摘要
目的比较耳揿针联合药物与单纯药物对频发室性早搏(FVPB)的治疗效果。方法选取2022年1-12月该院就诊的FVPB患者51例作为研究对象,其中治疗组27例,对照组24例。治疗组予耳揿针联合口服酒石酸美托洛尔片治疗,选取心耳穴、肾上腺耳穴,两耳交替治疗,3 d后更换揿针;对照组仅予口服酒石酸美托洛尔片治疗,在相同耳穴处贴与揿针颜色材质相同的胶布。比较两组治疗前、治疗后1 d、治疗后6 d早搏次数、中医症状评分和临床疗效。结果治疗后1 d,治疗组早搏次数为733(427,1637)次,对照组为2244(1023,2808)次;治疗后6 d,治疗组早搏次数为182(116,321)次,对照组为1025(678,1127)次。治疗后6 d治疗组早搏次数与对照组相比平均减少了765.49次(95%CI:-976.41~-554.56,P<0.001)。治疗后1、6 d,治疗组中医症状评分均低于对照组,差异有统计学意义(P<0.05)。治疗组有效率为92.59%,高于对照组的83.33%,差异有统计学意义(P<0.05)。结论耳揿针联合药物治疗FVPB相比单纯药物治疗能获得更好的临床治疗效果。
Objective To compare the efficacies between auricular acupuncture combined with drugs and drug alone in the treatment of frequent ventricular premature beats(FVPB).Methods A total of 51 patients with FVPB admitted to this hospital from January to December 2022 were selected as the study subjects,including 27 patients in the treatment group and 24 cases in the control group.The treatment group was given auricular acupuncture combined with oral metoprolol tartrate tablets,the heart and ear points and adrenal ear points were selected,the two ears were treated alternately and the needles were replaced after 3 days.The control group was only given oral metoprolol tartrate tablets,and the adhesive tape of the same color and material were pasted at the same auricular acupoints.The number of premature beats,the TCM symptom score and clinical efficacy on 1 day before treatment and on 1,6 days after treatment were compared between the two groups.Results The number of premature beats on 1 day after treatment in the treatment group was 733(427,1637)times,which in the control group was 2244(1023,2808)times.On 6 days after treatment,the number of premature beats in the treatment group was 182(116,321)times,which in the control group was 1025(678,1127)times.On 6 days after treatment,the number of premature beats in the treatment group was averagely reduced by 765.49 times compared with the control group(95%CI:-976.41 to-554.56,P<0.001).On 1,6 days after treatment,the TCM symptom scores in the treatment group all were lower than those in the control group,and the difference was statistically significant(P<0.05).The effective rate of the treatment group was 92.59%,which was higher than 83.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with drug therapy alone,auricular acupuncture combined with drug therapy for treating FVPB could achieve better clinical efficacy.
作者
孙红霞
彭杰
覃金玉
彭莉
SUN Hongxia;PENG Jie;QIN Jinyu;PENG Li(Department of Cardiology,Daomenkou Branch Hospital,Chongqing Municipal Hospital of Traditional Chinese Medicine,Chongqing 400011,China)
出处
《重庆医学》
CAS
2024年第12期1818-1822,共5页
Chongqing medicine
基金
重庆市科学技术局科研机构绩效激励引导专项立项项目(jxyn2021-2-16)。
关键词
频发性室性早搏
揿针
耳穴
酒石酸美托洛尔片
frequent ventricular premature beats
press-needle
ear points
metoprolol tartrate tablets
