目的探讨子午流注联合穴位贴敷治疗冠心病心绞痛的临床疗效。方法收集2018年12月—2019年6月期间在沈阳市中医院心病科治疗的患者100例,采用随机数表法随机分为对照组和治疗组。对照组患者进行常规的西医基础性治疗,嘱患者低盐低脂饮食...目的探讨子午流注联合穴位贴敷治疗冠心病心绞痛的临床疗效。方法收集2018年12月—2019年6月期间在沈阳市中医院心病科治疗的患者100例,采用随机数表法随机分为对照组和治疗组。对照组患者进行常规的西医基础性治疗,嘱患者低盐低脂饮食,予以0.9%氯化钠注射液50 m L/5%葡萄糖注射液50 m L+硝酸甘油注射液10 mg,3~5 mL/h静脉注射,并在西医治疗的基础上予以穴位贴敷治疗。治疗组在对照组西医治疗基础上选择每日午时(11:00~13:00)予以穴位贴敷治疗,1次/d,每次时间持续20 min。两组患者均进行20 d持续性治疗。观察两组患者治疗前后中医证候积分(主症)、Hcy、NO、hs-CRP和NF-kB水平及临床有效率。结果两组患者中医证候主症评分、Hcy、NO、hs-CRP及NF-kB含量较治疗前均有所改善,且治疗后治疗组明显优于对照组,差异有统计学意义(P<0.05);治疗后,对照组总有效率为66.0%,治疗组总有效率为90.0%,差异有统计学意义(P<0.05)。结论在西医治疗基础上联合子午流注穴位贴敷治疗冠心病心绞痛能够有效地抑制炎症反应,抗血小板聚集,延缓血栓形成速率,改善胸闷、胸痛等症状,提高临床有效率。展开更多
Objective： To observe the prevention effect of Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） for post-stroke constipation. Methods： Seventy eligible patients with post-stroke const...Objective： To observe the prevention effect of Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） for post-stroke constipation. Methods： Seventy eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 35 cases in each group. Both groups were intervened by conventional treatment and care in Western medicine, while the treatment group was also by Tui-pushing the Large Intestine Meridian and point sticking at Tianshu（ST 25）. The treatment lasted for 14 d. Therapeutic efficacy was evaluated by the first defecation time, constipation incidence and Chinese stroke scale（CSS） score. Results： After treatment, the first defecation time was（1.86 ± 0.74） d in the treatment group, shorter than（2.77 ± 0.83） d in the control group; constipation incidence was 14.3% in the treatment group, significantly lower than 37.1% in the control group, and the between-group differences in the two items were statistically significant（both P〈0.05）. CSS score in both groups dropped significantly after treatment（both P〈0.05）; the improvement in the treatment group was better than that in the control group, and the inter-group difference was statistically significant（P〈0.05）. Conclusion： Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） can effectively prevent post-stroke constipation, and can also promote the rehabilitation of nerve functions.展开更多
文摘目的探讨子午流注联合穴位贴敷治疗冠心病心绞痛的临床疗效。方法收集2018年12月—2019年6月期间在沈阳市中医院心病科治疗的患者100例,采用随机数表法随机分为对照组和治疗组。对照组患者进行常规的西医基础性治疗,嘱患者低盐低脂饮食,予以0.9%氯化钠注射液50 m L/5%葡萄糖注射液50 m L+硝酸甘油注射液10 mg,3~5 mL/h静脉注射,并在西医治疗的基础上予以穴位贴敷治疗。治疗组在对照组西医治疗基础上选择每日午时(11:00~13:00)予以穴位贴敷治疗,1次/d,每次时间持续20 min。两组患者均进行20 d持续性治疗。观察两组患者治疗前后中医证候积分(主症)、Hcy、NO、hs-CRP和NF-kB水平及临床有效率。结果两组患者中医证候主症评分、Hcy、NO、hs-CRP及NF-kB含量较治疗前均有所改善,且治疗后治疗组明显优于对照组,差异有统计学意义(P<0.05);治疗后,对照组总有效率为66.0%,治疗组总有效率为90.0%,差异有统计学意义(P<0.05)。结论在西医治疗基础上联合子午流注穴位贴敷治疗冠心病心绞痛能够有效地抑制炎症反应,抗血小板聚集,延缓血栓形成速率,改善胸闷、胸痛等症状,提高临床有效率。
文摘Objective： To observe the prevention effect of Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） for post-stroke constipation. Methods： Seventy eligible patients with post-stroke constipation were randomized into a treatment group and a control group, 35 cases in each group. Both groups were intervened by conventional treatment and care in Western medicine, while the treatment group was also by Tui-pushing the Large Intestine Meridian and point sticking at Tianshu（ST 25）. The treatment lasted for 14 d. Therapeutic efficacy was evaluated by the first defecation time, constipation incidence and Chinese stroke scale（CSS） score. Results： After treatment, the first defecation time was（1.86 ± 0.74） d in the treatment group, shorter than（2.77 ± 0.83） d in the control group; constipation incidence was 14.3% in the treatment group, significantly lower than 37.1% in the control group, and the between-group differences in the two items were statistically significant（both P〈0.05）. CSS score in both groups dropped significantly after treatment（both P〈0.05）; the improvement in the treatment group was better than that in the control group, and the inter-group difference was statistically significant（P〈0.05）. Conclusion： Tui-pushing the Large Intestine Meridian plus point sticking at Tianshu（ST 25） can effectively prevent post-stroke constipation, and can also promote the rehabilitation of nerve functions.
