摘要
目的探讨颊针全息疗法治疗心脏X综合征患者的临床效果及对血管内皮功能的影响。方法选取2019年4月至2021年7月我院收治的心脏X综合征患者93例,按照随机数字法分为对照组(41例)和试验组(52例)。对照组采用常规药物治疗,试验组采用常规药物联合颊针全息疗法。治疗12周,观察比较2组临床疗效、血浆内皮素(ET-1)、血清高敏C反应蛋白(hs-CRP)、一氧化氮(NO)、心绞痛发作频率、心绞痛持续、ST段水平下移幅度、ST段下移1 mm的时间、总运动时间以及生活质量。结果治疗后,试验组总有效率88.5%,比对照组65.8%高(P<0.05);试验组平板运动试验各项指标(ST段水平下移幅度、ST段下移1 mm的时间、总运动时间)均显著优于对照组(P<0.05);试验组NO显著高于对照组,ET-1、CRP显著低于对照组(P<0.05);与对照组比,试验组心绞痛每周的发作次数减少,心绞痛每次的持续时间缩短(P<0.05);试验组躯体功能、社会功能、心理健康、躯体疼痛评分高于对照组(P<0.05)。结论颊针全息疗法能显著改善心脏X综合征患者的炎症反应,提高运动能力,改善患者生活质量、缓解心绞痛情况,治疗有效率较高,值得临床推广应用。
Objective To investigate the clinical effect of buccal needle holography in treating patients with cardiac syndrome X and its effect on vascular endothelial function.Methods A total of 93 patients with cardiac syndrome X admitted to our hospital from April 2019 to July 2021 were selected and randomly divided into control group(n=41)and experimental group(n=52)according to the random number method.The control group was treated with conventional medicine,and the experimental group was treated with conventional medicine combined with buccal needle holography.After 12 weeks′treatment,the clinical efficacy,plasma endothelin(ET-1),serum high-sensitivity C-reactive protein(hs-CRP),nitric oxide(NO),angina attack frequency,duration of angina pectoris,ST segment level down amplitude,ST segment down time of 1 mm,total exercise time and quality of life of the two groups were observed and compared.Results After treatment,the total effective rate of the experimental group was 88.5%,which was higher than that of the control group(65.8%)(P<0.05).All the indexes of the treadmill exercise test in the experimental group,including ST segment level down amplitude,ST segment down time of 1 mm and total exercise time,were significantly better than those in the control group(P<0.05).NO in experimental group was significantly higher than that in control group,While ET-1 and hs-CRP were significantly lower than those in control group(P<0.05).Compared with the control group,the weekly attacks of angina pectoris in the experimental group were reduced,and the duration of each angina pectoris was shortened(P<0.05).The scores of physical function,social function,mental health and physical pain in experimental group were higher than those in control group(P<0.05).Conclusion Buccal acupuncture holography can significantly improve the inflammatory response of patients with cardiac syndrome X,improve the exercise ability and the life quality of patients,relieve angina pectoris,the treatment efficiency is high and worthy of clinical application.
作者
吴朝进
Wu Chaojin(Department of Cardiology,Jiangmen Wuyi Hospital of Traditional Chinese Medicine,Guangdong 512900,China)
出处
《山西医药杂志》
CAS
2022年第10期1092-1095,共4页
Shanxi Medical Journal
基金
广东省江门市科技计划项目(2021YL03001)。
关键词
微血管性心绞痛
颊针全息疗法
心绞痛
治疗结果
Microvascular angina
Buccal needle holography
Angina pectoris
Treatment outcome