神道八阵穴隔药灸对痰浊阻滞型冠心病疗效的探究  

Observation on the clinical efficacy of spaced-medicine moxibushtion at Shendao Bazhen acupoints combined with western medicines in the treatment of coronary heart disease with phlegm obstruction evidence

作　　者：张巧娜 陈科 史利斌 ZHANG Qiaona;CHEN Ke;SHI Libin(Emergency Department,Tangshan Traditional Chinese Medicine Hospital,Tangshan 063000,China)

机构地区：[1]唐山市中医医院急诊科,063000 [2]唐山市中医医院心内科 [3]唐山市中医医院超声科

出　　处：《中国煤炭工业医学杂志》2024年第5期476-481,共6页Chinese Journal of Coal Industry Medicine

基　　金：河北省中医药管理局科研计划项目(编号:2020379)

摘　　要：目的探究神道八阵穴隔药灸对痰浊阻滞型冠心病(CHD)临床疗效的影响。方法选取2020年9月-2022年6月唐山市中医医院收治的痰浊阻滞型冠心病患者130例,随机分为对照组65例和观察组65例。两组均予基础西医治疗,观察组联合神道八阵穴隔药灸,15min/次,1次/日。治疗12周后,观察两组患者血液流变学指标、血管内皮功能的变化情况,并比较两组患者中医症候积分。结果观察组患者的痰浊阻滞型冠心病临床治疗总有效率和显效率(93.84%、61.54%)均明显高于对照组(75.38%、33.85%),差异有统计学意义(P<0.05);与对照组比较,观察组患者治疗后胸痛、胸闷、心悸、痰多、舌苔白腻、脉滑症候积分均显著降低,差异有统计学意义(P<0.05);与对照组比较,观察组治疗后患者的血浆黏度、全血高切、中切、低切黏度、一氧化氮(NO)、内皮素-1(ET-1)水平、可溶性细胞间黏附分子-1(sICAM-1)和可溶性血管细胞黏附分子-1(sVCAM-1)指标均明显改善,差异有统计学意义(P<0.05)。结论神道八阵穴隔药灸能改善痰浊阻滞型冠心病患者血液流变学和血管内皮功能指标,有效缓解患者临床症状,显著提高治疗有效率。Objective To investigate the effect of interstitial moxibustion of Shendao Bazhang acupoints on the clinical efficacy of phlegm obstruction type coronary heart disease(CHD).Methods 130 patients with phlegm-obstructed coronary heart disease(CHD)admitted to Tangshan Hospital of Traditional Chinese Medicine(TSTCM)from September 2020 to June 2022 were selected and randomly divided into 65 cases in the control group and 65 cases in the observation group.Both groups were given basic western medical treatment,and the observation group was combined with intermittent medicinal moxibustion at Shendao Bazhen points for 15 min/time,1 time/day.After 12 weeks of treatment,the changes of blood rheology indexes and vascular endothelial function of patients in the two groups were observed,and the TCM symptom scores of patients in the two groups were compared.Results The total effective rate and apparent rate of clinical treatment of phlegm obstruction type coronary heart disease in patients of the observation group(93.84%,61.54%)were significantly higher than those in the control group(75.38%,33.85%),and the difference was statistically significant(P<0.05);compared with the control group,patients in the observation group showed a significant decrease in chest pain,chest tightness,palpitations,phlegm,white tongue coating,and slippery pulse syndromes points after treatment,and the difference was statistically significant(P<0.05).There was statistical significance(P<0.05);compared with the control group,the plasma viscosity,whole blood high cut,medium cut,low cut viscosity,NO,ET-1,sICAM-1,sVCAM-1 indexes of the patients in the observation group were significantly improved after treatment,and the difference was statistically significant(P<0.05).Conclusion Shendao Bajin acupoint spacer moxibustion can improve blood rheology and vascular endothelial function indexes of patients with phlegm-obstructed coronary artery disease,effectively alleviate the clinical symptoms of patients,and significantly increase the therapeutic efficacy rate.

关 键 词：痰浊阻滞型冠心病 神道八阵穴 隔药灸 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]