揿针带针结合抗阻训练治疗气虚血瘀型慢性心衰患者的临床研究  

A clinical study on the effects of acupuncture with retained needles combined with resistance training in patients with qi deficiency and blood stasis type chronic heart failure

作　　者：范文曦 柯俊华 邱福山 FAN Wenxi;KE Junhua;QIU Fushan(Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003;Fujian Provincial Key Laboratory of Rehabilitation Technology,Fuzhou 350003,China)

机构地区：[1]福建中医药大学附属康复医院,350003 [2]福建省康复技术重点实验室,350003

出　　处：《中国老年保健医学》2025年第1期72-75,共4页Chinese Journal of Geriatric Care

基　　金：2023年福建省康复技术重点实验室开放课题(编号:XKF2023004);国家中医药管理局高水平中医药重点学科建设项目中医康复学(编号:zyyzdxk-2023102)。

摘　　要：目的探究揿针带针结合抗阻训练治疗气虚血瘀型慢性心力衰竭患者的临床效果。方法采取随机数字表法,选取本院2023年9月至2024年9月收治的气虚血瘀型慢性心力衰竭患者62例分为对照组和观察组,每组31例。对照组采用基础药物治疗联合弹力带抗阻训练;观察组在对照组治疗方案的基础上联合揿针治疗,治疗频率为每周5次,8周为一疗程,对比两组患者治疗前后的NYHA分级、左心室射血分数(LVEF)、6分钟步行试验、血清NT-proBNP浓度、中医症候积分、明尼苏达州心力衰竭生活质量量表(MLHFQ)评分,同时对比两组患者的临床效果。结果治疗后观察组与对照组相比NYHA分级降低、LVEF较高、6分钟步行试验较好,血清NT-proBNP浓度较低,中医症候积分较低,MLHFQ评分较低,差异有统计学意义(P<0.05)。观察组与对照组相比临床总有效率较高,差异有统计学意义(P<0.05)。结论揿针带针结合抗阻训练对气虚血瘀型慢性心力衰竭患者临床效果突出,患者的心功能以及生活质量得到明显改善。Objective To investigate and analyze the clinical efficacy of acupuncture with retained needles combined with resistance training in patients with Qi deficiency and blood stasis type chronic heart failure(CHF).Methods Sixty-two patients with Qi deficiency and blood stasis type CHF admitted to our hospital from September 2023 to September 2024 were randomly divided into two groups(31 cases each group)using a random number table.The control group received standard medication treatment combined with elastic band resistance training.The observation group received the same treatment as the control group plus acupuncture with retained needles,five times a week for eight weeks.The two groups were compared before and after treatment regarding NYHA classification,left ventricular ejection fraction(LVEF),6-minute walk test(6MWT),serum NT-proBNP levels,TCM syndrome score,and Minnesota Living with Heart Failure Questionnaire(MLHFQ)score.Clinical efficacy was also compared between the two groups.Results After treatment,the observation group showed a greater reduction in NYHA classification,higher LVEF,better performance in the 6MWT,lower serum NT-proBNP levels,lower TCM syndrome scores,and lower MLHFQ scores compared to the control group.These differences were statistically significant(P<0.05).The observation group also showed a significantly higher total effective rate compared to the control group(P<0.05).Conclusion Acupuncture with retained needles combined with resistance training demonstrates significant clinical efficacy in patients with Qi deficiency and blood stasis type chronic heart failure,leading to marked improvements in cardiac function and quality of life.

关 键 词：揿针带针 抗阻训练 气虚血瘀型 慢性心力衰竭 心功能 生活质量 

分 类 号：R246.1[医药卫生—针灸推拿学]