针刺对急性心肌梗死合并室性心律失常60例临床对照研究

Effect of Acupuncture in Patients with Acute Myocardial Infarction Combined with Ventricular Arrhythmia

[目的]探讨针刺对急性心肌梗死合并室性心律失常的疗效及其机制。[方法]采用临床对照设计方案,治疗组与对照组人数之比为1∶1,观察60例急性心肌梗死合并室性心律失常患者,治疗组采用针刺治疗,特定针刺手法和选穴,对照组采用利多卡因,按常规剂量静脉推注和静脉点滴。[结果]治疗组和对照组疗效无显著差别(P>0.05)。[结论]针刺治疗急性心肌梗死合并室性心律失常与利多卡因疗效相近,认为急性心肌梗死合并心律失常患者基本病因为:“心脉不畅,心神失养”;本质是“心血瘀阻,心神失调”;病属虚实夹杂证。同时确立了治疗大法为“理气通脉,养心安神”。

[Objective] To investigate the clinical curative effect and the mechanism of acupuncture in treating acute myocardial infarction combined with ventricular arrhythmia. [Methods] A controlled clinical trial was used with the number of patients in both groups in a proportion of 1：1. Sixty patients were observed. The treatment group was treated by acupuncture with special maneuver and acupoint selection and the control group was administrated with lidocaine. [Results] The comparison of curative effect between acupuncture group and control group had not obvious difference （P〉0.05）. [Conclusions] The curative effect of acupuncture group is closely similar to that of control group in treating acute myocardial infarction combined with ventricular arrhythmia. The author considered that the basic etiological factor is heart pulse stasis and heart-spirit disnourishing that belong to deficiency syndrome mingling with excess syndrome. The treatment method is regulating qi and promoting blood circulation, supporting heart and tranquilizing.