Clinical Observation of Qi-invigo rating and Blood-activating Acupoin t App lication for Unstable Angina Pecto ris in Co ronary HeartDisease ofQi-deficiency and Blood-stasis Type
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摘要:
目的:观察益气活血贴穴位贴敷治疗气虚血瘀型冠心病不稳定型心绞痛的临床疗效。方法:纳入气虚血瘀型冠心病不稳定型心绞痛患者60例,随机分为2组各30例。对照组予常规基础治疗,治疗组在对照组基础上予益气活血贴穴位贴敷,疗程共2周。比较2组治疗前后心绞痛临床症状评分、中医证候评分、心绞痛疗效和心电图疗效。结果:治疗后,2组心绞痛临床症状评分、中医证候评分均较治疗前降低( P <0.05),治疗组心绞痛临床症状评分、中医证候评分较对照组降低更明显( P <0.05)。治疗后,心绞痛疗效总显效率治疗组为70.00%,对照组为36.67%,2组比较,差异有统计学意义( P <0.05);心电图疗效总显效率治疗组为66.67%,对照组为33.33%,2组比较,差异有统计学意义( P <0.05)。结论:益气活血贴穴位贴敷是治疗气虚血瘀型冠心病不稳定型心绞痛的有效方法,可以缓解冠心病心绞痛的临床症状,降低患者疼痛程度,改善心电图。
Abstract:
Objective: To observe the clinical effect of qi-invigorating and blood-activating acupoint application for unstable angina pectoris in coronary heart disease of qi-deficiency and blood-stasis type.Methods:Included 60 cases of patients with unstable angina pectoris in coronary heart disease of qi-deficiency and blood-stasis type,and divided theminto the control group and the treatment group randomly,30 cases in each group.The control group was given the routine basic treatment,while the treatment group was additionally given qi-invigorating and blood-activating acupoint application.The course of treatment for both groups lasted for 2 weeks.Compared the clinical symptomscores of angina pectoris,Chinese medicine syndrome scores,and the clinical effect of angina pectoris and electrocardiogramin both groups before and after treatment.Results:After treatment,the clinical symptomscores of angina pectoris and Chinese medicine syndrome scores in both groups were lower than those before treatment( P <0.05),and the clinical symptomscores of angina pectoris and Chinese medicine syndrome scores in treatment group were decreased more significantly than those in the control group( P <0.05).After treatment,the total obvious effective rate of the clinical effect of angina pectoris was 70.00%in the treatment group and 36.67%in the control group,difference being significant( P <0.05);the total obvious effective rate of the clinical effect of electrocardiogram was 66.67%in the treatment group and 33.33%in the controlgroup,difference being significant( P <0.05).Conclusion:Qi-invigorating and blood-activating acupoint app lication is the effective method for treating unstable angina pectoris in coronary heart disease of qi-deficiency and blood-stasis type,which can relieve the clinical symptoms of unstable angina pectoris,decrease the pain degree of patients,and improve results in the electrocardiogram.