埋针配合基础治疗对稳定型心绞痛患者临床疗效分析

Needle-embedding therapy combined with basic treatment for stable angina pectoris

目的：验证埋针治疗稳定型心绞痛的临床疗效。方法：将76例稳定型心绞痛患者按随机数字表法分为埋针组和基础治疗组,各38例。埋针组采用埋针＋基础治疗,隔天埋针一次,每次留针24h。每周治疗3次。基础治疗组单纯基础治疗。两组均连续治疗4周为1个疗程,1个疗程后进行疗效观察与评定。结果：治疗后埋针组及基础治疗组的临床疗效总有效率分别为89.47%、71.05%（P〈0.05）;治疗后埋针组及基础治疗组的心电图疗效总有效率分别为84.21%、63.16%（P〈0.05）;治疗后埋针组患者的活动受限程度评分、心绞痛稳定状态评分、心绞痛发作情况评分较治疗前升高了0.7%、34.5%、16.9%（t=1.623,P〈0.01;t=3.867,P〈0.01;t=1.958,P〈0.05）,而治疗满意程度评分、疾病认识程度评分与治疗前相比差异无统计学意义（t=4.972,P〉0.05;t=0.999,P〉0.05）。治疗后对照组患者的活动受限程度评分、心绞痛发作情况评分、治疗满意程度评分、疾病认识程度评分与治疗前相比差异无统计学意义（t=1.726,P〉0.05;t=1.594,P〉0.05;t=4.385,P〉0.05,t=0.999,P〉0.05）。心绞痛稳定状态评分较前升高了4.9%（t=1.780,P〈0.05）。结论：穴位埋针能有效改善稳定型心绞痛的临床疗效、心电图情况以及西雅图量表评分。

Objective： To clarify the clinical efficacy of needle-embedding therapy for stable angina pectoris. Methods： Seventy-six patients with stable angina pectoris were divided into needle-embedding therapy group （group A） and basic treatment group （group B） according to the random number table, with 38 patients in each group. Needle-embedding therapy combined with basic treatment was adopted in group A, and needle-embedding was given once every other day, the needles were retained for 24 h each time and three times of treatment were given each week. basic treatment was applied solely in group B. Four weeks of treatment which means one course were given in two groups, efficacy observation and evaluation were carried out after 1 course of treatment. Results： After treatment, the total effective rate of clinical efficacy was 89.47% in group A and 71.05% in group B （p 〈 0.05）, and the total effective rate of electrocardiograph （ECG） efficacy was 84.21% in group A and 63.16% in group B （p〈0.05）. After treatment, the score of limitation of motion, score of the sta- ble state of angina pectoris and the score of angina pectoris attack in group A increased by 0.7%, 34,5% and 16.9% respectively when compared with the scores before treatment （t= 1.623, p 〈0.0l; t=3.867, p 〈 0.01 ; t = 1.958, p 〈 0.05）, and according to the comparison of the score of satisfaction with treatment and the score of disease perception before and after treatment, the difference was not statistically significant （t=4.972, p 〉 0.05; t=0.999, p 〉 0.05）. According to the comparison of the score of limitation of motion, score of angina pectoris attack, score of satisfaction with treatment and the score of disease per- ception in group B before and after treatment, the differences were not statistically significant （t = 1.726, p 〉 0.05; t = 1.594, p 〉 0.05; t = 4.385, p 〉 0.05; t = 0.999, p 〉 0.05）. The score of： the stable state of angina pectoris increased by 4.9% （t = 1.780, p 〈 0.05）. Conclusion： Needle-embedding in acupoint therapy can effectively improve the clinical efficacy, ECG efficacy and the score of Seattle angina questionnaire （SAQ） of stable angina pectoris.