耳穴埋豆联合穴位贴敷治疗冠心病心绞痛的疗效观察

Clinical observation on treating angina pectoris by auricular point sticking and acupoint paste

目的:研究冠心病心绞痛患者采取耳穴埋豆结合穴位贴敷治疗的临床效果。方法:选择我院2015年4月-2016年9月纳入的106例冠心病心绞痛患者,按照随机数字法分为研究组与对照组各53例,研究组采取耳穴埋豆以及穴位贴敷,对照组采取常规治疗,观察两组治疗效果。结果:经过观察两组临床效果看出,治疗前两组相关指标水平均无明显差别(t=-0.332,-0.932,-1.716,0.447,P>0.05),治疗后发现研究组总胆固醇、甘油三酯、高密度脂蛋白胆固醇以及低密度脂蛋白胆固醇水平均较对照组改善(t=-2.141,-10.815,6.243,-5.025,P<0.05);研究组总有效率(94.34%)明显较对照组(81.13%)高(χ2=8.108,P<0.05);治疗前两组心绞痛情况均无明显差别(t=-1.456,0.685,-0.355,P>0.05),治疗后发现研究组硝酸甘油使用量、每周发作次数以及持续时间均较对照组低,差别具有统计学意义(t=-9.767,-4.548,-4.794,P<0.05)。结论:冠心病心绞痛患者采取耳穴埋豆结合穴位贴敷治疗效果较好,明显缓解心绞痛症状,降低硝酸甘油使用量,有效提高患者生存质量。

Objective:To study the clinical effect of auricular point sticking and acupoint paste on angina pectoris.Methods:106 patients were divided into the study group and the control group,53 cases in each.The study group was treated by auricular point sticking and acupoint paste.The control group took routine treatment.The effects were observed in two groups.Results:The related indicators between two groups did not show a significant difference after treatment(t=-0.332,-0.932,-1.716,0.447,P>0.05).The total cholesterol,triglyceride,high density lipoprotein cholesterol and LDL-cholesterol in the study group were better than the control group after treatment(t=-2.141,-10.815,6.243,-5.025,P<0.05).The total effective rate was 94.34%in the study group,and significantly higher than 81.13%in the control group(χ2=8.108,P<0.05).There was no significant difference of angina pectoris between two groups after treatment(t=-1.456,0.685,-0.355,P>0.05).The dosage of nitroglycerin,the number of episodes per week and duration in the study group were lower than those in the control group after treatment,and the difference was statistical significance(t=-9.767,-4.548,-4.794,P<0.05).Conclusion:Auricular point sticking and acupoint paste show a better effect,can obviously relieve angina symptoms,reduce the usage of nitroglycerin,and effectively improve the quality of life.