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Open Access Article

International Journal of Clinical Research. 2022; 6: (8) ; 176-179 ; DOI: 10.12208/j.ijcr.20220427.

Clinical Observation of Auricular Point Pressing Beans in the Treatment of Ventricular Premature Beat of Coronary Heart Disease due to Qi and Yin Deficiency
耳穴压豆治疗气阴两虚型冠心病室性早搏的疗效观察

作者: 王艳蓉 *, 张静芝, 徐燕

上海市黄浦区小东门街道社区卫生服务中心中医科 上海

上海中医药大学附属曙光医院心内科 上海

*通讯作者: 王艳蓉,单位:上海市黄浦区小东门街道社区卫生服务中心中医科 上海;

发布时间: 2022-09-26 总浏览量: 755

摘要

目的 观察耳穴压豆治疗冠心病气阴两虚型室性早搏的临床疗效。方法 收集2020年10月-2021年10月社区门诊病例60例,既往明确诊断为冠心病室性早搏,并且符合中医证型气阴两虚者。采用随机数字表法随机分为对照组和治疗组,每组各30例,对照组予以常规治疗,治疗组在常规治疗的基础上予以耳穴压豆治疗。观察两组患者耳穴压豆治疗前后的中医证候积分、室性早搏的次数,对其疗效进行分析。结果 治疗后,治疗组心悸、乏力、少寐、自汗积分、总积分、总积分有效率、24小时内室早发作次数及室早疗效显效率,均优于对照组(P<0.05);24小时室早次数疗效的总有效率两组患者无明显差异(P>0.05)。结论 耳穴压豆治疗气阴两虚型冠心病室性早搏有一定的临床疗效。

关键词: 耳穴压豆;气阴两虚型;冠心病;室性早搏

Abstract

Objective: to observe the clinical effect of auricular point pressing beans in the treatment of ventricular premature beats of coronary heart disease due to Qi and Yin deficiency.
Methods: a total of 60 community outpatients from October 2020 to October 2021 were collected, who were previously diagnosed as premature ventricular premature beat of coronary heart disease and conformed to the TCM syndrome type of Qi and Yin deficiency. These patients were randomly divided into the control group and the treatment group by random number table method, 30 cases in each group. The control group was given routine treatment, while the treatment group was given auricular point bean pressing plus routine treatment. The TCM syndrome scores and the number of premature ventricular premature beat before and after using auricular point pressing beans were observed in the two groups of patients, and the clinical effects were analyzed.
Results: after treatment, the treatment group was better than the control group in terms of palpitations, fatigue, sleeplessness, spontaneous perspiration score, total score, total score effective rate, the number of ventricular premature beats and the excellent effective rate of its efficacy within 24 hours (P<0.05), while there was no significant difference between the two groups in the total effective rate of ventricular premature beat(P>0.05).
Conclusion  : auricular point pressing beans has a certain clinical effect in the treatment of ventricular premature beats of coronary heart disease due to Qi and Yin deficiency.

Key words: Auricular point pressing beans; Qi and Yin deficiency type; Coronary heart disease; Ventricular premature beats

参考文献 References

[1] 曹克将,陈明龙,江洪,等.室性心律失常中国专家共识[J].中国心脏起搏与心电生理杂志,2016,30(4):283-325.

[2] 李可,胡元会,李偲偲,等.特发性室性早搏病人左心脏结构和功能的研究[J].中西医结合心脑血管病杂志,2016,14(2):113 -116.

[3] 王骋,陈明龙,杨兵,等.不同负荷特发性室性早搏对心脏结构和功能的影响[J].中国心脏起搏与心电生理杂志,2012,26 (1):54-57.

[4] 张临宁, 刘春玲.中西医结合治疗室性早搏研究进展[J]中西医结合心血管病电子杂志,2019,7(15):6-8.

[5] 中共中央国务院.中共中央国务院关于深化医药卫生体制改革的意见[M].北京:人民出版社,2009:4.

[6] 王祉.耳穴贴压在社区老年慢性病中的运用进展[J].临床医药文献电子杂志,2020,33(7):195-196.

[7] 徐济民.缺血性心脏病诊断的命名及标准- 国际心脏病学会和协会/世界卫生组织临床命名标准化专题组的联合报告[J]. 国外医学•心血管疾病分册,1979,6(6): 365-366.

[8] 陈灏珠,林果为,王吉耀.实用内科学[M].北京:人民卫生出版社.14版,2013: 617-620.

[9] 郑莜萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:73-84.

[10] 杨洋,邹龙华.耳穴压豆联合穴位按摩在高血压伴失眠患者中的应用效果[J]光明中医,2021,36(4):602-604.

[11] 张伟,顾宁.冠心V号方联合耳穴压豆治疗不稳定型心绞痛气阴亏虚夹瘀证临床研究[J],2021,42(9): 1289-1292.

引用本文

王艳蓉, 张静芝, 徐燕, 耳穴压豆治疗气阴两虚型冠心病室性早搏的疗效观察[J]. 国际临床研究杂志, 2022; 6: (8) : 176-179.