心经、心包经原络配穴法为主治疗无症状性心肌缺血疗效观察(1)
摘 要：目的 观察心经、心包经原络配穴法为主治疗无症状心肌缺血临床疗效。方法 选取2015年1月～2018年1月我院老年病科、心内科收治的无症状心肌缺血患者68例，随机分为治疗组和对照组，每组34例。对照组采用口服单硝酸异山梨酯和复方丹参滴丸治疗，治疗组在对照组基础上加以心经、心包经原络配穴法针刺治疗，观察两组患者治疗前后的临床疗效、ST段压低次数及ST段压低持续总时间的变化。结果 治疗组总有效率为91.18%，高于对照组的79.41%，差异具有统计学意义(P<0.05)。两组患者治疗后ST段压低次数及ST段压低持续总时间均优于治疗前，统计学意义显著(P<0.01)；治疗后，治疗组心电图ST段压低次数及ST段压低持续总时间改善均优于对照组，差异具有统计学意义(P<0.05)。结论 心经、心包经原络配穴法为主治疗无症状性心肌缺血，疗效确切，可改善心电图缺血ST段。
关键词：无症状性心肌缺血；心经；心包经；原络配穴
中图分类号：R246.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.047
, 百拇医药
文章编号：1006-1959(2018)12-0148-03
Abstract：Objective To observe the clinical effects of heart meridian and pericardium in the treatment of asymptomatic myocardial ischemia based on original collaterals and acupoints.Methods From January 2015 to January 2018，68 patients with asymptomatic myocardial ischemia admitted to our department of Geriatrics and Cardiology were randomly divided into treatment group and control group，34 cases in each group.The control group was treated with oral isosorbide mononitrate and compound Danshen Dripping Pills. The treatment group was treated with acupuncture at the heart and pericardium via the original collaterals and acupoints on the basis of the control group.Observed the clinical efficacy before and after treatment in the two groups of patients，the number of ST depression and the total duration of ST depression.Results The total effective rate of the treatment group was 91.18%，which was higher than that of the control group 79.41%，the difference was statistically significant(P<0.05).The number of ST-segment depression and the total duration of ST-segment depression after treatment were better than those before treatment，and the statistical significance was significant(P<0.01).After treatment，the improvement of ST-segment depression and duration of ST-segment depression in the treatment group was better than that in the control group，the difference was statistically significant(P<0.05).Conclusion The treatment of heart failure and pericardium via the original collaterals and acupoints for the treatment of asymptomatic myocardial ischemia is effective and can improve the electrocardiographic ischemic ST segment.
, 百拇医药
Key words：Asymptomatic myocardial ischemia；Heart meridians；Pericardium；Original collaterals
冠心病(coronary atherosclerotic heart disease)亦稱缺血性心脏病，是临床心血管疾病常见的症候群，系人类致死致残的主要危险因素，在我国也呈增长趋势，心肌缺血导致死亡的患者在心血管疾病中居首位[1]。无症状心肌缺血系冠心病又称无痛性心肌缺血或隐匿性心肌缺血(silent mgocardialischemia，SMI)，主要是针对在临床中没有明显的症状，但是从客观上进行检查患者后，发现患者有心肌缺血的表现，这被称之为隐匿型的冠心病，当患者患有冠状动脉粥样硬化的病症，但是病变较轻或者是有比较好的侧肢循环的话，或者是患者的痛阈比较高，但是由于没有明显的疼痛感应，通过SMI非常有可能发生心绞痛或者是心肌梗死、缺血性心肌病，发生心力衰竭或心律失常的情况，个别的患者还极有可能出现猝死的症状[2]。为此，选取2015年1月～2018年1月我院老年病科、心内科收治的无症状心肌缺血患者68例，采用心经、心包经原络配穴法来根治SMI有着很好的治疗效果，现总结如下。, 百拇医药(盛红梅)
关键词：无症状性心肌缺血；心经；心包经；原络配穴
中图分类号：R246.1 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.12.047
, 百拇医药
文章编号：1006-1959(2018)12-0148-03
Abstract：Objective To observe the clinical effects of heart meridian and pericardium in the treatment of asymptomatic myocardial ischemia based on original collaterals and acupoints.Methods From January 2015 to January 2018，68 patients with asymptomatic myocardial ischemia admitted to our department of Geriatrics and Cardiology were randomly divided into treatment group and control group，34 cases in each group.The control group was treated with oral isosorbide mononitrate and compound Danshen Dripping Pills. The treatment group was treated with acupuncture at the heart and pericardium via the original collaterals and acupoints on the basis of the control group.Observed the clinical efficacy before and after treatment in the two groups of patients，the number of ST depression and the total duration of ST depression.Results The total effective rate of the treatment group was 91.18%，which was higher than that of the control group 79.41%，the difference was statistically significant(P<0.05).The number of ST-segment depression and the total duration of ST-segment depression after treatment were better than those before treatment，and the statistical significance was significant(P<0.01).After treatment，the improvement of ST-segment depression and duration of ST-segment depression in the treatment group was better than that in the control group，the difference was statistically significant(P<0.05).Conclusion The treatment of heart failure and pericardium via the original collaterals and acupoints for the treatment of asymptomatic myocardial ischemia is effective and can improve the electrocardiographic ischemic ST segment.
, 百拇医药
Key words：Asymptomatic myocardial ischemia；Heart meridians；Pericardium；Original collaterals
冠心病(coronary atherosclerotic heart disease)亦稱缺血性心脏病，是临床心血管疾病常见的症候群，系人类致死致残的主要危险因素，在我国也呈增长趋势，心肌缺血导致死亡的患者在心血管疾病中居首位[1]。无症状心肌缺血系冠心病又称无痛性心肌缺血或隐匿性心肌缺血(silent mgocardialischemia，SMI)，主要是针对在临床中没有明显的症状，但是从客观上进行检查患者后，发现患者有心肌缺血的表现，这被称之为隐匿型的冠心病，当患者患有冠状动脉粥样硬化的病症，但是病变较轻或者是有比较好的侧肢循环的话，或者是患者的痛阈比较高，但是由于没有明显的疼痛感应，通过SMI非常有可能发生心绞痛或者是心肌梗死、缺血性心肌病，发生心力衰竭或心律失常的情况，个别的患者还极有可能出现猝死的症状[2]。为此，选取2015年1月～2018年1月我院老年病科、心内科收治的无症状心肌缺血患者68例，采用心经、心包经原络配穴法来根治SMI有着很好的治疗效果，现总结如下。, 百拇医药(盛红梅)