复元活血汤联合针刺治疗气滞血瘀型冠心病合并慢性心力衰竭临床观察  

Clinical Observation on Combination of Fuyuan Huoxue Decoction(复元活血汤)and Acupuncture in Treatment of Coronary Heart Disease Patients with Qi Deficiency and Blood Stasis Combined with Chronic Heart Failure

作　　者：王焱平[1] 马金霞[1] 王希瑞[1] 薛铮 WANG Yanping;MA Jinxia;WANG Xirui;XUE Zheng(Nanyang First Peoples Hospital,Nanyang 473000,Henan,China)

机构地区：[1]南阳市第一人民医院,河南南阳473000

出　　处：《中华中医药学刊》2025年第4期197-200,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：河南省中医药科学研究专项(2018ZH1019)。

摘　　要：目的探讨复元活血汤联合针刺治疗气虚血瘀型冠心病合并慢性心力衰竭患者的临床观察。方法收集2020年1月1日—2021年12月31日医院收治的气虚血瘀型冠心病合并慢性心力衰竭患者106例作为研究对象。采用随机数字表法,将患者分为试验组和对照组,每组53例。对照组予以阿司匹林肠溶片100 mg,1次/d;单硝酸异山梨酯片20 mg,3次/d;螺内酯片20 mg,1次/d;酒石酸美托洛尔片25 mg,3次/d;卡托普利片25 mg,3次/d。试验组在此基础上应用复元活血汤联合针刺治疗。对比两组中医证候评分、临床疗效、心率、血压及不良反应发生率。研究数据均采用SPSS 25.0统计学软件进行分析。结果治疗后与对照组相比,试验组临床总有效率较高(P<0.05)。治疗后,两组患者各项中医证候评分较治疗前比较均降低(P<0.05);与对照组比较,试验组患者各项中医证候评分水平较低(P<0.05)。治疗后,两组患者心率(HR)、收缩压(SBP)、舒张压(DBP)与治疗前相比明显降低(P<0.05);与对照组比较,试验组患者HR、SBP、DBP水平较低(P<0.05)。两组患者不良反应发生率差异无统计学意义(P>0.05)。结论复元活血汤联合针刺治疗能显著改善气虚血瘀型冠心病合并慢性心力衰竭患者临床症状,安全性较高,其治疗机制可能与炎症抑制与调节血流动力学具有密切相关性。Objective To explore the clinical observation of Fuyuan Huoxue Decoction(复元活血汤)combined with acupuncture in the treatment of coronary heart disease patients with Qi deficiency and blood stasis combined with chronic heart failure.Method A total of 106 patients with coronary heart disease of Qi deficiency and blood stasis type combined with chronic heart failure admitted to the hospital from January 1,2020 to December 31,2021 were collected as research subjects.Using a random number table method,the patients were divided into an experimental group and a control group,with 53 cases in each group.The control group received Aspirin Enteric Coated Tablets(100 mg,once a day),Isosorbide Mononitrate Tablets(20 mg,3 times a day),Spironolactone Tablets(20 mg,once a day),Metoprolol Tartrate Tablets(25 mg,3 times a day)and Captopril Tablets(25 mg,3 times a day).On this basis,the experimental group applied Fuyuan Huoxue Decoction combined with acupuncture treatment.The TCM syndrome scores,clinical efficacy,heart rate,blood pressure and incidence of adverse reactions were compared between two groups.The research data in this article was analyzed by using SPSS 25.0 statistical software.Result After treatment,compared with the control group,the experimental group had a higher clinical total effective rate(P<0.05).After treatment,the scores of various traditional Chinese medicine syndromes in both groups decreased compared to those before treatment(P<0.05).Compared with the control group,the experimental group had lower scores of various traditional Chinese medicine syndromes(P<0.05).After treatment,the values of heart rate(HR),systolic blood pressure(SBP)and diastolic blood pressure(DBP)of the two groups were significantly reduced compared to those before treatment(P<0.05).Compared with those of the control group,the levels of HR,SBP and DBP in the experimental group were lower(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups of patients(P>0.05).Conclusion The comb

关 键 词：复元活血汤 针刺 冠心病合并慢性心力衰竭 

分 类 号：R246.1[医药卫生—针灸推拿学] R259.414[医药卫生—中医临床基础]