摘要
目的观察温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效及对患者心功能和生活质量的影响。方法将60例阳气亏虚血瘀型慢性心力衰竭患者用随机数字表法分为对照组(30例)和研究组(30例)。两组均予内科常规基础治疗,对照组另予常规针刺治疗,研究组另予温针灸治疗。观察两组治疗前后明尼苏达心功能不全生命质量量表(Minnesota living with heart failure questionnaire,MLHFQ)评分、6分钟步行试验(6-minute walk test,6MWT)结果、心功能指标[左室舒张末期内径(left ventricular end diastolic diameter,LVEDD)、左心室收缩末内径(left ventricular end systolic diameter,LVESD)和左室射血分数(left ventricular ejection fraction,LVEF)]以及血清肾素、醛固酮(aldosterone,ALD)、血管紧张素Ⅱ(angiotensinⅡ,AngⅡ)和血浆N末端B型利钠肽原(N-terminal pro-B-type natriuretic peptide,NT-proBNP)水平的变化,比较两组临床疗效。结果两组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均较治疗前降低(P<0.05),LVEF和6MWT水平均较治疗前提高(P<0.05)。研究组治疗后LVEDD、LVESD、肾素水平、ALD水平、AngⅡ水平、NT-proBNP水平和MLHFQ评分均低于对照组(P<0.05),LVEF和6MWT水平均高于对照组(P<0.05)。研究组总有效率高于对照组(P<0.05)。结论在内科常规治疗基础上,温针灸治疗阳气亏虚血瘀型慢性心力衰竭的临床疗效优于常规针刺,可改善心脏功能,提高生活质量。
Objective To observe the clinical efficacy of warming needle in the treatment of chronic heart failure of blood stasis due to Yang Qi deficiency pattern,and its effect on cardiac function and quality of life of the patients.Method Sixty patients with chronic heart failure of blood stasis due to Yang Qi deficiency pattern were divided into a control group(30 cases)and a study group(30 cases)using the random number table method.Both groups were treated with conventional basic internal medicine treatment,while the control group was treated with additional conventional acupuncture and the study group was treated with additional warming needle.The Minnesota living with heart failure questionnaire(MLHFQ)score,6-minute walk test(6MWT)results,cardiac function indexes[left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD),and left ventricular ejection fraction(LVEF)],serum renin,aldosterone(ALD),angiotensin(Ang)and plasma NⅡⅡ-terminal pro-B-type natriuretic peptide(NT-proBNP)levels were observed before and after treatment in both groups.The clinical efficacy of the two groups was compared.Result The LVEDD,LVESD,renin level,ALD level,Ang II level,NT-proBNP level and MLHFQ score of the two groups were lower than those before treatment(P<0.05),and the LVEF and 6MWT were higher than those before treatment(P<0.05).The LVEDD,LVESD,renin level,ALD level,Ang II level,NT-proBNP level and MLHFQ score of the study group were lower than those of the control group after treatment(P<0.05),and LVEF and 6MWT were higher than those of the control group(P<0.05).The total effective rate of the study group was higher than that of the control group(P<0.05).Conclusion On the basis of conventional internal medicine treatment,the clinical efficacy of warming needle in treating chronic heart failure of blood stasis due to Yang Qi deficiency pattern is better than that of conventional acupuncture,improving cardiac function and quality of life.
作者
邱福山
柯俊华
范文曦
QIU Fushan;KE Junhua;FAN Wenxi(Rehabilitation Hospital,Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;Key Laboratory of Rehabilitation Technology of Fujian Province,Fuzhou 350003,China)
出处
《上海针灸杂志》
CSCD
2024年第8期841-848,共8页
Shanghai Journal of Acupuncture and Moxibustion
基金
福建省康复重点实验室开放课题(KF2019022)
福建中医药大学校管科研课题(XB2018045)。
关键词
针灸疗法
温针疗法
针药并用
心力衰竭
心功能
生活质量
阳气亏虚
血瘀
Acupuncture-moxibustion
Needle warming therapy
Acupuncture medication combined
Heart failure
Cardiac function
Quality of life
Yang Qi deficiency
Blood stasis
