首页|温针灸背俞穴联合耳穴埋籽对老年心力衰竭患者心功能及生活质量的影响

温针灸背俞穴联合耳穴埋籽对老年心力衰竭患者心功能及生活质量的影响

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目的 探讨温针灸背俞穴联合耳穴埋籽对老年心力衰竭患者心功能及生活质量的影响.方法 选取2021年9月—2022年10月在医院住院治疗的慢性心力衰竭患者88例,按随机数字表法将入组患者分为观察组和对照组,各44例.对照组给予常规抗心力衰竭药物治疗及常规护理干预;观察组在对照组基础上给予温针灸背俞穴及耳穴埋籽干预.比较两组干预前后心功能[左室舒张末内径(LVEDD)、左室收缩末内径(LVESD)和左室射血分数(LVEF)]、氨基末端脑钠肽前体(NT-proBNP)、高敏心肌肌钙蛋白Ⅰ(hs-TNⅠ)水平及生活质量;比较两组干预效果.结果 干预后,观察组LVEDD、LVESD低于对照组,LVEF高于对照组;NT-proBNP、hs-TNⅠ水平及MLHFQ各项评分低于对照组,差异有统计学意义(P<0.05).观察组总有效率为97.73%,明显高于对照组的81.82%,差异有统计学意义(P<0.05).结论 温针灸背俞穴联合耳穴埋籽能够有效改善慢性心力衰竭的心功能,降低NT-proBNP、hs-TNⅠ水平,提高临床效果,改善生活质量.
Effect of Warming Acupuncture and Moxibustion at Back-Shu Acuoints Combined with Auricular Seed Implantation on Heart Function and Quality of Life of Elderly Patients with Heart Failure
Objective To explore the effect of warming acupuncture and moxibustion at back-Shu acuoints combined with au-ricular seed implantation on cardiac function and quality of life of elderly patients with heart failure.Methods A total of 88 pa-tients with chronic heart failure who were hospitalized in the hospital from September 2021 to October 2022 were selected as the study subjects.According to the method of random number table,the enrolled patients were divided into observation group and control group,each with 44 cases.The control group was treated with conventional anti heart failure drugs and routine nursing in-tervention.On the basis of the control group,the observation group was given warm acupuncture and moxibustion at back-Shu acuoints and auricular seed implantation intervention.Cardiac function[left ventricular end diastolic diameter(LVEDD),left ven-tricular end systolic diameter(LVESD),left ventricular ejection fraction(LVEF)],the levels of N-terminal proBNP(NT proB-NP)and high-sensitivity cardiac troponin Ⅰ(hs-TNⅠ)and quality of life were compared between the two groups before and af-ter intervention.The intervention effects between the two groups was compared.Results After intervention,the values of LVEDD and LVESD in the observation group were lower than those in the control group,while the value of LVEF was higher than that in the control group.The levels of NT-proBNP and hs-TNⅠ in the control group were lower than those in the control group.The Minnesota heart failure quality of life scale(MLHFQ)scores were significantly lower than those of the control group(P<0.05).The total effective rate in the observation group was 97.73%,significantly higher than 81.82%in the control group,with a statis-tically significant difference(P<0.05).Conclusion Warming acupuncture and moxibustion at back-Shu acuoints combined with auricular seed implantation can effectively improve the cardiac function of chronic heart failure,reduce the levels of NT proB-NP and hs-TNⅠ,and improve the clinical effect and the quality of life.

warm acupuncture and moxibustion at back-Shu acuointsauricular seed implantationchronic heart failurecardiac functionquality of life

秦霞、朱帅兵、常文艳

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河南科技大学第一附属医院,河南洛阳 471000

温针灸背俞穴 耳穴埋籽 慢性心力衰竭 心功能 生活质量

河南省医学科技攻关计划

LHGK20210555

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(4)
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