文章摘要
温通针法调理阳虚体质治疗阳虚血瘀型稳定型心绞痛的疗效观察
Clinical Research on the treatment of Wentong Needle Method conditioning yang deficiency constitution subjects to the patients with Yang Deficiency and Blood Stasis Type stable angina pectoris
投稿时间:2019-05-31  修订日期:2019-05-31
DOI:
中文关键词: 温通针法  阳虚体质  阳虚血瘀型  冠状动脉粥样硬化型心脏病  稳定型心绞痛  针灸
英文关键词: Wentong acupuncture  yang deficiency constitution subjects  yang deficiency and blood stasis type  coronary atherosclerotic heart disease  stable angina pectoris  acupuncture
基金项目:
作者单位E-mail
叶一林 深圳市宝安中医院 1359204900@qq.com 
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中文摘要:
      [摘 要] 目的:通过观察温通针法调理阳虚体质治疗阳虚血瘀型稳定型心绞痛的临床疗效,以期为针灸治疗稳定性心绞痛提供新方法、开拓新思路。方法:收集116例阳虚血瘀型稳定型心绞痛、阳虚体质的患者,采用随机数字表法分为对照组、治疗组各58例,对照组为常规西药治疗组,试验组在常规西药治疗基础上采用温通针法,通过对比两组患者心绞痛的发作次数及持续时间,胸闷、胸痛、心悸、畏寒怕冷四个主要中医证候积分下降程度,视觉模拟疼痛评分量表(Visual Analogue Scale, VAS)对治疗前后两组的临床疗效进行评价。结果:治疗后,治疗组患者的心绞痛的发作次数及持续时间相较对照度显著降低(P<0.05);治疗组胸闷、胸痛、心悸、畏寒怕冷四个主要中医证候积分降低程度较对照组更明显(P<0.05);两组的VAS疼痛评分量表疼痛程度均低于治疗前(P<0.05),且治疗组低于对照组(P<0.05)。结论:温通针法可通过调理阳虚体质改善阳虚血瘀型稳定型心绞痛患者的临床症状及体征、有效预防急性冠脉事件的发生。可作为稳定型心绞痛治疗的辅助手段在临床推广应用。
英文摘要:
      Abstract:[Objective] To explore the clinical effect of wentong needle method conditioning yang deficiency constitution subjects to the patients with Yang deficiency and blood stasis type stable angina pectoris, and to provide new methods and ideas for acupuncture treatment of stable angina pectoris. [Methods] According to random number table method, 116 patients with yang deficiency constitution subjects and Yang Deficiency and Blood Stasis Type of stable angina pectoris were divided into two groups, the treatment group (n = 58) and the control group(n=58). The treatment group was treated by Wentong acupuncture and normal western medicine, and the control group was treated by western medicine alone. The clinical efficacy of the two groups was evaluated by the frequency of the heart attack and the duration time of angina pectoris and the scores of TCM symptoms and the Visual Analogue Scale(VAS) before and after the treatment. [Results] After the treatment, the attack frequency and the duration time of angina pectoris and the scores of TCM symptoms in both two groups were lower than before (P < 0.05), and the treatment group was lower than the control group(P < 0.05), the VAS scores of both groups were lower than before (P < 0.05), and the treatment group was lower than the control group(P < 0.05).[Conclusions] Wentong acupuncture is effective in decreasing the clinical symptoms and signs of yang deficiency and blood stasis type stable angina pectoris via conditioning yang deficiency constitution subjects. It is also effective in preventing the acute coronary events. This treatment can be used as an auxiliary cure for stable angina pectoris pectoris in clinical application. Key words: Wentong acupuncture; yang deficiency constitution subjects; yang deficiency and blood stasis type; coronary atherosclerotic heart disease; stable angina pectoris; acupuncture
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