摘要
目的探讨温针灸治疗在慢性心力衰竭患者中的应用效果及其对心脏功能和活动耐受性的改善作用。方法选取2022年1月—2023年10月福建中医药大学附属康复医院收治的100例慢性心力衰竭患者。通过随机数字表法将患者随机分为对照组与观察组,各50例。对照组仅接受标准药物治疗,观察组在对照组治疗的基础上接受温针灸背俞穴治疗。对比2组患者的治疗效果、心脏功能参数、活动耐力变化、6 min步行距离(six-minute walk distance,6MWD)、血管内皮功能、炎症标志物水平以及不良反应发生率。结果观察组临床总有效率为96.00%,高于对照组的78.00%,差异有统计学意义(P=0.007)。治疗前,2组左心室收缩末期直径(left ventricular end-systolic dimension,LVESD)、左心室舒张末期直径(left ventricular end-diastolic dimension,LVEDD)以及左心室射血分数(left ventricular ejection fraction,LVEF)比较,差异无统计学意义(P>0.05);治疗后,2组LVEDD、LVESD参数均降低,观察组LVEDD(50.25±2.74)mm、LVESD(45.23±2.79)mm均低于对照组的(54.89±2.87)mm、(53.92±2.77)mm;LVEF参数均上升,观察组[(57.96±6.42)%]高于对照组[(46.22±5.93)%],差异有统计学意义(P<0.05)。治疗前,2组6MWD比较,差异无统计学意义(P>0.05);治疗后,2组6MWD距离均增长,观察组[(347.55±40.72)m]长于对照组[(298.63±32.65)m],差异有统计学意义(P<0.05)。治疗前,2组高敏C反应蛋白(hypersensitive C-reactive protein,hs-CRP)、尿酸(uric acid,UA)、N端脑钠肽前体(N-terminal pro-brain natriuretic peptide,NT-proBNP)指标比较,差异无统计学意义(P>0.05);治疗后,各指标参数均明显降低,观察组hs-CRP(10.06±2.32)mg/L、UA(298.56±30.15)μmol/L、NT-proBNPP(452.23±2.79)ng/L均低于对照组的(15.17±2.96)mg/L、(397.54±32.49)μmol/L、(961.79±2.77)ng/L,差异有统计学意义(P<0.05)。观察组不良反应总发生率为4.00%,低于对照组的20.00%,差异有统计学意义(P<0.05)。结论在慢性
Objective To evaluate the effect of warm acupuncture treatment in patients with chronic heart failure and its improvement effect on heart function and activity tolerance.Methods A total of 100 patients with chronic heart failure admitted to Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2022 to October 2023.The patients were randomly divided into the control group and the observation groups,with 50 patients in each group.The control group received only standard medical treatment,while the observation group received warm acupuncture at back shu points on the basis of the treatment of the control group.The treatment effects,cardiac function parameters,changes in activity endurance,6-minute walk distance(6MWD),vascular endothelial function and inflammatory marker levels,and the incidence of adverse effects were compared.Results The overall effective rate of clinical observation group was 96.00%,higher than 78.00%of the control group,with statistically significant differences(P=0.007).Before treatment,there were no statistically significant differences in left ventricular end-systolic dimension(LVESD),left ventricular end-systolic dimension(LVEDD),and left ventricular ejection fraction(LVEF)between the groups(P>0.05).After treatment,LVEDD and LVESD parameters decreased in both groups.The LVEDD(50.25±2.74)mm and LVESD(45.23±2.79)mm of the observation group were lower than(54.89±2.87)mm and(53.92±2.77)mm,respectively.The LVEF parameters all increased,with the observation group[(57.96±6.42)%]being higher than the control group[(46.22±5.93)%],and the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in 6MWD between the two groups(P>0.05).After treatment,the 6MWD distance increased in both groups,with the observation group[(347.55±40.72)m]being longer than the control group[(298.63±32.65)m],and the difference was statistically significant(P<0.05).Before treatment,no statistically significant diff
作者
范文曦
邱福山
柯俊华
FAN Wenxi;QIU Fushan;KE Junhua(Department of Geriatric Rehabilitation,Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350003,China;Fujian Key Laboratory of Rehabilitation Technology,Fuzhou Fujian 350003,China)
出处
《中国卫生标准管理》
2024年第21期155-159,共5页
China Health Standard Management
基金
福建中医药大学2023年福建省康复技术重点实验室开放课题(XKF2023004)。
关键词
慢性心力衰竭
温针灸背俞穴
心功能
疗效
炎症因子
不良反应
chronic heart failure
warm acupuncture at back shu points
cardiac function
curative effect
inflammatory factor
adverse reaction
