针刺治疗稳定性心绞痛30例体会

My Experience about Acupuncture Treatment of 30 Cases of Stable Angina Pectoris

目的:比较针刺与药物治疗稳定性心绞痛的疗效差异。方法:随机选取稳定性心绞痛患者,分为针刺组30例、药物组2 2例,分别比较治疗后两组症状、心电图及硝酸甘油停减情况。结果:症状疗效方面:针刺组有效率为90 .0 0 %,药物组有效率为81 .82 %,两组比较有显著性差异(P <0 .0 5 )。心电图改善情况两组未见明显差异。硝酸甘油停减情况:针刺组停药率为2 3.3%,药物组停药率为1 8.2 %,两组比较无明显差异。结论:针刺具有明显改善稳定性心绞痛症状的功效。

Objective:To compare clinical therapeutic effects of acupuncture therapy and medication for stable angina pectoris. Methods:52 cases of coronary heart disease (CHD) patients with stable angina pectoris were randomly divided into acupuncture group (n=30) and medication group (n=22). The acupoint groups used were 1) Xinshu (BL 15) and Jueyinshu (BL 14); 2) Juque (CV 14) and Shanzhong (CV 17), and the adjunct acupoints were bilateral Neiguan (PC 6), Ximen (PC 4), Shenmen (HT 7) and Geshu (BL 17). Acupuncture treatment was given once daily, 2 weeks altogether. For patients of medication group, Isosorbide Dinitrate (10 mg, t.i.d.) or Metoprolol (12.5 mg/d) and Nitroglycerin (when necessary) were given for 2 weeks. Results:In regard to the improvement of patients' symptoms in the frequency and duration of angina attack and severity of pain, the markedly effective, effective and failure cases in acupuncture and medication groups were 14 and 12, 13 and 6, 3 and 4 cases respectively, with the total effective rates being 90.00% and 81.82% separately, and the curative effect of acupuncture group being markedly superior to that of medication group (P<0.05). No significant differences were found between two groups in changes of ECG-ST and T waves. During treatment, the rates for cease and reduction of Nitroglycerin-taking in acupuncture and medication groups were 23.3% (11/30) and 18.2% (7/22) respectively. Conclusion:Acupuncture therapy is effective in relieving CHD patients' angina pectoris.