针刺治疗急性心肌梗死经皮冠状动脉介入治疗术后气虚型便秘疗效观察  

Clinical observation on acupuncture on constipation of qi deficiency type after percutaneous coronary intervention of acute myocardial infarction

作　　者：林珑 张辰浩[1] 刘一颖 谢宇端 黄冬林 徐玥 张英姿[1] LIN Long;ZHANG Chen-hao;LIU Yi-ying;XIE Yu-duan;HUANG Dong-lin;XU Yue;ZHANG Ying-zi(Wangjing Hospital of China Academy of Chinese Medical Sciences,Beijing 100102;Beijing University of Chinese Medicine,Beijing 100029)

机构地区：[1]中国中医科学院望京医院,北京100102 [2]北京中医药大学,北京100029

出　　处：《湖北中医药大学学报》2023年第4期78-81,共4页Journal of Hubei University of Chinese Medicine

基　　金：首都卫生发展科研专项(项目编号:首发2022-1-4161);中国中医科学院望京医院院级课题(项目编号:WJYY2020-22)。

摘　　要：目的 观察针刺治疗急性心肌梗死经皮冠状动脉介入治疗术(PCI)后气虚型便秘的临床疗效。方法 将我院诊断为急性心肌梗死、成功行PCI术、术后发生便秘且中医诊断为气虚型的患者60例随机分成治疗组与对照组各30例。在给予相同西医常规治疗基础上,对照组给予乳果糖口服治疗,治疗组给予针刺联合乳果糖治疗,两组连续治疗3 d后,比较两组临床疗效,观察患者术后首次排便时间、便秘主要症状评分与肝肾功能、治疗期间不良反应。结果 治疗后,治疗组临床总有效率显著高于对照组( P<0.01);治疗组的术后排便时间短于对照组( P<0.05);两组患者便秘症状各项评分及便秘症状总分均较治疗前有所降低( P<0.05),且治疗组下降程度更明显( P<0.05);两组患者天冬氨酸氨基转移酶水平均下降,治疗组天冬氨酸氨基转移酶、尿素氮高于对照组,丙氨酸氨基转移酶、肌酐水平低于对照组( P<0.05);两组患者在研究期间均未出现明显的不良反应,无严重不良事件。结论 针刺联合乳果糖治疗急性心肌梗死PCI术后气虚型便秘较单纯乳果糖口服疗效更佳,能有效缩短患者术后首次排便时间,改善患者便秘症状,且安全性较佳。Objective To observe the clinical efficacy of acupuncture in treatment of qi deficiency constipation after PCI in acute myocardial infarction.Methods Sixty patients diagnosed as acute myocardial infarction,successful PCI,postoperative constipation and qi-deficiency type were randomly divided into treatment group and control group 30 cases in each.On the basis of the same conventional treatment of western medicine,control group was given oral lactulose treatment,and treatment group was given acupuncture combined with lactulose treatment.After continuous treatment for 3 days,the clinical efficacy of the two groups was compared,and the time of first postoperative defecation after operation,the main symptom score of constipation,liver function and renal function,and adverse reactionsduring treatment were observed.Results After treatment,the total effective rate of treatment group was significantly higher than that of control group( P<0.01);the postoperative defecation time of treatment group was shorter than that in control group( P<0.05);the scores of constipation symptoms and the total score of constipation symptoms in both groups was decreased compared with those before treatment( P<0.05),and the degree of decrease in treatment group was more obvious( P<0.05);the levels of aspartate aminotransferase in both groups were decreased,and the levels of aspartate aminotransferase,urea nirtogen in treatment group were higher than control group( P<0.05);there were no obvious adverse reactions or serious adverse events occurred in neither group during the study.Conclusion Acupuncture combined with lactulose in the treatment of qi-deficiency constipation after PCI for acute myocardial infarction has better efficacy than oral lactulose alone,which can effectively shorten the time of first postoperative defecation and improve the constipation symptoms of patients with good safety.

关 键 词：急性心肌梗死 PCI术后 气虚型便秘 针刺 

分 类 号：R259[医药卫生—中西医结合]