腹针联合常规西药治疗冠心病稳定型心绞痛(气虚血瘀型)的疗效观察  

Abdominal Acupuncture and Conventional Western Medicine for Stable Angina Pectoris(Qi Deficiency and Blood Stasis Type) in Coronary Heart Disease:A Clinical Observation

作　　者：李慧璟[1] 李兆霖 张童 刘春雪 解相蕊 韦倩 刘雪莹 项鑫 郑旭 LI Huijing;LI Zhaolin;ZHANG Tong;LIU Chunxue;XIE Xiangrui;WEI Qian;LIU Xueying;XIANG Xin;ZHENG Xu(School of Acupuncture and Massage,Changchun University of Chinese Medicine,Changchun 130117,China)

机构地区：[1]长春中医药大学针灸推拿学院,吉林长春130117

出　　处：《基层中医药》2023年第12期71-76,共6页Basic Traditional Chinese Medicine

基　　金：2022年度吉林省中医药科技资助项目(2022010);吉林省科技发展计划重点研发项目(20200403123SF);吉林省高等教育教学改革研究项目(JLJY202306325253)。

摘　　要：目的 观察腹针联合常规西药治疗冠心病稳定型心绞痛(气虚血瘀型)的临床疗效。方法 将2022年2月1日—10月30日于长春中医药大学附属第三临床医院就诊的冠心病稳定型心绞痛(气虚血瘀型)患者72例按随机数字表法分为对照组和治疗组,各36例,对照组采用常规西药治疗,治疗组在此基础上联合腹针治疗,治疗周期为2个月。比较两组患者治疗前后心绞痛症状、心电图、中医证候评分及硝酸甘油减停率等。结果 治疗组心绞痛疗效总有效率(91.67%)高于对照组(52.78%,P <0.01)。两组心电图疗效比较,治疗组总有效率(80.56%)高于对照组(55.56%,P <0.05)。治疗后,两组中医证候评分均较治疗前降低(P <0.01),且治疗组低于对照组(P <0.05)。治疗组硝酸甘油减停率(83.33%)高于对照组(55.56%,P <0.05)。结论腹针联合常规西药可有效缓解冠心病稳定型心绞痛(气虚血瘀型)患者的临床症状。Objective To investigate the clinical efficacy of abdominal acupuncture and conventional Western medicine in the treatment of stable angina pectoris(qi deficiency and blood stasis type) in coronary heart disease.Methods A total of 72 patients with stable angina pectoris(Qi deficiency and blood stasis type) in coronary heart disease who were treated at the Third Affiliated Clinical Hospital of Changchun University of Traditional Chinese Medicine from February 1 to October 30,2022 were randomly divided into a control group and a treatment group,with 36 cases in each group.The control group received conventional Western medicine treatment,while the treatment group received abdominal acupuncture treatment on this basis.The treatment period was two months.The angina symptoms,electrocardiogram,traditional Chinese medicine syndrome score,and reduction rate of nitroglycerin in the two groups before and after treatment were compared and observed.Results The total effective rate of angina treatment in the treatment group(91.67%) was higher than that in the control group(52.78%,P < 0.01).The comparison of electrocardiograms of the therapeutic effects of the two groups showed that the total effective rate of the treatment group(80.56%) was higher than that of the control group(55.56%,P < 0.05).After treatment,the traditional Chinese medicine syndrome scores of both groups decreased(P < 0.01),and the treatment group was lower than the control group(P < 0.05).The reduction rate of nitroglycerin in the treatment group(83.33%) was higher than that in the control group(55.56%,P < 0.05).Conclusion Abdominal acupuncture and conventional Western medicine can effectively relieve the clinical symptoms of patients with stable angina pectoris(qi deficiency and blood stasis type) in coronary heart disease.

关 键 词：腹针 冠心病稳定型心绞痛 临床观察 

分 类 号：R54[医药卫生—心血管疾病]