子午流注纳子法联合俞募配穴针刺治疗胆心综合征疗效观察  

Efficacy Observation of Acupuncture According to Zi Wu Liu Zhu Na Zi Theory Together with Back-Shu Front-Mu Points Grouping for Biliary-cardiac Syndrome

作　　者：左同军[1] ZUO Tong-jun(The Third Branch of Huai’an First People’s Hospital,Huai’an 223001,China)

机构地区：[1]淮安市第一人民医院三分院,淮安223001

出　　处：《上海针灸杂志》2021年第9期1064-1069,共6页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察子午流注纳子法联合俞募配穴针刺治疗胆心综合征的临床疗效。方法将104例胆心综合征患者随机分为对照组和治疗组,每组52例,对照组予抗炎抗菌、解痉镇痛、稳定心率、改善循环等西医基础治疗,治疗组在对照组治疗基础上,采用子午流注纳子法联合俞募配穴针刺治疗。观察两组中医证候积分、炎症因子[白介素(IL)-6、超敏C-反应蛋白(hs-CRP)、脂蛋白磷脂酶A_(2)(Lp-PLA2)]和心肌酶谱水平、主要症状缓解起效时间,并比较两组心电图疗效和临床疗效。结果治疗组总有效率为90.4%,对照组为75.0%,两组比较差异有统计学意义(P<0.05);治疗组主要症状缓解起效时间、炎症因子(IL-6、hs-CRP、Lp-PLA2)和心肌酶谱水平、中医证候积分均明显低于对照组,差异有统计学意义(P<0.05);治疗组心电图疗效总有效率明显高于对照组,差异有统计学意义(P<0.05)。结论在西医基础治疗的基础上,子午流注纳子法联合俞募配穴针刺治疗胆心综合征,可明显缩短病程,改善心肌代谢,提高临床疗效。Objective To observe the clinical efficacy of acupuncture according to Zi Wu Liu Zhu Na Zi theory(midnight-noon ebb-flow theory based on earthly branch)together with Back-Shu Front-Mu points grouping in treating biliary-cardiac syndrome.Method A total of 104 patients with biliary-cardiac syndrome were randomized into a control group and a treatment group,with 52 cases in each group.The control group was intervened by basic Western medicine treatment including anti-inflammation and anti-bacteria,spasmolysis and analgesia,stabilizing heart rate and improving circulation;while the treatment group was given additional acupuncture treatment according to Zi Wu Liu Zhu Na Zi theory and Back-Shu Front-Mu points grouping.The traditional Chinese medicine(TCM)symptoms score,the levels of inflammatory factors[interleukin(IL)-6,high-sensitivity C-reactive protein(hs-CRP),lipoprotein-associated phospholipase A_(2)(Lp-PLA2)]and myocardial enzymogram,and the relief time of the main symptoms were observed in each group.The efficacy for electrocardiogram(ECG)and clinical efficacy were also compared between the two groups.Result The total effective rate was 90.4%in the treatment group,versus 75.0%in the control group,and the between-group difference was statistically significant(P<0.05);the relief time of main symptoms,the levels of inflammatory factors(IL-6,hs-CRP and Lp-PLA2)and myocardial enzymogram,and TCM symptoms score were lower in the treatment group than in the control group,and the differences were statistically significant(P<0.05).The total effective rate regarding ECG was notably higher in the treatment group than in the control group(P<0.05).Conclusion Based on Western medicine treatment,acupuncture according to Zi Wu Liu Zhu Na Zi theory and Back-Shu Front-Mu points grouping can notably shorten the disease duration,improve myocardial metabolism and enhance clinical efficacy in treating biliary-cardiac syndrome.

关 键 词：针刺疗法 针药并用 胆心综合征 子午流注纳子法 俞募配穴 

分 类 号：R246.1[医药卫生—针灸推拿学]