循背部膀胱经与左前臂心包经节段刮痧在不稳定性心绞痛患者中的应用  

Application of Segmental Scrapping Along BBack Bladder Meridian and Left Forearm Pericardial Meridian in Patients with Unstable Angina Pectoris

作　　者：陈娟[1] 姚晨晨 CHEN Juan;YAO Chenchen(Hospital of Traditional Chinese Medicine of Lu’an City Affiliated of Anhui University of Chinese Medicine,Anhui Lu’an 237000,China)

机构地区：[1]安徽中医药大学附属六安市中医院,安徽六安237000

出　　处：《中医药临床杂志》2024年第10期1971-1975,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：安徽中医药大学临床科研项目(2021LAQN011)。

摘　　要：目的:探讨循背部心包经与前臂心包经刮痧对临床不稳定性心绞痛患者的疗效观察。方法:选取2022年6月—2023年5月安徽中医药大学附属六安市中医院收治的不稳定心绞痛患者共156例为研究对象。利用随机数字表法将患者随机分为观察组与对照组,对照组采用常规治疗与护理方式,包括双联抗血小板、调脂、减轻心肌耗氧、改善心肌重构等治疗。观察组在此基础上采用节段循经刮痧,包括自肺俞、厥阴俞、心俞至膈俞的背部膀胱经节段,与自天泉、曲泽、郄门至内关的前臂心包经节段,每3d一次,左前臂心包经节段5~10min,背部膀胱经节段10~15min,总时长每次15~25min。分别于治疗前、治疗后5d、治疗后14d,比较两组心绞痛症状积分、运动恐惧、睡眠质量水平。结果:治疗前,两组心绞痛症状积分、心脏病患者运动恐惧量表与匹兹堡睡眠质量指数(PSQI)得分差异均无统计学意义(P>0.05)。治疗后5d,对照组心绞痛症状积分(7.56±2.51)分、观察组(6.92±1.60)分,差异有统计学意义(P=0.047);对照组心脏病患者运动恐惧量表评分(43.77±9.06)分、观察组(41.07±9.79)分,差异有统计学意义(P=0.048);对照组PSQI评分(8.85±2.62)分、观察组(8.16±2.13)分,差异无统计学意义(P=0.056)。治疗后14天,对照组心绞痛症状积分(6.86±2.10)分、观察组(6.15±2.22)分,差异有统计学意义(P=0.029);对照组运动恐惧(40.85±10.34)分、观察组(38.18±6.90)分,差异有统计学意义(P=0.025);对照组PSQI(7.60±2.27)分、观察组(6.85±2.30)分,差异有统计学意义(P=0.031)。结论:采用循背部膀胱经与左前臂心包经节段刮痧结合常规治疗护理与常规治疗护理相比,心绞痛症状、运动恐惧程度与睡眠质量改善更积极。Objective:To explore the efficacy of scraping along the pericardium meridian of the back and the pericardium meridian of the forearm for patients with unstable angina pectoris.Methods:A total of 156 patients with unstable angina pectoris admitted to the Lu’an Traditional Chinese Medicine Hospital affiliated to Anhui University of Traditional Chinese Medicine from June 2022 to May 2023 were selected as the research subjects.The patients were randomly divided into an observation group and a control group using the random number table method.The control group received conventional treatment and nursing methods,including dual antiplatelet,lipid regulation,reduction of myocardial oxygen consumption,and improvement of myocardial remodeling.On this basis,the observation group adopted segmental meridian scraping,including the back bladder meridian segment from Feishu,Jueyinshu,Xinshu to Geshu,and the forearm pericardium meridian segment from Tianquan,Quze,Ximen to Neiguan,once every 3 days,5 to 10 minutes for the left forearm pericardium segment,10 to 15 minutes for the back bladder meridian segment,and a total duration of 15 to 25 minutes each time.Angina pectoris symptom scores,fear of movement,and sleep quality were compared between the two groups before treatment,5 days after treatment,and 14 days after treatment.Results:Before treatment,there were no significant differences in angina pectoris symptom scores,fear of movement scale for heart disease patients,and Pittsburgh sleep quality index(PSQI)between the two groups(P>0.05).5 days after treatment,the angina pectoris symptom scores of the control group(7.56±2.51)and the observation group(6.92±1.60)were significantly different(P=0.047);the fear of movement scale score of heart disease patients in the control group(43.77±9.06)and the observation group(41.07±9.79)were significantly different(P=0.048);the PSQI score of the control group(8.85±2.62)and the observation group(8.16±2.13)were not significantly different(P=0.056).14 days after treatment,the angina pec

关 键 词：循经刮痧 不稳定性心绞痛 运动恐惧 睡眠质量 

分 类 号：R256.2[医药卫生—中医内科学]