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生物反馈治疗心血管疾病的疗效分析及其与中医辨证的相关性

The Efficacy of Electromyographic Biofeedback Treatment on Cardiovascular Disease and the Correlation Between Type A Behavior and TCM Syndrome Differentiation

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【作者】 杨菊贤金静华张月南张玲毅吴恒举方桂珍徐济民

【Author】 Yang Juxian Dept.of Internal Medicine,the Ninth Peopleis Hospital,Shanghai Second Medical University,Shanghai

【机构】 上海第二医科大学附属第九人民医院上海第二医科大学附属第九人民医院83304部队医院上海科技大学

【摘要】 本文报道对400例心血管疾病患者应用三线放松功进行生物反馈治疗的结果。本组患者以高血压病与冠心病居多,共274例。治疗结果显示治疗后收缩压平均降低1.85kPa(13.86mmHg),舒张压平均降低1.29kPa(9.73mmHg),对 A 型性格患者的疗效尤为显著。对于各种早搏的疗效也以 A 型性格患者为佳(75.00%)。A 型性格患者辨证为心阴虚与肝阳挟痰的占90.66%,非 A 型性格患者辨证为心气阳虚与气阴两虚的占82.52%。生物反馈治疗通过放松训练,降低交感张力,扩张血管而达到降压和抗心律失常等目的。

【Abstract】 Using the method of trilineal relaxation training,electromyographic biofeedback technic (EMGBT)in the treatment of 400 cases of cardiovascular disease was reperted.There were 274 (68.5%)cases of hypertension and coronary heart disease,more than other diseases,After treatment, average systolic blood pressure reduced 1.85 Kpa(13.86 mmHg),and average diastolic blood pressure reduced 1.29 Kpa(9.73 mmHg).The treatment was more effective for the type.A behavior patients so was it in the treatment of various extrasystoles(75%).To analyse the correlation between TCM syndrome differentiation and behavior pattern.it was found that there were 90.66% of Heart Yin(阴) deficiency and Liver Yang(阳)associated with Phlegm among type A behavior patients and 82.5% of Heart Qi(气)Yang deficiency and Qi Yin deficiency among non-type A behavior patients.By means of relaxation training, EMGBT might reduce sympathetic tone,dilate blood vessels,so as to reducc blood pressure and treat arrhythmia.

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