灵台、神道穴留针对心绞痛患者心电图ST-T即时效应的影响

Real-time Effect of Retaining Needle at Lingtai(GV 10) and Shendao(GV 11) on ST-T Segment on Cardiogram of Angina Pectoris of Coronary Heart Disease

目的观察灵台、神道穴留针对冠心病心绞痛患者心电图ST-T即时效应的影响。方法 30例冠心病心绞痛患者均针刺灵台、神道穴,分别实施针刺后留针(A组)和针刺后不留针(B组)。观察两组治疗前后12导联心电图,比较组内和组间治疗前后Ⅱ、Ⅲ、av F导联和V_4、V_5、V_6导联ST段和T波的变化情况。结果 A组治疗后Ⅱ、Ⅲ、av F导联和V_4、V_5、V_6导联ST段与同组治疗前比较,差异均具有统计学意义(P<0.05)。A组治疗后Ⅱ、Ⅲ、av F导联T波与同组治疗前比较,差异具有统计学意义(P<0.05)。两组治疗后V_4、V_5、V_6导联T波与同组治疗前比较,差异均具有统计学意义(P<0.01,P<0.05)。结论针刺灵台、神道穴能改善冠心病心绞痛患者心肌缺血症状,在改善心肌下壁及前侧壁缺血程度上,针刺后留针优于针刺后不留针,且对冠心病心绞痛心电图ST-T改变的即时效应更佳。

Objective To observe the real-time effect of retaining needle at Lingtai（GV 10） and Shendao（GV 11） on ST-T segment on cardiogram in patients with angina pectoris of coronary heart disease（CHD）. Method Thirty patients with angina pectoris of CHD who received acupuncture at Lingtai（GV 10） and Shendao（GV 11） were divided into group A with needles retained after insertion of the needles and group B without needles retained. The two groups were observed by using 12-lead electrocardiogram（ECG） before and after treatment, to compare the ST segment and T wave at Ⅱ, Ⅲ, av F lead and V4, V5, V6 lead before and after treatment. Result After treatment, ST segment at Ⅱ, Ⅲ, av F lead and V4, V5, V6 lead was changed significantly in group A（P〈0.05）. T wave was significantly changed at Ⅱ, Ⅲ, av F lead after treatment in group A（P〈0.05）. T wave at V4, V5, V6 lead was significantly changed after treatment in both groups（P〈0.01,P〈0.05）. Conclusion Acupuncture at Lingtai（GV 10） and Shendao（GV 11） can improve myocardial ischemia in angina pectoris of CHD; compared to acupuncture without needles retained, retaining needles after acupuncture can produce a more significant effect in improving the inferior and anterior myocardial walls and a better real-time effect on ST-T on ECG of angina pectoris of CHD.