Observation on therapeutic effect of auricular acupoint therapy combined with new quadruple therapy on aggravated heart failure
Objective To explore the effect of auricular point therapy combined with new quadruple therapy in the treatment of aggravated heart failure.Methods Using a random number table,120 patients with worsening heart failure were divided into control group and experimental group,with 60 patients in each group.The control group was administered a new quadruple therapy,while the experimental group re-ceived additional auricular acupoint plaster therapy.Both groups underwent treatment for 2 weeks.To compare the results of the 6-minute walk test(6MWT),peak oxygen uptake(PVO2),oxygen consump-tion per heart rate(VO2/HR),standard deviation of normal sinus RR intervals(SDNN),root mean square of successive differences of normal sinus RR intervals(RMSSD),low frequencies(LF),high fre-quencies(HF),levels of N-terminal pro-B-type natriuretic peptide(NT-proBNP),plasma renin activity(PRA),angiotensin Ⅱ(Ang Ⅱ)and aldosterone(ALD)between the 2 groups.Results The total effec-tive rate of treatment in the experimental group was 93.33％,which was higher than the 80.00％in the control group(P＜0.05).Compared with before the treatment,after 2 weeks of the treatment,both groups showed an increase in PVO2,VO2/HR,6MWT,SDNN,RMSSD,LF and HF.Furthermore,the experimental group had higher values than control group(P＜0.05).Compared with before the treat-ment,after 2 weeks of the treatment,both groups showed a decrease in NT-proBNP,PRA,Ang Ⅱ and ALD levels,and the experimental group had lower levels than the control group(P＜0.05).Conclusion Auricular acupoint plaster therapy combined with the new quadruple therapy can effectively improve exercise toler-ance,heart rate variability,regulate neurohormones and lower NT-proBNP levels in patients with worse-ning heart failure.Its clinical efficacy is superior to that of the new quadruple therapy alone.
auricular point therapynew quadruple therapyaggravated heart failureheart rate variabilityexercise toleranceneurohormone
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