摘要
目的:探究电针预处理配合药物治疗在冠状动脉粥样硬化性心脏病(简称冠心病)心绞痛患者中的应用效果。方法:选择2017年11月-2018年12月治疗的冠心病心绞痛患者204例作为本次的研究对象,运用随机数字表法分为对照组和观察组,每组各102例。对照组服用常规的药物治疗,观察组在对照组基础上进行电针预处理治疗。15 d后对两组患者治疗前后的心功能指标,血液流变学情况进行评估,比较两组患者治疗后出现的不良症状。结果:两组患者在治疗前心搏出量(Stroke Volume,SV)与心输出量(Cardiac Output,CO)指标比较,差异均无统计学意义(P>0.05)。治疗后观察组患者SV与CO指标显著高于对照组(P<0.05)。两组患者在治疗前红细胞凝聚指数情况,血浆粘度情况以及红细胞变形指数情况比较,差异均无统计学意义(P>0.05)。治疗后观察组患者红细胞凝聚指数情况,血浆粘度情况显著低于对照组(P<0.05),观察组患者红细胞变形指数情况显著高于对照组(P<0.05)。治疗15 d后,观察组中发生胸闷、心力衰竭、呼吸困难以及心律失常的患者例数显著低于对照组(P<0.05)。结论:将电针预处理配合药物治疗运用于冠心病心绞痛患者的治疗中,提高了心搏出量、心输出量指标,减少了治疗后的不良症状的发生率,值得推广应用。
Objective:To explore the effect of electroacupuncture pretreatment with medicines on coronary atherosclerotic heart disease and angina pectoris.Methods:204 patients were divided into the control group and the observation group,with 102 cases in each,by random number tables method.The control group was treated by conventional medications,and the observation group received electroacupuncture pretreatment more.Results:After treatment,SV and CO indexes in the observation group were significantly higher than those in the control group(P<0.05).The red blood cell aggregation index and plasma viscosity in the observation group were significantly lower than those in the control group(P<0.05),and the red blood cell deformation index in the observation group was significantly higher than that in the control group(P<0.05).After 15 days of treatment,the chest tightness,heart failure,dyspnea,and arrhythmia in the observation group were significantly less than those in the control group(P<0.05).Conclusion:Electroacupuncture preconditioning and medicines on coronary heart disease and angina pectoris can improve stroke volume and cardiac output indicators,and reduce the incidence of adverse symptoms after treatment,is worthy of popularization and application.
出处
《中医临床研究》
2020年第26期52-54,共3页
Clinical Journal Of Chinese Medicine
关键词
电针预处理
药物治疗
冠心病心绞痛患者
心功能指标
Electroacupuncture pretreatment
Medicine
Patients with coronary heart disease and angina pectoris
Cardiac function indicators
