针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛

First-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument for treatment of unstable angina pectoris

目的:观察针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛的疗效和安全性。方法:将135例不稳定型心绞痛患者随机分为观察组(65例)与对照组(70例),对照组常规给予抗血小板药物、抗凝药物、硝酸甘油等治疗;治疗组在对照组治疗基础上加用针灸急救心肺脑复苏治疗仪治疗,心绞痛发作时不使用硝酸甘油。观察两组疗效差异,统计治疗前后24 h心绞痛缓解时间、消失时间、心绞痛症状总有效率,计算24 h内心肌缺血总负荷。结果:观察组治疗前后24 h心绞痛缓解时间、消失时间、心绞痛症状总有效率、24 h内心肌缺血总负荷、治疗有效率等均优于对照组(P<0.05),治疗过程中无严重不良反应事件发生。结论:针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛安全、有效、不良反应小,值得在基层医院推广应用。

Objective： To investigate the efficacy and safety of first-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument for treatment of unstable angina pectoris.Methods：A total of 135 patients with unstable angina pectoris were randomly divided into the study group（ n = 65） and the control group（ n = 70）. The control group received conventional treatment with antiplatelet drug,anticoagulant drug,and nitroglycerin. The study group received the treatment with first-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument on the basis of conventional treatment,without using nitroglycerin during the onset of angina pectoris. The different efficacy between the two groups was observed. The remission time,disappearing time,and total effective rate of angina pectoris before and after 24 h of the treatment were statistically analyzed,and the total load of 24 h myocardial ischemia was calculated. Results： The remission time and disappearing time of angina pectoris before and after 24 h of the treatment,the total load of 24 h myocardial ischemia,and the effective rate of the treatment in the study group were all better than those in the control group（ P〈0. 05）. There was no occurrence of severe adverse reaction event during the treatment.Conclusion： First-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument for treatment of unstable angina pectoris is safe and effective with less adverse reaction,which justifies widespread use in primary hospitals.