摘要
目的：观察穴位按压、硝酸甘油、速效救心丸在急救心绞痛方面的疗效差异。方法：将168例冠心病心绞痛患者随机分为穴位按压组（58例）、硝酸甘油组（56例）和速效救心丸组（54例），分别采用穴位按压膻中5～10min、舌下含服硝酸甘油片、舌下含服速效救心丸治疗。观察各组症状、心电图改善情况、起效时间和不良反应情况。结果：穴位按压组、硝酸甘油组、速效救心丸组3组患者临床症状总有效率分别为93．1％（54／58）、92．9％（52／56）、87．0％（47／54），差异无统计学意义（P〉0．05）；平均起效时间分别为（1．67±2．45）min、（2．89±2．64）min、（3．75±2．99）min，穴位按压组较其他两组起效快（P〈0．05，P〈0．001）；心电图疗效总有效率分别为86．2％（50／58）、85．7％（4s／56）、75．9％（41／54），3组疗效相当（P〉0．05）；治疗过程中，穴位按压组无不良反应发生，硝酸甘油组19例、速效救心丸组12例出现不良反应，组间比较差异有统计学意义（P〈0．05）。结论：穴位按压、硝酸甘油片、速效救心丸3种治疗方法用于心绞痛急救疗效无差异，但穴位按压疗法起效更快，无不良反应。
Objective To observe the differences of therapeutic effect of acupoint pressing, Nitroglycerin and Suxiaojiuxin pill on angina pectoris （AP） due to coronary heart disease （CHD）. Methods One hundred and sixty-eight patients with AP due to CHD were randomly divided into an acupoint pressing group （n= 58）, a Nitroglycerin group （n= 56） and a Suxiaojiuxin pill group （n = 54） and were treated with acupoint pressing at Danzhong （CV 17） for 5-10 minutes, sublingual administration of Nitroglycerin and subtingual administration of Suxiaojiuxin pill, respectively. Symptoms, improvements in ECG, the time of producing effectiveness and adverse effects in all the groups were observed. Results The total effective rate and the effective rate of ECG were 93.1% （54/58） and 86.2% （50/58） in the acupoinr pressing group respectively, 92. 9% （52/56） and 85.7% （48/56） in the Nitroglycerin group, and 87.0% （47/54） and 75.9% （41 54） in the Suxiaojiuxin pill group, with no significant differences among the three groups （all P〉0. 05）. The average rime of producing effectiveness was （1.67±2.45）min in the acupoint pressing group which was shorter than （2.89±2.64） min in the Nitroglycerin group and （3.75±2.99） min in the Suxiaojiuxin pill group （P〈0.05, P〈0. 001）. During the treatment, there were no adverse effects in the acupoint pressing group, which less than 19 cases in the Nitroglycerin group and 12 cases in the Suxiaojiuxin. pill group （both P〈0, 05）. Conclusion Acupoint pressing can significantly improve symptoms of AP patients with a similar therapeutic effect to Nitroglycerin and Suxiaojiuxin pill, but it has more rapid therapeutic effect without adverse effects.
出处
《中国针灸》
CAS
CSCD
北大核心
2011年第7期595-598,共4页
Chinese Acupuncture & Moxibustion
关键词
心绞痛
穴位按压
穴
膻中
硝酸甘油片
速效救心丸
Angina Peetoris
Acupressure
Point, CV 17 （Danzhong）
Nitroglycerin.Suxiaojiuxin Pill
