中药穴位贴治疗冠心病稳定型心绞痛（寒凝心脉证）的疗效观察

发布时间：2018-09-07 21:15

【摘要】：研究目的:本试验通过观察中药穴位贴穴位贴敷疗法对冠心病稳定型心绞痛(寒凝心脉证)患者的治疗,探讨该方法对稳定型心绞痛的疗效及其作用机理。研究方法:将符合纳入标准的稳定型心绞痛(中医辨证为胸痹-寒凝心脉证)的患者随机分为对照组与治疗组,每组30例患者,对照组给予西医基础治疗,治疗组在对照组基础上加中药穴位贴治疗,观察指标:治疗前及治疗两周后分别记录中医证侯积分、心绞痛症状、心电图变化及硝酸甘油停减率。研究结果:1.两组患者治疗前后中医证候积分疗效比较,治疗组有效率为90.00%,对照组为63.33%,P0.05,具有明显差异,治疗组疗效优于对照组。2.两组患者治疗前后心绞痛症状疗效比较,治疗组疗效明显高于对照组,P0.05,具有明显差异。3.两组患者治疗前后心电图疗效比较,不具有明显差异,P0.05。4.两组患者治疗前后硝酸甘油停减率比较,治疗组的硝酸甘油停减率83.33%,对照组为60.00%,P0.05,具有明显差异。结论:1.中药穴位贴可明显改善稳定型心绞痛(寒凝心脉证)患者的中医临床症状。2.中药穴位贴能改善稳定型心绞痛(寒凝心脉证)患者的心绞痛症状。3.中药穴位贴能提高稳定型心绞痛(寒凝心脉证)患者的硝酸甘油停减率。
[Abstract]:Objective: to observe the treatment of stable angina pectoris of coronary heart disease (CHD) with acupoint application of traditional Chinese medicine, and to explore the therapeutic effect and mechanism of this method on stable angina pectoris. Methods: the patients with stable angina pectoris (TCM syndrome differentiation was chest arthralgia-cold coagulation heart pulse syndrome) were randomly divided into control group and treatment group. 30 patients in each group were treated with basic western medicine. Treatment group on the basis of the control group plus traditional Chinese medicine acupoint paste treatment observation index: before treatment and two weeks after treatment recorded TCM syndromes symptoms of angina pectoris ECG changes and nitroglycerin stop reduction rate. The result of the study was: 1. The effective rate of TCM syndromes integral before and after treatment was 90.00g in the treatment group and 63.33 in the control group (P 0.05). The curative effect of the treatment group was better than that of the control group (.2.) The effect of angina pectoris in the treatment group was significantly higher than that in the control group (P 0.05), and there was significant difference between the two groups before and after treatment. There was no significant difference in the effect of electrocardiogram between the two groups before and after treatment (P 0.05.4). The reduction rate of nitroglycerin in the treatment group was 83.33 and that in the control group was 60.00P0.05, there was significant difference between the two groups before and after treatment. Conclusion 1. Chinese medicine acupoint plaster can significantly improve the stable angina pectoris (cold coagulation heart pulse syndrome) patients with traditional Chinese medicine clinical symptoms. 2. 2. Chinese medicine acupoint plaster can improve stable angina pectoris (cold coagulation heart pulse syndrome) patients with angina pectoris symptoms. 3. Traditional Chinese medicine acupoint plaster can improve the stopping rate of nitroglycerin in patients with stable angina pectoris.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

【参考文献】

相关期刊论文 前10条

1 朱莉红;;红花药理分析及临床应用分析[J];中国现代药物应用;2016年16期

2 陈新昌;;针灸治疗冠心病的疗效观察[J];中西医结合心血管病电子杂志;2016年18期

3 刘勇;;丹参注射液联合黄芪注射液治疗冠心病心绞痛疗效观察[J];亚太传统医药;2015年21期

4 崔彦如;;活血化瘀法治疗冠心病心绞痛临床分析[J];中医临床研究;2015年12期

5 赵永见;牛凯;唐德志;梁倩倩;舒冰;李晨光;卢盛;王拥军;郑为超;;桃仁药理作用研究近况[J];辽宁中医杂志;2015年04期

6 王静;刘玺芳;富宏然;孙世晓;;电针心俞穴对家兔急性心肌缺血保护作用的研究[J];针灸临床杂志;2015年01期

7 陆曼;黄武;林绍华;邱晓敏;甘树广;万小亮;陈美玉;范海燕;黄红珍;;益气养阴法治疗冠心病心绞痛的疗效观察[J];临床医学工程;2014年11期

8 程施瑞;邵欣;梁繁荣;曾芳;;针灸治疗冠心病心绞痛的临床用穴规律分析[J];时珍国医国药;2014年04期

9 刘俐;魏云;卜振军;唐映红;余望贻;吴爱萍;李燕飞;;红花黄色素对犬心肌缺血及血流动力学的影响[J];中国医药科学;2013年24期

10 姚保杰;;乌七散穴位贴敷治疗冠心病心绞痛40例[J];中医研究;2013年09期

，

本文编号：2229439