热敏灸治疗冠心病患者心率变异性和心脏变时性的疗效观察

发布时间：2019-03-07 13:33

【摘要】：目的:通过观察热敏灸对自主神经功能的影响,探讨热敏灸治疗冠状动脉粥样硬化型心脏病(冠心病)患者的热敏化腧穴的临床疗效。方法:收集江西中医药大学附属医院2013年6月至2015年6月冠心病患者病例60例。所有患者均采用热敏灸治疗30d,通过平板运动试验、动态心电图等检测患者治疗前后心律变异性(HRV)和心脏变时性的变化。结果:患者通过热敏灸治疗后HRV时域指标值(总体标准差、差值均方根,超过50ms的百分比)比治疗前明显增高(P0.05),心脏变时性功能不全(最快心率与最慢心率差值)明显低于治疗前(P0.01)。结论:热敏灸对冠心病患者自主神经功能有一定影响,热敏灸可以治疗冠心病患者的热敏化腧穴,有望成为一种安全、便捷、高效的冠心病治疗新方法。
[Abstract]:Aim: to observe the effect of heat-sensitive moxibustion on autonomic nerve function and to explore the clinical efficacy of heat-sensitive moxibustion in the treatment of coronary atherosclerotic heart disease (coronary heart disease). Methods: from June 2013 to June 2015, 60 patients with coronary heart disease were collected from affiliated Hospital of Jiangxi University of traditional Chinese Medicine. All patients were treated with heat-sensitive moxibustion for 30 days. The changes of cardiac rhythm variability (HRV) and cardiac chronochronicity were measured by treadmill exercise test and dynamic electrocardiogram before and after treatment. Results: after treatment with heat-sensitive moxibustion, the time-domain index value of HRV (the total standard deviation, the difference was all square root, exceeding the percentage of 50ms) was significantly higher than that before treatment (P0.05). The difference between the fastest heart rate and the slowest heart rate was significantly lower than that before treatment (P0.01). Conclusion: thermosensitive moxibustion has a certain effect on autonomic nerve function of patients with coronary heart disease. Thermosensitive moxibustion may be a safe, convenient and efficient method for treatment of coronary heart disease because it can be used to treat heat-sensitized acupoints in patients with coronary heart disease.
【作者单位】： 江西中医药大学附属医院心血管内科;南昌大学第一附属医院神经外科;
【基金】：江西省卫生与计生委科技项目(No.20143120)~~
【分类号】：R246.1
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本文编号：2436164