摘要
目的探讨艾灸联合中药足浴治疗对阳虚血瘀型心衰患者的心功能及生活质量的影响。方法选取符合标准的患者71例,随机分为A组(24例)、B组(23例)和C组(24例),A组采用常规西医治疗,B组在A组基础上加用中药足浴,C组在A组基础上加用艾灸联合中药足浴,均治疗28天。记录并比较三组患者治疗前后的B型钠尿肽(BNP)、左室射血分数(LVEF)、6分钟步行试验(6 minutes walk test,6MWT)、心功能疗效评定以及明尼苏达心衰生活质量评分。结果C组治疗后的BNP较A组和B组均有显著下降(P<0.05),LVEF则有显著升高(P<0.05),6MWT的距离更远(P<0.05);C组心功能疗效总有效率显著优于A组(P<0.05),而B组与A组比较差异不显著(P>0.05);C组治疗后的明尼苏达心衰生活质量评分较A组和B组改善更显著(P<0.05)。结论艾灸联合中药足浴能有效改善慢性心衰患者的心功能及运动耐量,并提高生活质量。
Objective To explore the effect of moxibustion combined with Chinese medicine foot bath on heart function and quality of life of heart failure patients with Yang deficiency and blood stasis.Methods 71 patients were randomly divided into group A(24 cases),group B(23 cases)and group C(24 cases).Group A was treated with conventional western medicine,group B was treated with traditional Chinese medicine foot bath on the basis of group A,group C was treated with moxibustion combined with traditional Chinese Medicine foot bath on the basis of group A for 28 days.The B-type natriuretic peptide(BNP),left ventricular ejection fraction(LVEF),six minutes walk test(6MWT),evaluation of cardiac function and Minnesota Heart Failure Quality of life were recorded and compared before and after treatment.Results Compared with group A and group B,BNP in group C decreased significantly(P<0.05),LVEF increased significantly(P<0.05),and the distance of 6MWT was longer(P<0.05).The total effective rate of heart function in group C was significantly better than that in group A(P<0.05),but there was no significant difference between group B and group A.The quality of life score of group C was better than that of group A and group B(P<0.05).Conclusion Moxibustion combined with foot bath of traditional Chinese medicine can effectively improve the heart function and exercise tolerance of patients with chronic heart failure,and improve the quality of life of patients.
作者
余萍
杨梁
文娟
张娟萍
YU Ping;YANG Liang;WEN Juan;ZHANG Juanping(Chengdu First People′s Hospital,Chengdu 610041,China)
关键词
艾灸
中药足浴
阳虚血瘀型心衰
Moxibustion
Chinese medicine foot bath
Yang deficiency blood stasis type heart failure