摘要
目的:观察微砭耳针对冠心病经皮冠状动脉介入术(PCI)后伴焦虑状态患者的焦虑状态、心绞痛发作情况及睡眠质量的影响。方法:选取74例符合纳入标准的PCI术后伴焦虑抑郁状态的患者分为耳针组35例和对照组34例。耳针组在常规冠心病二级预防用药的基础上联合微砭耳针治疗,对照组在冠心病二级预防用药的基础上配合适量运动,均治疗4周。分别于治疗前后评估患者汉密尔顿焦虑量表(HAMA)评分、西雅图心绞痛(SAQ)评分、匹兹堡睡眠指数(PSQI)评分。结果:与治疗前比较,两组患者治疗后HAMA评分及PSQI评分均显著降低(P<0.001),SAQ各方面评分均显著升高(P<0.05);治疗后与对照组比较,耳针组HAMA评分及PSQI总分显著降低(P<0.001),SAQ中PL、AS、AF、TS评分显著升高(P<0.05)。耳针组总有效率为91.43%(32/35),对照组为58.82%(20/34),耳针组临床疗效优于对照组(P<0.001)。结论:微砭耳针可以有效改善PCI术后伴焦虑状态患者的焦虑情绪、心绞痛发作情况及睡眠质量。
Objective To observe the effect of auriculotherapy with miniature bian needle on anxious emotion, the condition of angina pectoris attack and sleep quality in the patients with anxiety after percutaneous coronary intervention(post-PCI). Methods A total of 74 eligible patients of post-PCI combined with anxious depression were randomized into an auriculotherapy group(37 cases, 2 cases dropped out) and a control group(37 cases, 3 cases dropped out). In the auriculotherapy group, on the base of the conventional secondary prevention medication for coronary heart disease(CHD), auriculotherapy with miniature bian needle was supplemented. In the control group, a proper physical exercise was combined on the base of the secondary prevention medication for CHD. The duration of treatment was 4 weeks in two groups. Separately, the score of Hamilton anxiety scale(HAMA), the score Seattle angina questionnaire(SAQ) and the score of Pittsburgh sleep quality index(PSQI) were assessed in the patients of the two groups before and after treatment. Results After treatment, the score of HAMA, the score of each item of SAQ and PSQI score were all improved significantly as compared with those before treatment respectively in both the auriculotherapy group and the control group(P<0.001, P<0.05). After treatment, HAMA score, PSQI score and the scores of physical limitation(PL), anginal stability(AS), anginal frequency(AF) and treatment satisfaction(TS) in SAQ in the auriculotherapy group were all better than those in the control group(P<0.001, P<0.05). The total effective rate was 91.43%(32/35) in the auriculotherapy group, obviously higher than 58.82%(20/34) in the control group(P<0.001).Conclusion Auriculotherapy with miniature bian needle effectively relieves anxious emotions and the condition of angina pectrois attack and improves sleep quality in the post-PCI patients with anxiety.
作者
张健真
吴焕林
常佩芬
黄凯琳
ZHANG Jian-zhen;WU Huan-lin;CHANG Pei-fen;HUANG Kai-lin(Department of Cardiovascular Medicine of Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)
出处
《针刺研究》
CAS
CSCD
北大核心
2021年第10期880-884,共5页
Acupuncture Research
基金
国家中医药管理局2015年度国家中医临床研究基地业务建设科研专项课题(No.JDZX2015009)。
关键词
冠心病经皮冠状动脉介入术后
焦虑状态
微砭耳针
Post-PCI of coronary heart disease surgery
Anxiety
Auriculotherapy with miniature bian needle
