心俞、厥阴俞烧山火治疗心阳不振型早搏疗效观察

Therapeutic Observation of Heat-producing Needling at Xinshu(BL 15) and Jueyinshu(BL 14) for Premature Heart Beat Due to Heart-yang Deficiency

目的观察心俞、厥阴俞烧山火治疗心阳不振型心脏早搏的临床疗效。方法将114例心阳不振型心脏早搏患者随机分为A组、B组和C组,每组38例。A组针刺心俞、厥阴俞,行烧山火手法;B组针刺内关、神门、通里、巨阙、膻中等穴,行平补平泻手法;C组针刺悬钟、阳陵泉,行烧山火手法。3组均每日治疗1次,10次为1个疗程。治疗4个疗程后,比较各组动态心电图及临床疗效。结果 A组总有效率为76.3%,B组为31.6%,C组为23.7%,A组总有效率与B组和C组比较,差异均具有统计学意义(P<0.01)。A组治疗前后病情分级经Ridit分析,差异具有统计学意义(P<0.01)。B组和C组治疗前后病情分级经Ridit分析,差异均无统计学意义(P>0.05)。结论心俞、厥阴俞烧山火是一种治疗心阳不振型心脏早搏的有效方法。

Objective To observe the efficacy of heat-producing needling at Xinshu（BL 15） and Jueyinshu（BL 14） in treating premature heart beat due to heart-yang deficiency. Methods Totally 114 patients with premature heart beat due to heart-yang deficiency were randomized into group A, group B, and group C, 38 in each group. Group A was intervened by using heat-producing needling method at Xinshu（BL 15） and Jueyinshu（BL 14）; group B was by acupuncture at Neiguan（PC 6）, Shenmen（HT 7）, Tongli（HT 5）, Juque（CV 14）, Danzhong（CV 17）, etc. with moderate needling manipulations; group C was by using heat-producing needling method at Xuanzhong（GB 39） and Yanglingquan（GB 34）. In all 3 groups, the treatment was given once per day, 10 sessions as a treatment course. Four courses later, the dynamic electrocardiogram（ECG） result and clinical efficacies were compared. Results The total effective rate was 76.3% in group A, significantly different from 31.6% in group B and 23.7% in group C（P〈0.01）. By Ridit analysis, the change of disease grading in group A after intervention was statistically significant（P〈0.01）; there were no significant changes in disease grading after intervention between group B and group C（P 〉0.05）. Conclusion Heat-producing needling at Xinshu（BL 15） and Jueyinshu（BL 14） is effective in treating premature heart beat due to heart-yang deficiency.