首页|保元汤合血府逐瘀汤治疗气虚血瘀型慢性心力衰竭患者的穴位温度变化规律探析

保元汤合血府逐瘀汤治疗气虚血瘀型慢性心力衰竭患者的穴位温度变化规律探析

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目的 探讨保元汤合血府逐瘀汤对气虚血瘀型慢性心力衰竭(CHF)治疗疗效及穴位的温度变化规律.方法 选取东莞市中医院在2020年12月—2021年12月收治的31例CHF患者,均给予保元汤合血府逐瘀汤治疗.在治疗前后,比较血清B型钠尿肽前体(NT-ProBNP)、超声心动图相关指标[左心室舒张末期内径(LVEDd)、心脏彩超射血分数(LVEF)]、膻中与跗阳24 h的温度变化(平均温度、昼夜温度).结果 治疗后,BNP水平低于治疗前(P<0.05);治疗后,超声心动图LVEDd参数值低于治疗前,LVEF参数值高于治疗前(P<0.05);治疗后,患者的膻中与跗阳的24 h平均温度均高于治疗前的平均温度(P<0.05).结论 气虚血瘀型CHF患者近心端及远心端不同穴位具有温度差异,心功能不同患者也具有穴位温度差异,通过穴温变化可评估心衰的病情变化和用药疗效.
Laws of acupoint temperature change in CHF patients with the syndrome of blood stasis due to qi deficiency after treatment with Baoyuan Decoction and Xuefu Zhuyu Decoction
Objective To explore the curative effect of Baoyuan Decoction combined with Xuefu Zhuyu Decoction and the laws of acupoint temperature change in patients with chronic heart failure(CHF)of the syndrome of blood stasis due to qi deficiency.Methods A total of 31 patients with CHF treated with Baoyuan Decoction combined with Xuefu Zhuyu Decoction in Dongguan Hospital of Traditional Chinese Medicine between December 2020 and December 2021 were enrolled in the study.Before and after treatment,the level of N-terminal pro brain natriuretic peptide(NT-ProBNP),echocardiogram indexes[left ventricular end-diastolic diameter(LVEDd),left ventricular ejection fraction(LVEF)],changes of 24h temperature at Danzhong acupoint and Fuyang acupoint(average temperature,diurnal temperature)were compared.Results After treatment,the level of BNP was decreased(P<0.05).After treatment,the LVEDd parameter value of echocardiography was decreased,while the LVEF value was increased(P<0.05).After treatment,the 24h average temperatures of Danzhong acupoint and Fuyang acupoint were increased(P<0.05).Conclusion The temperatures of different acupoints at the proximal and distal ends are different in CHF patients with the syndrome of blood stasis due to qi deficiency,and the acupoint temperatures are also different in patients with different cardiac functions.The changes in acupoint temperature can evaluate the changes of heart failure and medication effect.

Bao Yuan Decoction combined with Xuefu Zhuyu Decoctionacupoint temperaturechronic heart failuresyndrome of blood stasis due to qi deficiency

王婷、吕洪雪、叶小汉

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东莞市中医院,广东 东莞 523000

保元汤合血府逐瘀汤 穴位温度 慢性心力衰竭 气虚血瘀型

广东省中医药局科研项目

20211406

2024

吉林中医药
长春中医药大学

吉林中医药

CSTPCD
影响因子:0.843
ISSN:1003-5699
年,卷(期):2024.44(6)