针刺加埋针耳心穴对扩张型心肌病患者左心功能及体液、内分泌的影响

Effect of Auriculoacupuncture plus Needle Embedding in Heart Point on Left Cardiac,Humoral and Endocrine Function

将12例扩张型心肌病心衰患者随机分为针刺加埋针耳心穴(穴位组)和耳非穴位组(非穴位组)。两组均先用多普勒超声心动仪评定心功能各项指标,同时测定血肾素活性、醛固酮、心钠素、内源性拟洋地黄类物质。分别于针刺加埋针耳心穴及耳非穴位后24h,重复评定心功能指标及测定内分泌各项参数。结果穴位组心输出量(CO)、每搏量(SV)、心指数(CI)、心钠素(ANF)、内源性拟洋地黄类物质(EDLS)增加,醛固酮(ALD)降低(P<0.01或<0.05);而非穴位组上述各指标均无改变(均P>0.05)。提示针刺加埋针耳心穴对扩张型心肌病心衰患者具有增加心功能的效应,其作用机制可能与体液、内分泌的变化相关。印证了传统中医理论穴位与非穴位有本质的区别,穴位有其特异性。

Twelve patients with dilating cardiomyopathy complicated heart failure were divided randomly into auriculo-acupuncture group (n=7) and controls (n=5). Left cardiac function and plasma levels of PRA,ALD,EDLS,ANF were measured. Results showed that CO, CI, ANF, EDLS, ALD were decreased in test group (P<0.05), which indicated that auriculoacupuncture plus needle-embedding in Heart acupoint could improve the left cardiac function in patients with dilating cardiomyopathy complicated heart failure and that the function of acupoints is distinctly different from that of non-point.