Efficacy of acupuncture at Jiaji acupoints combined with cardiac rehabilitation in patients with coronary artery disease after PCI
Objective It is to explore the clinical efficacy of acupuncture at Jiaji acupoints combined with cardiac reha-bilitation in patients with coronary heart disease after percutaneous coronary intervention(PCI).Methods One hundred pa-tients with coronary heart disease after PCI treated in Shanghai Pudong New District People's Hospital from September 2020 to February 2023 were divided into 4 groups by the random number table method:acupuncture group,rehabilitation group,combination group and control group,with 25 cases in each group.The patients in the control group were treated with standardized medication;on the basis of the medication,the acupuncture group was treated with acupuncture at Jiaji acu-points,the rehabilitation group was treated with cardiac rehabilitation,and the combination group was treated with acupunc-ture at Jiaji acupoints combined with cardiac rehabilitation.All the four groups were treated for 8 weeks.The 6-min walk test(6MWT)distance,left ventricular ejection fraction(LVEF),singal-handed grip strength,times of voluntary raising of unilateral lower extremity within 10 s,number of cardiac arrhythmias,and quality of life(assessed by ICF scale)of pa-tients in the four groups were observed and compared before and after treatment.Results A total of 87 patients completed the study,including 21 cases in the acupuncture group,23 cases in the rehabilitation group,22 cases in the combination group and 21 cases in the control group.The 6MWT and LVEF of the acupuncture group,rehabilitation group and combi-nation group were significantly higher,while the ICF scores were significantly lower than those before treatment(all P＜0.05);the improvements of the 6MWT,LVEF,and ICF scores of the combination group were significantly better than those of the other three groups(all P＜0.05),the differences in 6MWT,LVEF,and ICF scores were not statistically sig-nificant between the acupuncture group and rehabilitation group(all P＞0.05),the 6MWT of the rehabilitation group and LVEF of the acupuncture group were significantly higher than those of the control group(all P＜0.05),and the ICF scores of both the rehabilitation group and acupuncture group were significantly lower than those of the control group(all P＜0.05).The single-handed grip strength was improved significantly after treatment compared with before treatment in the re-habilitation group and combination group(all P＜0.05),and the improvement of the combination group was significantly better than that of the other three groups(all P＜0.05).The times of voluntary raising of unilateral lower extremity within 10 s after treatment in the rehabilitation group and the combination group were much more than those before treatment and in the acupuncture group and control group(all P＜0.05),and the combination group was more than the rehabilitation group(P＜0.05).The number of arrhythmias after treatment in the acupuncture group and combination group was signifi-cantly less than that before treatment and in the rehabilitation group and control group(all P＜0.05).Conclusion Acu-puncture at Jiaji acupoints combined with cardiac rehabilitation can significantly improve cardiac function,muscle fitness and daily life ability of patients with coronary artery disease after PCI,and its efficacy is significantly better than that of ac-upuncture or cardiac rehabilitation alone.
NETL
NSTL
万方数据
维普
