护心贴外敷心俞内关穴治疗冠心病心绞痛临床观察

Clinical Observation of Protecting Heart Patch Applying Xinshu and Neiguan Acupoints on Coronary Angina Pectoris

目的:观察护心贴敷心俞、内关穴位对冠心病心绞痛的临床疗效。方法:选符合标准的该病患者100例,随机分为两组。治疗组予敷护心贴,对照组用单硝酸异山梨酯。治疗前后记录心绞痛症状、心电图ST-T改变、动态心电图缺血性ST-T改变的时间、血黏度和血脂参数。结果:护心贴刺激心俞、内关穴位治疗后,病人心绞痛总有效率为84.0%(95%CI=73.84%～94.16%),心电图改善总有效率为66.0%(95%CI=52.87%～79.13%),动态心电图缺血性ST-T改变的时间由121.45±16.28(min)改善为58.49±5.82(min),与单硝酸异山梨酯治疗的对照组相比,均无明显差异(P>0.05)。结论:护心贴刺激心俞、内关穴位治疗冠心病心绞痛疗效与单硝酸异山梨酯相当。

Objective： To observe the curative effect of Protecting Heart Patch applying Xinshu and Neiguan acupoints on coronary angina pectoris. Method： 100 cases suffered from coronary angina pectoris were divided into two groups randomly. The treatment group was treated by Protecting Heart Patch, and the control group was treated by Isosorbide mononitrate. The symptoms of angina, ST-T changes on electrocardiogram, ischemic ST-T changes on dynamic electrocardiogram, blood viscosity and blood-fat were observed and recorded before and after treat- ment. Result： After Protecting Heart Patch stimulating Xinshu and Neiguan acupoints, the total effective rate of angina symptoms was 84.0% （95% CI = 73.84% -94.16% ）, and the total effective rate of electrocardiogram was 66.0% （95% CI =52.87% -79.13% ）. Ischemic ST-T time changes on dynamic electrocardiogram was from 121.45 ±16.28 （min） to 58.49 ±5.82 （min）. The total effective rate was 48. 1% （95% CI = 29.3% - 66.9% ）. There was no difference between the two groups （P 〉 0.05 ）. Conclusion ： The curative effect of Protecting Heart Patch applying Xinshu and Neiguan acupoints on coronary angina pectoris is the same as that of Isosorbide mononitrate.