针刺调心安神方对室性和室上性心脏过早搏动影响的临床观察

发布时间：2018-07-02 20:41

本文选题：穴 + 灵台　；参考：《山东中医药大学》2013年硕士论文

【摘要】：目的：通过针刺调心安神方，观察该组穴对改善心脏过早搏动患者室性早搏和室上性早搏的疗效差异，为临床合理选择应用调心安神方治疗不同类型心脏过早搏动提供客观依据。方法：根据针刺治疗前动态心电图不同早搏类型，将56例患者分为室性早搏组28例和室上性早搏组28例，两组均采用调心安神方，穴取灵台、神道、内关（双）、百会，并施以特定针刺手法。两组均每日治疗1次，针刺治疗12次为1个疗程，于治疗前和1疗程后观察动态心电图早搏的变化。结果：室性早搏组、室上性早搏组治疗前后病情分级均有显著性差异（P0.05），室性早搏组和室上性早搏组的总有效率分别为78.57%和50.00%，两组比较有显著性差异（P0.05），室性早搏组疗效优于室上性早搏组。结论：针刺调心安神方治疗室性和室上性心脏过早搏动临床均有效，，且针刺调心安神方治疗室性早搏临床效果更明显。
[Abstract]:Objective: to observe the difference of therapeutic effect of this group of acupoints on ventricular premature beats and supraventricular premature beats by acupuncture of Tiaoxin Anshen prescription. To provide the objective basis for clinical rational choice of Tiaoxin Anshen prescription for different types of premature heart beating. Methods: according to the different types of ambulatory electrocardiogram before acupuncture treatment, 56 patients were divided into two groups: ventricular premature beat group (28 cases) and supraventricular premature beat group (28 cases). And applied a specific acupuncture manipulation. The two groups were treated once a day and 12 times as a course of treatment. The changes of ambulatory electrocardiogram premature beats were observed before and after one course of treatment. Results: ventricular premature beat group, There was significant difference between the two groups before and after treatment (P0.05). The total effective rate of the ventricular premature beat group and the supraventricular premature beat group were 78.57% and 50.005%, respectively. There was significant difference between the two groups (P0.05). The curative effect of the ventricular premature beat group was better than that of the supraventricular premature beat group. Conclusion: acupuncture is effective in treating ventricular and supraventricular premature heart beats, and acupuncture is more effective in treating ventricular premature beats.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.1

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