温针灸背俞穴治疗慢性心力衰竭的疗效观察及对患者心功能的影响  

Efficacy observation of warm needling therapy at back Shu points for chronic heart failure and its effect on patient’s cardiac function

作　　者：吴频霞[1] 刘玉[1] 刘亚圆[1] WU Pinxia;LIU Yu;LIU Yayuan(The First People's Hospital of Chuzhou,Anhui Province,Chuzhou 239000,China)

机构地区：[1]安徽省滁州市第一人民医院,滁州239000

出　　处：《上海针灸杂志》2023年第2期127-132,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：安徽省自然科研基金项目(2021xkj201)。

摘　　要：目的观察温针灸背俞穴治疗慢性心力衰竭的临床疗效及对患者心功能的影响。方法选取慢性心力衰竭患者104例,用随机数字表法将其分为试验组(53例)和对照组(51例)。两组患者均予常规治疗,对照组另予螺内酯联合美托洛尔治疗,试验组在对照组治疗基础上联合温针灸背俞穴治疗。比较两组的临床疗效,观察两组治疗前后心功能指标、心率变异性指标和炎症因子水平,比较两组不良反应发生情况。结果试验组总有效率明显高于对照组(P<0.05)。两组治疗后心功能指标均较治疗前改善(P<0.05),且试验组治疗后心功能指标均优于对照组(P<0.05)。两组治疗后心率变异性指标均较治疗前升高(P<0.05),且试验组心率变异性指标均高于对照组(P<0.05)。两组治疗后N端脑钠肽前体(N-terminal pro-B-type natriureticpeptide,NT-proBNP)和C反应蛋白(C-reactive protein,CRP)水平较治疗前降低(P<0.05),且试验组低于对照组(P<0.05)。在治疗过程中,两组出现胃肠道反应、心律失常、血钾升高、低血压和头晕头痛的不良反应,组间比较差异无统计学意义(P>0.05)。结论在药物治疗基础上,温针灸背俞穴治疗慢性心力衰竭的疗效优于单纯西药治疗,可改善患者心功能、减少炎症反应。Objective To observe the clinical efficacy of warm needling therapy at Back-Shu points for chronic heart failure and its effect on patient’s cardiac function.Method One hundred and four patients with chronic heart failure were allocated,using a random number table,to an experimental group(53 cases)and a control group(51 cases).Both groups received conventional treatment.The control group treated with Spironolactone combined with Metoprolol in addition.The experimental group received warm needling therapy at back Shu points in addition to those given to the control group.The clinical therapeutic effects were compared between the two groups.Cardiac function indicators,heart rate variability indicators and inflammatory factor levels were observed in the two groups before and after treatment.The incidences of adverse reactions were compared between the two groups.Result The total efficacy rate was significantly higher in the experimental group than that in the control group(P<0.05).After treatment,cardiac function indicators improved in the two groups compared with those before treatment(P<0.05)and were better in the experimental group than those in the control group(P<0.05).After treatment,heart rate variability indicators rose in the two groups compared with those before treatment(P<0.05)and were higher in the experimental group than those in the control group(P<0.05).After treatment,N-terminal pro-B-type natriureticpeptide(NT-proBNP)and C-reactive protein(CRP)levels decreased in the two groups compared with those before treatment(P<0.05)and were lower in the experimental group than those in the control group(P<0.05).Adverse reactions(gastrointestinal reaction,arrhythmia,hyperpotassemia,hypotension,dizziness and headache)occurred in the two groups during the treatment.Between-group comparison showed no statistical significant differences(P<0.05).Conclusion Warm needling therapy at back Shu points based on medication is more effective than Western drug treatment alone in treating chronic heart failure.It can impro

关 键 词：温针疗法 针药并用 穴 背俞 心力衰竭 心功能 炎症因子 

分 类 号：R246.1[医药卫生—针灸推拿学]