耳穴压豆辅助PCI治疗心肌梗死临床研究  

Clinical Study on Auricular Point Seed-Pressing Assisting PCI for Myocardial Infarction

作　　者：张晓玉[1] 叶卉 卢小清[1] 陈彩霞[1] 冯乐香[1] 黄淑仪 杨建[1] ZHANG Xiaoyu;YE Hui;LU Xiaoqing;CHEN Caixia;FENG Lexiang;HUANG Shuyi;YANG Jian

机构地区：[1]中山市中医院,广东中山528400 [2]广州中医药大学,广东广州510405

出　　处：《新中医》2022年第23期203-206,共4页New Chinese Medicine

摘　　要：目的:观察耳穴压豆辅助经皮冠状动脉介入治疗术(PCI)治疗心肌梗死的临床疗效。方法:选取行PCI术治疗的心肌梗死患者100例作为研究对象,按随机数字表法分为对照组和观察组各50例。对照组给予常规治疗,观察组在对照组基础上联合耳穴压豆治疗。比较2组治疗前后血清学指标、生活质量及心脏功能。结果:治疗后,2组超敏C-反应蛋白(hs-CRP)、肌钙蛋白T (cTnT)水平较治疗前降低(P<0.05);且观察组hs-CRP、cTnT水平低于对照组(P<0.05)。治疗后,2组SF-36量表中生理职能(RP)、躯体疼痛感(BP)、一般健康状况(GH)、情感职能(RE)评分较治疗前升高(P<0.05);且观察组SF-36量表中GH评分高于对照组(P<0.05)。治疗后,2组左室舒张末期容积(LVEDV)、左室收缩末期容积(LVESV)较治疗前降低,左室射血分数(LVEF)较治疗前升高(P<0.05);且观察组LVEDV、LVESV低于对照组,LVEF高于对照组(P<0.05)。结论:耳穴压豆可改善心肌梗死患者PCI术后临床症状,提高心脏射血分数,延缓心脏重构,并减轻了炎症反应。Objective:To observe the clinical effect of auricular point seed-pressing assisting percutaneous coronary intervention(PCI) for myocardial infarction.Methods:A total of 100 cases of patients with myocardial infarction treated with PCI were selected as the study subjects and divided into the control group and the observation group according to the random number table method,with 50 cases in each group.The control group was given routine treatment,and the observation group was additionally treated with auricular point seed-pressing based on the treatment of the control group.Before and after treatment,the serological indicators,quality of life and heart function were compared between the two groups.Results:After treatment,the levels of high-sensitivity C-reactive protein(hs-CRP) and cardiac troponin T(cTnT) in the two groups were decreased when compared with those before treatment(P<0.05);the levels of hs-CRP and cTnT in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of physical health problems(RP),bodily pain(BP),general health perceptions(GH)and emotional problems(RE) in SF-36 scale in the two groups were increased when compared with those before treatment(P<0.05);the GH score in SF-36 scale in the observation group was higher than that in the control group(P<0.05).After treatment,left ventricular end-diastolic volume(LVEDV) and left ventricular end-systolic volume(LVESV) in the two groups were decreased when compared with those before treatment,and left ventricular ejection fraction(LVEF) was increased(P<0.05);LVEDV and LVESV in the observation group were lower than those in the control group,and LVEF was higher(P<0.05).Conclusion:Auricular point seed-pressing improved the clinical effects of myocardial infarction patients after PCI,thereby increasing the cardiac ejection fraction,delaying the process of cardiac remodeling,and relieving the inflammatory reactions.

关 键 词：心肌梗死 耳穴压豆 经皮冠状动脉介入治疗术 超敏C-反应蛋白 肌钙蛋白T 生活质量 心脏功能 

分 类 号：R542.2[医药卫生—心血管疾病]