【摘要】 目的:观察西医常规配合针灸治疗慢性心力衰竭的临床疗效。方法:将67例慢性心力衰竭患者随机分为2组,对照组33例采用强心、利尿等西医常规治疗;治疗组34例在对照组治疗的基础上配合针刺内关穴,艾灸雀啄关元、三阴交治疗;2组疗程均为4周,观察患者心力衰竭及血流动力学的改善程度。结果:临床总有效率治疗组为82.36%,对照组为69.69%,2组比较,差异有统计学意义(P <0.05)。心功能改善总有效率治疗组为85.29%,对照组为66.67%,2组比较,差异有统计学意义(P <0.05)。治疗后,2组患者左室舒张末内径(LV)、心排血量(CO)、左室射血分数(LVEF)、舒张早期血流/舒张末期血流(E/A)值均较治疗前改善(P <0.05);且治疗组患者CO、LV、LVEF值改善较对照组更显著(P <0.05)。治疗过程中2组患者均未见明显不良反应发生。结论:在西医常规治疗的基础上加用针灸综合治疗慢性心力衰竭,可有效提高临床疗效,值得临床推广应用。更多还原

【Abstract】 Objective:To observe the clinical effect of acupuncture and moxibustion in integrated Chinese and western medicine for chronic heart failure. Methods:Divided 67 cases of patients with chronic heart failure into two groups randomly,33 cases in the control group and 34 cases in the treatment group. The control group received the routine western medicine therapy such as strengthening the heart and diuresis, while the treatment group additionally received acupuncture in Neiguan acupoint and bird-pecking moxibustion in Guanyuan and Sanyinjiao acupoints. The course of treatment for both groups lasted for 4 weeks. Observed the improvements of heart failure and hemodynamics of patients in both groups. Results:The total effective rate was 82.36% in the treatment group and 69.69% in the control group,difference being significant(P < 0.05). Total efficiency of cardiac function improvement was 85.29% in the treatment group and 66.67% in the control group,difference being significant(P < 0.05). After treatment,indexes of New York heart association(NYHA) classification, left ventricular end-diastolic diameter(LV), cardiac output(CO), left ventricular function(LVEF) and early diastolic flow velocity/end diastolic flow velocity(E/A) in both groups were improved when comparing with those before treatment(P <0.05);and indexes of CO,LV and LVEF in the treatment group were improve more significantly than those in the control group(P <0.05). During treatment, no obvious adverse reactions occurred in both groups. Conclusion: The additional application of integrated acupuncture and moxibustion based on the routine western medicine treatment for chronic heart failure can effectively improve the clinical effect of patients,which is worthy of clinical promotion and application.更多还原