary Heart Disease

作　　者：赵丽娜[1] 刘东辉[1] 于培俊[2] ZHAO Li'na;LIU Donghui;YU Peijun(Department of Traditional Chinese Medicine,School Infirmary Attached to China University of Mining and Technology,Xuzhou Jiangsu 221008,China;Department of Orthopaedics,Traditional Chinese Medicine Hospital of Dalian City,Dalian Liaoning 116013,China)

机构地区：[1]中国矿业大学(徐州)校医院中医科,江苏徐州221008 [2]大连市中医医院骨科,辽宁大连116013

出　　处：《四川中医》2020年第12期207-210,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察背俞穴温针灸在冠心病无症状性心肌缺血(SMI)患者中的应用效果。方法:将本院2017年5月至2019年10月收治的80例SMI患者纳入研究样本,依据随机数字表法将其分为常规组与研究组各40例。常规组患者接受常规药物治疗,研究组患者在其基础上加之背俞穴温针灸治疗。比较两组患者治疗后普通心电图与动态心电图(Holter)疗效、治疗前后的Holter监测指标、血流变指标以及血管内皮功能因子指标变化情况。结果:研究组患者的普通心电图总有效率显著高于常规组(P<0.05);研究组患者的动态心电图总有效率显著高于常规组(P<0.05);治疗后研究组的S T段压低持续时间及SMI持续时间均显著短于常规组(P<0.05),其ST段压低次数、SMI发生次数及心肌缺血总负荷均显著低于常规组(P<0.05);治疗后研究组患者的全血高切、全血低切及血浆粘度均显著低于常规组(P<0.05);治疗后研究组的血清可溶性细胞粘附因子-1较常规组显著低(P<0.05),其血管内皮生长因子及一氧化氮较常规组显著高(P<0.05)。结论:冠心病无症状性心肌缺血患者使用背俞穴温针灸疗效显著,对患者的心肌缺血、血流变以及血管内皮功能改善效果明显。Objective: To investigate the application effect of needle warming moxibustion at Back-shu points for patients with silentmyocardial ischemia(SMI) of coronary heart disease.Methods: Eighty patients with SMI who were admitted to the hospital from May 2017 to October 2019 were enrolled in the study.They were divided into a routine group and a study group by the random number table method with 40 patients in each group.All patients were given routine drug treatment, and those in the study group were additionally treated with needle warming moxibustion at the Back-shu points.The curative effect of common electrocardiogram and dynamic electrocardiogram(Holter),changes in Holter monitoring indexes, blood rheological indexes and vascular endothelial function factors before and after treatment were compared between the two groups.Results: The total effective rates of both common electrocardiogram and dynamic electrocardiogram in the study group were significantly higher than those in the routine group(P < 0.05).The duration of ST segment depression and SMI in the study group after treatment was significantly shorter than that in the routine group(P < 0.05).The frequency of ST-segment depression, frequency of SMI and total load of myocardial ischemia were significantly fewer than those in the routine group(P < 0.05).The whole blood high shear viscosity, whole blood low shear viscosity and plasma viscosity of the study group after treatment were significantly lower than those of the routine group(P < 0.05).After treatment, serum soluble cell adhesion molecule-1 in the study group was significantly lower than that in the routine group(P < 0.05).The vascular endothelial growth factors and nitric oxide were significantly higher than those in the routine group(P < 0.05).Conclusion: Needle warming moxibustion at the Back-shu points is markedly effective in the treatment of patients with SMI of coronary heart disease.It can obviously improve myocardial ischemia, hemorheology and vascular endothelial function.

关 键 词：背俞穴 温针灸 冠心病 无症状性心肌缺血 

分 类 号：R246.1[医药卫生—针灸推拿学] R541.4[医药卫生—中医临床基础]