胸痹贴穴位贴敷治疗不稳定型心绞痛临床观察

Clinical Observation of Acupoint Application with Xiong Bi Tie for Unstable Angina Pectoris

目的观察胸痹贴穴位贴敷治疗不稳定型心绞痛患者的疗效。方法将符合入选标准的60例不稳定型心绞痛患者随机分为对照组(西医基础治疗)和治疗组(西医基础治疗加胸痹贴穴位贴敷),每组30例,分别于治疗前及治疗两星期后记录不稳定型心绞痛症状、中医证候、心电图,观察其临床疗效。结果在心绞痛改善方面,治疗组明显优于对照组,两组比较差异有统计学意义(P<0.05)。在中医证候疗效方面,治疗组疗效明显优于对照组,两组比较差异有统计学意义(P<0.05)。心电图疗效,治疗组总有效率为76.7%,对照组为50.0%,两组比较差异有统计学意义(P<0.05)。结论胸痹贴穴位贴敷法能明显改善不稳定型心绞痛(气虚血瘀)患者的心绞痛症状、心电图表现,安全有效,方法简便。

Objective To observe the clinical efficacy of acupoint application with Xiong Bi Tie in treating unstable angina pectoris. Method Sixty eligible subjects with unstable angina pectoris were randomized into a control group（treated with basic Western medication） and a treatment group（intervened by the basic Western medication plus acupoint application with Xiong Bi Tie）, 30 cases in each group. The symptoms of unstable angina pectoris, syndromes and signs of traditional Chinese medicine（TCM）, and cardiogram were recorded, and the clinical efficacies were also observed. Result In comparing the improvement of angina pectoris, the treatment group was better than the control group, with a statistical significance（P〈0.05）. From the perspective of TCM syndromes and signs, the efficacy of the treatment group was significantly better than that of the control group（P〈0.05）. Regarding the cardiogram, the total effective rate was 76.7% in the treatment group versus 50.0% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Acupoint application with Xiong Bi Tie can significantly improve the angina symptoms and cardiogram result of unstable angina pectoris（blood stagnation caused by qi deficiency syndrome）, and it＇s safe and easy-to-operate.