通脉化瘀协定方联合耳穴压豆治疗气虚血瘀型稳定型心绞痛患者的临床疗效观察  

Observation of the Clinical Efficacy of the Tongmai Huayu Protocol Formula Combined with Auricular Points Plaster Therapy for the Treatment of Stable Angina Pectoris Patients with Qi Deficiency and Blood Stasis Type

作　　者：高洪雪 刘海青 姜茜菲 GAO Hongxue;LIU Haiqing;JIANG Qianfei(Department of Cardiology and Brain Diseases,Binzhou Traditional Chinese Medicine Hospital,Binzhou 256600,China;Department of Medical Affairs,Binzhou Traditional Chinese Medicine Hospital,Jinan 250355,China;Department of Traditional Chinese Medicine,Qingtian Street Community Health Service Center,High Tech Zone,Binzhou City,Binzhou 256600,China)

机构地区：[1]滨州市中医医院心脑病科,山东滨州256600 [2]滨州市中医医院医务科,山东济南256600 [3]滨州市高新区青田街道社区卫生服务中心中医科,山东滨州256660

出　　处：《反射疗法与康复医学》2024年第19期1-4,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的 探讨通脉化瘀协定方联合耳穴压豆治疗气虚血瘀型稳定型心绞痛患者的临床效果。方法 选取2020年5月—2023年5月滨州市中医医院收治的60例气虚血瘀型稳定型心绞痛患者为研究对象,按随机数字表法将其分为对照组和观察组,各30例。对照组采用常规西药治疗,观察组在对照组基础上采用通脉化瘀协定方联合耳穴压豆治疗,两组均持续治疗8周。对比两组的临床疗效、心绞痛发作情况、血清学指标、中医证候积分及不良反应发生情况。结果 观察组治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05)。治疗8周后,观察组心绞痛发作次数少于对照组,持续时间短于对照组,疼痛视觉模拟评分低于对照组,组间差异有统计学意义(P<0.05)。治疗4周后,观察组血清C反应蛋白、纤维蛋白原、D-二聚体水平均低于对照组,组间差异有统计学意义(P<0.05);观察组胸痛、胸闷、气短、乏力评分均低于对照组,组间差异有统计学意义(P<0.05)。两组不良反应发生率对比,差异无统计学意义(P>0.05)。结论 通脉化瘀协定方联合耳穴压豆治疗气虚血瘀型稳定型心绞痛患者可提高临床疗效,减轻心绞痛症状,改善血清学指标,且安全可靠。Objective Exploring the clinical efficacy of the Tongmai Huayu Protocol Formula combined with auricular points plaster therapy for the treatment of stable angina pectoris patients with qi deficiency and blood stasis type.Methods Selecting 60 patients with qi deficiency and blood stasis type of stable angina pectoris admitted to Binzhou Traditional Chinese Medicine Hospital from May 2020 to May 2023 as the research subjects,according to the random number table method,they were divided into a control group and an observation group,with 30 cases in each group.The control group received conventional Western medicine treatment,while the observation group received treatment with the Tongmai Huayu Protocol Formula combined with auricular points plaster therapy on the basis of the control group,both groups received continuous treatment for 8 weeks.Compare the clinical efficacy,angina attacks,serological indicators,Traditional Chinese Medicine Syndrome Points and occurrence of adverse reactions between two groups.Results The total effective rate of the observation group was 93.33%,which was higher than the 73.33% of the control group,the difference was statistically significant(P<0.05).After 8 weeks of treatment,the number of angina attacks in the observation group was less than that in the control group,the duration was shorter than that in the control group,and the Visual Analogue Scale score of pain was lower than that in the control group,the differences between the groups were statistically significant(P<0.05).After 4 weeks of treatment,the levels of serum C-reactive protein,fibrinogen,and D-dimer in the observation group were lower than those in the control group,the differences between the groups were statistically significant(P<0.05);the chest pain,tightness,shortness of breath,and fatigue scores of the observation group were lower than those of the control group,the differences between the groups were statistically significant(P<0.05).Comparison of adverse reaction rates between the two groups,the difference was

关 键 词：稳定型心绞痛 通脉化瘀协定方 耳穴压豆 气虚血瘀型 心功能 

分 类 号：R541[医药卫生—心血管疾病]