穴位贴敷与中药沐足联合常规疗法治疗稳定型心绞痛心血瘀阻证临床研究
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R256.22

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Clinical Study on Point Application and Chinese Medicine Foot Bath Combined with Routine Therapy for Stable Angina Pectoris with Heart Blood Stasis Syndrome
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    摘要:

    目的:观察在现代医学常规干预措施基础上加用穴位贴敷联合中药沐足治疗稳定型心绞痛心血瘀阻证患者的临床疗效。方法:纳入122 例稳定型心绞痛心血瘀阻证患者,按随机数字表法分为观察组和对照组各61 例。2 组均采取常规干预措施,观察组加予穴位贴敷及中药沐足。2 组均连续治疗4 周。记录2 组患者的心绞痛发作次数及持续时间,治疗前、治疗4 周后评定心血瘀阻证症状评分与生活质量评分[采用西雅图心绞痛量表(SAQ) ]。比较2 组的临床疗效。结果:治疗4 周后,观察组临床疗效总有效率98.36%,高于对照组的86.89% (P<0.05)。2 组心绞痛发作次数及持续时间均较治疗前减少或缩短(P<0.01),观察组心绞痛发作次数及持续时间均少于或短于对照组(P<0.01)。2 组胸痛、心痛如刺固定、唇舌紫暗评分均较治疗前减少(P<0.01),观察组3 项症状的评分均低于对照组(P<0.01)。2 组SAQ 心绞痛发作、活动受限度、心绞痛稳定状态、治疗满意度、疾病认识度评分均较治疗前增加(P<0.01),观察组5 项指标的评分均高于对照组(P<0.01)。结论:在常规干预措施基础上加用穴位贴敷联合中药沐足治疗胸痹心痛心血瘀阻证疗效明显,可有效减轻患者的心绞痛与相关症状体征,提高生活质量。

    Abstract:

    Abstract:Objective:To observe the clinical effect of point application combined with Chinese medicine foot bath based on routine intervention measures in modern medicine for patients with stable angina pectoris with heart blood stasis syndrome. Methods: A total of 122 cases of patients with stable angina pectoris with heart blood stasis syndrome were included and divided into the observation group and the control group according to the random number table method, 61 cases in each group. Both groups were given routine intervention measures, and the observation group was additionally treated with point application combined with Chinese medicine foot bath. Both groups were treated for four weeks. The onset frequency and duration of angina pectoris in the two groups were recorded. Before treatment and after four-week treatment, the symptom scores of heart blood stasis syndrome and the scores of the quality of life were assessed by Seattle Angina Questionnaire(SAQ). The clinical effect in the two groups was compared. Results: After four- week treatment, the total effective rate of clinical effect was 98.36% in the observation group,higher than that of 86.89% in the control group(P<0.05). The onset frequency and duration of angina pectoris in the two groups were reduced or shortened when compared with those before treatment(P<0.01), and the onset frequency and duration of angina pectoris in the observation group were less or shorter than those in the control group(P<0.01). The scores of chest pain,stabbing pain in the heart and dark purple lips and tongue in the two groups were decreased when compared with those before treatment(P<0.01), and the scores of the above three symptoms in the observation group were lower than those in the control group(P<0.01). The scores of angina attack,activity limitation,stable state of angina pectoris,treatment satisfaction and disease awareness of SAQ in the two groups were increased when compared with those before treatment(P<0.01),and the scores of the above five indexes in the observation group were higher than those in the control group(P<0.01). Conclusion: Based on routine intervention measures, the additional application of point application combined with Chinese medicine foot bath has obvious curative effect in treating chest impediment and heart pain with heart blood stasis, which can effectively improve angina attacks, Chinese medicine syndrome and quality of life.

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叶佳希.穴位贴敷与中药沐足联合常规疗法治疗稳定型心绞痛心血瘀阻证临床研究[J].新中医,2021,53(18):175-178

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  • 在线发布日期: 2021-09-24
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