温灸刮痧疗法联合有氧运动对寒凝血瘀型冠心病患者心肺运动功能的影响  

Effect of warm moxibustion and scraping therapy combined with aerobic exercise on cardiopulmonary motor function in patients of coronary heart disease with cold coagulation and blood stasis pattern

作　　者：韦丽华[1] 王思婷 李翊铭 WEI Lihua;WANG Siting;LI Yiming(Cardiac Rehabilitation Center of Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine,Nanning 530011;School of Nursing,Guangxi University of Traditional Chinese Medicine,Nannin530219,China)

机构地区：[1]广西中医药大学附属瑞康医院心脏康复中心,530011 [2]广西中医药大学护理学院,530219

出　　处：《中国老年保健医学》2025年第1期29-32,共4页Chinese Journal of Geriatric Care

基　　金：2020年度广西医药卫生健康委员会科研课题(互联网+心脏康复管理模式对冠脉介入患者Ⅱ期心脏运动康复效果的影响研究,编号:Z20201941);2023年度广西中医药适宜技术开发与推广项目(李氏针砭法铜砭刮痧疗法联合有氧运动改善冠心病心肺运动功能的研究,编号:GZSY23-42);2023年广西中医药管理局自筹经费科研课题(基于黄帝内针的雷火灸联合早期康复改善二尖瓣置换术后患者心功能的应用研究,编号:GXZYA20230121);2022年“广西中医药大学高层次人才培育创新团队”项目(编号:2022A010)。

摘　　要：目的观察温灸刮痧疗法联合无氧阈水平的有氧运动康复对寒凝血瘀型冠心病患者心肺运动功能的影响。方法采用随机抽样法,选取2022年9月至2023年6月在广西中医药大学附属瑞康医院心血管内科就诊的80例寒凝血瘀型冠心病患者作为研究对象,按照随机数字表法把研究对象分为试验组40例和对照组40例,对照组在冠心病标准化药物治疗和常规护理的同时给予无氧阈水平的有氧运动康复,试验组在对照组治疗方案基础上实施温灸刮痧疗法,两组干预疗程为12周。比较两组患者干预前后中医证候积分和心肺运动功能疗效指标:无氧阈、峰值千克摄氧量(Peak VO_(2)/kg)、峰值氧脉搏(02/HR)、峰值功率(Watt peak)。结果干预治疗12周后,两组患者无氧阈、Peak VO_(2)/kg、峰值02/HR、Watt peak较干预前有明显改善,试验组优于对照组;干预前后两组中医证候积分均有减少,试验组治疗后中医证候积分比对照组改善明显,差异有统计学意义(P<0.05)。结论温灸刮痧疗法联合有氧运动能提高寒凝血瘀型冠心病患者运动耐量,改善临床症状,且优于单纯有氧运动康复治疗。Objective To observe the effect of warm moxibustion and scraping therapy combined with aerobic exercise rehabilitation at anaerobic threshold level on cardiopulmonary motor function in patients with cold coagulation and blood stasis coronary heart disease.Methods Patients with cold coagulation and blood stasis coronary heart disease who were treated in Ruikan hospital affiliated to Guangxi university of Chinese medicine from September 2022 to June 2023 were selected as the research subjects by random sampling method,and were divided into the experimental group and the control group,with 40 cases in each group.The control group was rehabilitated with aerobic exercise at the anaerobic threshold level on the basis of standardized drug treatment and routine nursing,and the experimental group was treated with warm moxibustion and scraping therapy on the basis of the treatment of the control group,and the two groups were treated for 12 weeks.The TCM syndrome scores and cardiopulmonary exercise function efficacy indexes were compared between the two groups before and after intervention:anaerobic threshold,peak oxygen uptake(Peak VO_(2)/kg),peak oxygen pulse(O_(2)/HR),and peak power(Watt peak).Results At the 12th week of treatment,the anaerobic threshold,peak VO_(2)/kg,peak O_(2)/HR and Watt peak of the two groups were significantly improved after intervention,and the experimental group was better than the control group.The TCM pattern scores of the two groups before and after intervention were reduced,and the scores of the experimental group were significantly improved compared with those of the control group after treatment,and the difference was statistically significant(P<0.05).Conclusion Moxibustion and scraping therapy combined with aerobic exercise can improve exercise tolerance and clinical symptoms in patients with cold coagulation and blood stasis coronary heart disease,and is better than aerobic exercise rehabilitation alone.

关 键 词：温灸刮痧 有氧运动 心肺功能 冠心病 寒凝血瘀 心脏康复 

分 类 号：R541.4[医药卫生—心血管疾病] R49[医药卫生—内科学]