针刺对急性心肌梗死(气虚血瘀证)患者PCI术后心肌酶谱与左心室重构的影响  

Effect of Acupuncture on Myocardial Enzyme Spectrum and Left Ventricular Remodeling in Patients with Acute Myocardial Infarction of Qi Deficiency and Blood Stasis Type After PCI

作　　者：梁春玲[1] 张辰浩[1] 张宗耀 李金宝[1] 张然[1] 李宁[1] 刘杰[1] Liang Chunling;Zhang Chenhao;Zhang Zongyao;Li Jinbao;Zhang Ran;Li Ning;Liu Jie(Wangjing Hospital,Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China)

机构地区：[1]中国中医科学院望京医院,北京100102

出　　处：《中国中医急症》2021年第10期1786-1789,共4页Journal of Emergency in Traditional Chinese Medicine

基　　金：北京中医药科技发展资金项目(JJ2018-93)。

摘　　要：目的观察针刺对急性心肌梗死(气虚血瘀证)患者PCI术后心肌酶谱与左心室重构的影响。方法86例患者根据随机数字表法分为针刺组和对照组。两组患者均行PCI术和常规术后标准治疗,针刺组在此基础上行中医针刺治疗,两组患者均连续治疗2周。对比两组患者治疗前后中医证候积分、心肌酶谱、左心室重构和生活质量。结果治疗后两组患者各项中医证候积分均下降(P<0.05),且针刺组明显低于对照组(P<0.05);针刺组疗效分级情况明显优于对照组(P<0.05);治疗后两组患者肌酸激酶(CK)、谷草转氨酶(AST)、乳酸脱氧酶(LDH)及肌酸激酶同工酶(CK-MB)均下降(P<0.05),且针刺组明显低于对照组(P<0.05);治疗后两组患者左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)均降低(P<0.05),且针刺组明显低于对照组(P<0.05),两组左室射血分数(LVEF)均升高(P<0.05),且针刺组明显高于对照组(P<0.05);治疗后两组患者心肌梗死多维度评估量表(MIDAS)评分均降低(P<0.05),且针刺组明显低于对照组(P<0.05)。结论针刺对急性心肌梗死(气虚血瘀证)患者PCI术后疗效较好,可有效降低心肌酶谱水平,改善患者心脏冠脉血流灌注并减轻左心室重构状态,改善患者生活质量。Objective:To explore the effect of acupuncture on myocardial enzyme spectrum and left ventricular remodeling in patients with acute myocardial infarction of Qi deficiency and blood stasis type after PCI.Methods:According to the random number table method,a total of 86 patients were divided into the acupuncture treatment group and control group.Both groups underwent PCI and conventional postoperative standard treatment.The acupuncture treatment group was treated with traditional Chinese acupuncture on this basis.Patients in both groups were treated for 2 consecutive weeks.The scores of TCM syndromes,curative effect,myocardial enzyme spectrum,left ventricular remodeling and quality of life were compared between the two groups before and after treatment.Results:After treatment,the scores of various TCM syndromes of the two groups decreased(P<0.05),and the acupuncture treatment group was significantly lower that the control group(P<0.05);the curative effect of the acupuncture treatment group was significantly better that the control group(P<0.05);the levels of CK,AST,LDH,CK-MB of the two groups decreased after treatment(P<0.05),and the levels of the acupuncture treatment group were significantly lower that those of the control group(P<0.05);after treatment,the LVEDD and LVESD of both groups decreased(P<0.05),and the acupuncture treatment group was significantly lower than the control group(P<0.05);the LVEF of both groups increased(P<0.05),and the acupuncture treatment group was significantly higher than the control group(P<0.05);the MIDAS scores of both groups decreased(P<0.05)and the acupuncture treatment group was significantly lower than the control group(P<0.05).Conclusion:Acupuncture has a good effect on patients with acute myocardial infarction of Qi deficiency and blood stasis type after PCI.It can effectively reduce the concentration level of myocardial enzyme spectrum,improve coronary blood perfusion of the patient′s heart,reduce the state of left ventricular remodeling,and improve the quality of life of p

关 键 词：急性心肌梗死 PCI术 针刺 心肌酶谱 左心室重构 

分 类 号：R542.22[医药卫生—心血管疾病]