世界中医药
文章摘要
引用本文:张雯雯,隋楠.补虚逐瘀法联合针灸对冠心病便秘患者心脏不良事件的影响[J].世界中医药,2018,(01):.  
补虚逐瘀法联合针灸对冠心病便秘患者心脏不良事件的影响
Effects of Tonifying Deficiency and Removing Blood Stasis Combined with Acupuncture on Adverse Cardiac Events in Patients with Coronary Heart Disease and Constipation
投稿时间:2017-03-10  
DOI:10.3969/j.issn.1673-7202.2018.01.031
中文关键词:  补虚逐瘀法  针灸  冠心病  便秘  心脏不良事件
English Keywords:Tonifying deficiency and removing blood stasis, Acupuncture, Coronary heart disease, Constipation, Adverse cardiac events
基金项目:国家自然科学基金青年科学基金项目(81503576)
作者单位
张雯雯,隋楠 辽宁中医药大学附属第三医院,沈阳,110003 
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中文摘要:
      目的:观察补虚逐瘀法联合针灸对冠心病便秘患者心脏不良事件的影响。方法:选取2014年9月至2016年10月辽宁中医药大学附属第三医院收治的冠心病便秘患者100例,进行回顾性研究,按治疗方式的不同分成联合组(n=56)和单针组(n=44),2组均给予冠心病常规治疗药物,单针组仅给予穴位针灸,联合组在单针组的基础加服补虚逐瘀汤,记录和比较2组的患者便秘情况的临床疗效、心电图疗效及心脏不良事件次数。结果:治疗后,联合组在心脏不良事件发生率(1.79%)的比较明显少于单针组(15.90%)(P<0.05),联合组的心电图疗效(92.86%)优于单针组(68.18%)(P<0.05)但2组在便秘情况临床疗效的差异无统计学意义(P>0.05).结论:实施补虚逐瘀法联合针灸对冠心病便秘患者的治疗上,可明显改善患者心功能,有效减少患者排便时心脏不良事件的发生率,值得临床推广。
English Summary:
      To observe the effects of tonifying deficiency and removing blood stasis combined with acupuncture on adverse cardiac events in patients with coronary heart disease and constipation.Methods:A total of 100 patients with coronary heart disease and constipation who were admitted in The Third Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2014 to October 2016 were divided into experimental group (n=56) and control group (n=44).The experimental group was given tonifying deficiency and removing blood stasis (Chinese herbal medicine) combined with acupuncture treatment, and control group was given acupuncture treatment and conventional coronary heart disease drug.Clinical efficacy of constipation, electrocardiogram and adverse cardiac events were recorded and compared.Results:The number of adverse cardiac events in experimental group (1.79%) was significantly smaller than the control needle group (15.90%) (P<0.05).The electrocardiogram curative effect of experimental group (92.86%) was better than that of control group (68.18%) (P<0.05), but there was no significant difference in the clinical curative effect of constipation in two groups (P>0.05).Conclusion:The implementation of the method of tonifying qi and removing blood stasis combined with acupuncture on the treatment of patients with coronary heart disease constipation, which significantly improve the patient's heart function and effectively, reduce the incidence of adverse cardiac events in patients with defecation.It is worthy of clinical promotion.
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