中医针灸治疗对急性冠脉综合征经皮冠状动脉介入治疗术后患者相关生化指标的影响  

Effect of acupuncture and moxibustion therapy on related biochemical indexes of patients with acute coronary syndrome after percutaneous coronary intervention

作　　者：杨阳[1] 党美丽 王显[3] YANG Yang;DANG Meili;WANG Xian(Acupuncture and Moxibustion Department,Sun Si Miao Hospital of BUCM,Tongchuan 727000;Encephalopathy Department,Sun Si Miao Hospital of BUCM,Tongchuan 727000;Cardiology Department,Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]北京中医药大学孙思邈医院针灸科,陕西铜川727000 [2]北京中医药大学孙思邈医院脑病科,陕西铜川727000 [3]北京中医药大学东直门医院心内科,北京100700

出　　处：《临床医学研究与实践》2023年第13期98-101,共4页Clinical Research and Practice

摘　　要：目的分析中医针灸治疗对急性冠脉综合征(ACS)经皮冠状动脉介入治疗(PCI)术后患者相关生化指标的影响。方法选取我院2020年1月至12月收治的100例ACS PCI术后患者为研究对象,根据治疗方案的不同将其分为对照组和观察组,各50例。对照组采取常规西医治疗,观察组在对照组基础上给予中医针灸治疗。比较两组患者的治疗效果。结果治疗后,观察组的左室舒张末期内径(LVEDD)、左心室射血分数(LVEF)、心排血量(CO)、心脏指数(CI)优于对照组(P<0.05)。治疗后,观察组的总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平优于对照组(P<0.05)。治疗后,观察组的血栓弹力图参数优于对照组(P<0.05)。治疗后,观察组的肌酸激酶同工酶(CK-MB)、心肌肌钙蛋白T(cTnT)及同型半胱氨酸(Hcy)水平低于对照组(P<0.05)。治疗后,观察组的简明健康调查量表(SF-36)各维度评分高于对照组(P<0.05)。结论中医针灸治疗能有效改善ACS PCI术后患者的心功能及生化指标、血脂指标,提高生活质量。Objective To analyze the effect of acupuncture and moxibustion therapy on related biochemical indexes of patients with acute coronary syndrome(ACS)after percutaneous coronary intervention(PCI).Methods A total of 100 ACS patients after PCI admitted in our hospital from January to December 2020 were selected as the research objects and divided into control group and observation group according to different treatment regimens,with 50 cases in each group.The control group received conventional western medicine treatment,and the observation group received acupuncture and moxibustion therapy on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the left ventricular end diastolic diameter(LVEDD),left ventricular ejection fraction(LVEF),cardiac output(CO)and cardiac index(CI)in the observation group were better than those in the control group(P<0.05).After treatment,the levels of total cholesterol(TC),triglyceride(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)in the observation group were better than those in the control group(P<0.05).After treatment,the thrombologram parameters in the observation group were better than those in the control group(P<0.05).After treatment,the levels of creatine kinase-MB(CK-MB),cardiac troponin T(cTnT)and homocysteine(Hcy)in the observation group were lower than those in the control group(P<0.05).After treatment,the scores of each dimension of 36-Item Short Form Health Survey(SF-36)of the observation group were higher than those of the control group(P<0.05).Conclusion Acupuncture and moxibustion therapy can effectively ameliorate the cardiac function,biochemical indexes and lipid indexes of ACS patients after PCI,and improve the quality of life.

关 键 词：急性冠脉综合征 经皮冠状动脉介入治疗 中医针灸 生化指标 

分 类 号：R541.4[医药卫生—心血管疾病]