子午流注纳子法配合眼罩治疗冠心病室性早搏失眠临床观察
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R541.4;R541.7

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湖州市科技计划公益性技术应用研究项目 (2015C102098)


Clinical Observation of Ziwuliuzhu Nazi Method Combined with Eyeshade for Insomnia with Ventricular Extrasystole of Coronary Heart Disease
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    摘要:

    目的:观察子午流注纳子法配合眼罩治疗冠心病室性早搏失眠患者的临床疗效。方法:将140例患者随机分为4组各35例,实验组采用子午流注纳子法逢时开穴联合中药安神护目眼罩治疗;对照1组取穴与实验组完全相同,但针刺时间为实验组针刺之前或后1~4天“闭穴”之时;对照2组每日午时给予中药安神护目眼罩治疗;对照3组采用对照1组加对照2组的方法。治疗时间30天,观察各组的心电图疗效、室性早搏疗效、治疗前后症状评分和匹兹堡睡眠质量指数(PSQI)。结果:实验组心电图总有效率91.43%,对照1组、对照2组、对照3组分别为68.57%、65.71%、71.43%,实验组疗效优于其他对照组(P<0.05)。实验组室性早搏总有效率88.57%,对照1组、对照2组、对照3组分别为65.71%、62.86%、68.57%,实验组疗效优于其他对照组(P<0.05)。治疗后,各组患者心悸、胸闷、胸痛、气短症状评分及总分均比治疗前下降,差异有统计学意义(P<0.05)。治疗后,实验组各项症状评分及总分与各对照组分别比较,均低于其他对照组,差异有统计学意义(P<0.05)。治疗后,各组患者PSQI均比治疗前下降,差异有统计学意义(P<0.05)。治疗后,实验组PSQI与各对照组分别比较,均低于其他对照组,差异有统计学意义(P<0.05)。结论:对冠心病室性早搏失眠患者运用子午流注纳子法逢时开穴并配合中药安神护目眼罩,可以达到缓解心悸、促进睡眠的作用,简、便、廉、验。

    Abstract:

    Objective:To observe the clinical effect of ziwuliuzhu nazi method combined with eyeshade for patients with insomnia with ventricular extrasystole of coronary heart disease.Methods:Divided 140 cases of patients into four groups randomly,35 cases in each group.The experiment group was treated with the ziwuliuzhu nazi method to open acupoints on time combined with Chinese medicine eyeshade for relieving uneasiness and protecting eyes;the acupoints selection in the control group 1 was exactly the same as that in the experiment group,but the acupuncture time was before or after the experiment group 1 to 4 days at the closing conditions of acupoints;the control group 2 was given the Chinese medicine eyeshade for relieving uneasiness and protecting eyes at 12∶00 every day; the control group 3 was treated with the combined method mentioned in the control group 1 and the control group 2.The treatment lasted for 30 days.Observed the electrocardiogram effect, ventricular premature beats, symptom scores before and after treatment, and Pittsburgh sleep quality index(PSQI)in each group.Results:The total effective rate of electrocardiogram was 91.43%in the experiment group and 68.57%in the control group 1,65.71%in the control group 2 and 71.43%in the control group 3,and the curative effect in the experiment group was better than that in other three control groups(P<0.05).The total effective rate of the ventricular premature beats was 88.57%in the experiment group and 65.71%in the control group 1,62.86%in the control group 2 and 68.57%in the control group 3,and the curative effect in the experiment group was better than that in other control groups(P<0.05).After treatment,the symptom scores of palpitations,chest distress,chest pain,shortness of breath and total scores of the patients in each group were decreased when compared with those before treatment,difference being significant(P<0.05).After treatment,each symptom score and the total scores in the experiment group were lower than those in other control groups,difference being significant(P<0.05).After treatment,the PSQI in each group was decreased when compared with those before treatment,difference being significant(P<0.05).After treatment,compared the experiment group with other three control groups respectively,the PSQI in the experiment group was lower than that in each control group,difference being significant(P<0.05).Conclusion:For patients with insomnia with ventricular extrasystole of coronary heart disease,the application of ziwuliuzhu nazi method to open acupoints on time combined with eyeshade for relieving uneasiness and protecting eyes can relieve palpitations and promote sleep in a simple,convenient,inexpensive and effective way.

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杨颖.子午流注纳子法配合眼罩治疗冠心病室性早搏失眠临床观察[J].新中医,2018,50(12):228-231

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  • 在线发布日期: 2018-12-09
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