摘要
目的探讨针刺夹脊穴联合心脏康复用于冠心病PCI术后患者的临床疗效。方法采用随机数字表法,将2020年9月—2023年2月上海市浦东新区人民医院收治的100例冠心病PCI术后患者分为针刺组、康复组、联合组、对照组,每组25例。对照组患者采用规范化药物治疗;在药物治疗的基础上,针刺组接受针刺夹脊穴治疗,康复组接受心脏康复治疗,联合组接受针刺夹脊穴联合心脏康复治疗。4组均治疗8周。观察比较4组患者治疗前后6 min步行试验(6MWT)距离、左室射血分数(LVEF)、单手握力、10 s内自主抬高单侧下肢的次数、心律失常人数、生活质量(采用ICF量表进行评估)。结果共有87例患者完成观察,其中针刺组21例、康复组23例、联合组22例、对照组21例。针刺组、康复组及联合组治疗后6MWT、LVEF均明显高于治疗前(P均<0.05),ICF评分均明显低于治疗前(P均<0.05);联合组6MWT、LVEF、ICF评分改善情况均明显优于其他3组(P均<0.05),针刺组与康复组间6MWT、LVEF、ICF评分比较差异均无统计学意义(P均>0.05),康复组6MWT、针刺组LVEF均明显高于对照组(P均<0.05),针刺组和康复组ICF评分均明显低于对照组(P均<0.05)。康复组和联合组治疗后单手握力均较治疗前明显改善(P均<0.05),且联合组改善情况明显优于其他3组(P均<0.05)。康复组和联合组治疗后10 s下肢抬高次数明显多于治疗前及针刺组和对照组(P均<0.05),且联合组明显多于康复组(P<0.05)。针刺组和联合组治疗后心律失常人数明显少于治疗前及康复组和对照组(P均<0.05)。结论针刺夹脊穴联合心脏康复可以明显改善冠心病PCI术后患者的心脏功能、肌肉适能,提高患者的日常生活能力,且作用明显优于单用针刺治疗或心脏康复治疗。
Objective It is to explore the clinical efficacy of acupuncture at Jiaji acupoints combined with cardiac rehabilitation in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods One hundred patients with coronary heart disease after PCI treated in Shanghai Pudong New District People’s Hospital from September 2020 to February 2023 were divided into 4 groups by the random number table method:acupuncture group,rehabilitation group,combination group and control group,with 25 cases in each group.The patients in the control group were treated with standardized medication;on the basis of the medication,the acupuncture group was treated with acupuncture at Jiaji acupoints,the rehabilitation group was treated with cardiac rehabilitation,and the combination group was treated with acupuncture at Jiaji acupoints combined with cardiac rehabilitation.All the four groups were treated for 8 weeks.The 6-min walk test(6MWT)distance,left ventricular ejection fraction(LVEF),singal-handed grip strength,times of voluntary raising of unilateral lower extremity within 10 s,number of cardiac arrhythmias,and quality of life(assessed by ICF scale)of patients in the four groups were observed and compared before and after treatment.Results A total of 87 patients completed the study,including 21 cases in the acupuncture group,23 cases in the rehabilitation group,22 cases in the combination group and 21 cases in the control group.The 6MWT and LVEF of the acupuncture group,rehabilitation group and combination group were significantly higher,while the ICF scores were significantly lower than those before treatment(all P<0.05);the improvements of the 6MWT,LVEF,and ICF scores of the combination group were significantly better than those of the other three groups(all P<0.05),the differences in 6MWT,LVEF,and ICF scores were not statistically significant between the acupuncture group and rehabilitation group(all P>0.05),the 6MWT of the rehabilitation group and LVEF of the acupuncture group were significantly high
作者
邵明璐
孟宪忠
华靖
庄燕
马光慧
SHAO Minglu;MENG Xianzhong;HUA Jing;ZHUANG Yan;MA Guanghui(Shanghai Pudong New District People’s Hospital,Shanghai 201299,China)
出处
《现代中西医结合杂志》
CAS
2024年第6期778-784,共7页
Modern Journal of Integrated Traditional Chinese and Western Medicine
基金
上海市卫生健康委员会科研课题青年项目(20204Y0178)
上海市浦东新区卫生健康委员会优秀青年医学人才培养计划(PWRq2021-01)。
关键词
夹脊穴
心脏康复
冠状动脉粥样硬化性心脏病
经皮冠状动脉介入治疗
Jiaji aupoint
cardiac rehabilitation
coronary atherosclerotic heart disease
percutaneous coronary intervention
