三参延胡五味汤结合微创内关穴位埋线对房颤患者疗效、心功能及再住院率影响研究  

Effect of Sanshen Yanhu Wuwei Decoction Combined with Minimally Invasive Neiguan Acupoint Embedding on the Efficacy,Heart Function and Rehospitalization Rate for Patients with Atrial Fibrillation

作　　者：左雪容 冉蓉 艾秋玲 陶俊红 于颖 ZUO Xuerong;RAN Rong;AI Qiuling(Department of Cardiology,Ethnic Hospital of Enshi Tujia and Mian Autonomous Prefecture,Enshi Hubei 445000,China)

机构地区：[1]恩施土家族苗族自治州民族医院心血管病科,湖北恩施445000

出　　处：《四川中医》2021年第10期66-70,共5页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探究三参延胡五味汤结合微创内关穴位埋线对房颤患者疗效、心功能、再住院率影响。方法:研究合计纳入95例房颤患者,均由我院2018年4月~2020年10月收治,以随机数字表法将患者分为两组,予以对照组患者(47例)常规治疗,予以观察组患者(48例)常规治疗+三参延胡五味汤结合微创内关穴位埋线治疗,比较两组患者疗效、治疗前后中医症状(心悸、胸闷胸痛、气短乏力、五心烦热、畏寒肢冷、水肿等)积分、治疗前后患者心功能指标变化、患者生活质量(SF-36)指标变化、不良反应,随访6个月,观察两组患者再住院率。结果:观察组临床有效率(97.92%)高于对照组(85.11%)(P<0.05);治疗前,两组患者心悸、胸闷胸痛、气短乏力、五心烦热、畏寒肢冷、水肿等中医症状积分、左室舒张末期内径(LVEDD)、左室收缩末期内径(LVESD)、心排血量(CO)、射血分数(EF)等心功能指标、SF-36总评分比较,无显著差异(P>0.05);治疗后各组患者心悸、胸闷胸痛、气短乏力、五心烦热、畏寒肢冷、水肿等中医症状积分、LVEDD、LVESD、CO、EF、SF-36总评分均改善,观察组患者治疗后心悸、胸闷胸痛、气短乏力、五心烦热、畏寒肢冷、水肿等中医症状积分、LVEDD、LVESD、CO、EF、SF-36总评分均优于对照组(P<0.05);观察组治疗后6个月内再住院率低于对照组(P<0.05)。结论:三参延胡五味汤结合微创内关穴位埋线可一定程度提升房颤患者疗效,改善患者心功能,患者症状改善,生活质量提升,无不良反应,6个月内患者再入院率低,安全可靠,值得应用。Objective:To explore the effect of Sanshen Yanhu Wuwei Decoction combined with minimally invasive Neiguan acupoint embedding on the efficacy,cardiac function and readmission rate for patients with atrial fibrillation.Methods:Combined into 95 cases of patients with atrial fibrillation,from April 2018 to October 2020 were in a random number table method divided the patients into two groups:a controlled group(n=47)treated with routine treatment,an observation group(48 cases)treated with routine therapy+Sanshen Yanhu Wuwei Decoction combined with minimally invasive closed in acupuncture point bury line therapy,compared two groups of patients with curative effect and TCM symptoms before and after the treatment(heart palpitations,chest tightness of chest pain,shortness of breath,fatigue,five upset hot,cold,and cold limbs,edema,etc.)score,cardiac function index changes of the patients before and after treatment,patients quality of life(SF-36)index change,adverse reactions.The rate of readmission in the two groups was observed after 6 months follow-up.Results:The clinical effective rate of the observation group(97.92%)was higher than that of the controlled group(85.11%),P<0.05.Before the treatment,the two groups of patients with heart palpitations,chest tightness,shortness of breath,chest pain fatigue,five upset hot,cold,and cold limbs,edema and TCM symptoms integral,left ventricular end-diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),cardiac output(CO),ejection fraction(EF),cardiac function indexes,SF-36 total score comparison,P>0.05,the treatment group patients after heart palpitations,chest tightness of chest pain,shortness of breath,fatigue,five upset hot,cold,and cold limbs and edema TCM symptom integral,LVEDD,LVESD,CO,EF,SF-36 total score were improved.After treatment,the TCM symptom scores of palpitation,chest tightness,chest pain,shortness of breath,fever in five irritations,chills,chills,edema,LVEDD,LVESD,CO,EF and SF-36 in the observation group were better than those in the controlled gr

关 键 词：房颤 三参延胡五味汤 微创内关穴位埋线 疗效 心功能 再住院率 

分 类 号：R541.75[医药卫生—心血管疾病]