耳穴压豆联合Ⅰ期心脏康复对心衰患者运动耐力、NT-proBNP及超敏C反应蛋白影响的研究  

Effects of Auricular Point Pressure Bean Combined with Phase Ⅰ Cardiac Rehabilitation on Exercise Tolerance,NT-proBNP and Ultrasensitive Creactive Protein in Heart Failure Patients

作　　者：苗倩 林乐埜 李卓伟 康剑 MIAO Qian;LIN Leye;LI Zhuowei;KANG Jian(Guangzhou Zengcheng District Hospital of Traditional Chinese Medicine,Guangzhou,Guangdong Province,511300 China)

机构地区：[1]广州市增城区中医医院,广东广州511300

出　　处：《系统医学》2023年第21期24-27,共4页Systems Medicine

基　　金：广州市中医药和中西医结合科技项目(20212A010031)。

摘　　要：目的 分析耳穴压豆联合I期心脏康复对心衰患者运动耐力、N末端B型利尿钠肽原(amino-Nterminal-proBNP, NT-proBNP)及超敏C反应蛋白的影响。方法 选取2021年1月-2022年6月期间广州市增城区中医医院收治的90例慢性心力衰竭患者为研究对象,根据随机数表法将其分为空白组、对照组、研究组3组,每组均为30例,空白组采取心衰规范治疗,对照组在空白组基础上增加Ⅰ期心脏康复,研究组在对照组基础上联合耳穴压豆法,比较3组住院时间、6 min步行距离、NT-proBNP、超敏C反应蛋白。结果 3组住院时间比较,差异无统计学意义(P>0.05);研究组6 min步行距离(562±30)m、NT-proBNP(2743±710.2)pg/mL、超敏C反应蛋白水平(6.54±1.32)mg/L均优于对照组和空白组,差异有统计学意义(P<0.05)。结论 心衰患者采取耳穴压豆联合I期心脏康复,可以改善患者运动耐力,对神经内分泌激素进行调整,从而促进患者病情恢复,值得临床广泛推广及应用。Objective To analyze the effects of auricular point pressure bean combined with phase Ⅰ cardiac rehabilita‐tion on exercise tolerance,amino-N-terminal-proBNP(NT-proBNP)and ultrasensitive C-reactive protein in patients with heart failure.Methods 90 cases of chronic heart failure patients admitted to Guangzhou Zengcheng District Hos‐pital of Traditional Chinese Medicine during the period of January 2021 to June 2022 were selected as the research subjects and divided into 3 groups,blank group,control group,and study group according to the random number table method,with 30 cases in each group.The blank group took the standardized treatment of heart failure,the control group added phase Ⅰ cardiac rehabilitation on the basis of the blank group,and the study group combined with auricu‐lar point pressure bean method on the basis of the control group,and the hospitalization time,6 min walking distance,NT-proBNP,and ultrasensitive C-reactive protein were compered among the three groups.Results There was no sig‐nificant difference in hospitalization time among the three groups(P>0.05).The 6 min walking distance(562±30)m,NT-proBNP(2743±710.2)pg/mL,and ultrasensitive C-reactive protein level(6.54±1.32)mg/L of the study group were better than those of the control group and the blank group,and the differences were statistically significant(P<0.05).Conclusion Heart failure patients adopt auricular point pressure bean combined with phase I cardiac rehabilita‐tion can improve patients'exercise endurance and adjust neuroendocrine hormones,thus promoting patients'recovery,which is worthy of extensive clinical promotion and application.

关 键 词：耳穴压豆 Ⅰ期心脏康复 心衰 运动耐力 N末端B型利尿钠肽原 超敏C反应蛋白 

分 类 号：R714[医药卫生—妇产科学]