首页|穴位贴敷联合舒胸益气汤加减治疗稳定性心绞痛患者的影响

穴位贴敷联合舒胸益气汤加减治疗稳定性心绞痛患者的影响

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目的 探究穴位贴敷联合舒胸益气汤加减治疗稳定性心绞痛患者的临床疗效及对运动耐量、氧化应激的影响。方法 收集 2021 年 4 月至 2023 年 5 月石河子大学第一附属医院收治的 74 例稳定性心绞痛患者。所有患者均接受基础西药治疗作为共同干预措施,并采用随机数表法将患者分为研究组(穴位贴敷联合舒胸益气汤加减治疗)和参照组(穴位贴敷治疗),各 37 例。观察并记录两组患者治疗前、治疗 3 个月后中医证候积分、运动耐量(运动时间、6 min最大步行距离)及氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)],并分析两组治疗后临床疗效。结果 治疗3 个月后,研究组各项中医证候积分均低于参照组,差异具有统计学意义(P<0。05);研究组运动时间、6 min最大步行距离高于参照组,差异均有统计学意义(P<0。05);研究组SOD水平高于参照组,MDA水平低于参照组,差异均有统计学意义(P<0。05);研究组治疗有效率(97。30%)高于参照组(78。38%),差异具有统计学意义(P<0。05)。结论 穴位贴敷联合舒胸益气汤加减治疗稳定性心绞痛患者具有良好的临床疗效,能够显著改善患者的氧化应激状态,提高运动耐量。
The Impact of Acupoint Application Combined with Modified Shuxiong Yiqi Decoction on Patients with Stable Angina Pectoris
Objective To explore the clinical efficacy of acupoint application combined with modified Shuxiong Yiqi Decoction in the treatment of patients with stable angina pectoris and its effects on exercise tolerance and oxidative stress.Methods A total of 74 patients with stable angina pectoris admitted to The First Affiliated Hospital of Shihezi University from April 2021 to May 2023 were collected.All patients received basic Western medicine treatment as a common intervention measure and were randomly divided into a study group(acupoint application combined with modified Shuxiong Yiqi Decoction)and a reference group(acupoint application treatment),with 37 cases in each group.The TCM syndrome scores,exercise tolerance(exercise time,6-minute maximum walking distance),and oxidative stress indicators[superoxide dismutase(SOD),Malondialdehyde(MDA)]were observed and recorded before and after 3 months of treatment in both groups,and the clinical efficacy after treatment was analyzed.Results After 3 months of treatment,the TCM syndrome scores in the study group were lower than those in the reference group,with statistically significant differences(P<0.05).The exercise time and 6-minute maximum walking distance in the study group were higher than those in the reference group,with statistically significant differences(P<0.05).The SOD level in the study group was higher than that in the reference group,and the MDA level was lower than that in the reference group,with statistically significant differences(P<0.05).The effective treatment rate in the study group(97.30%)was higher than that in the reference group(78.38%),with statistically significant differences(P<0.05).Conclusion Acupoint application combined with modified Shuxiong Yiqi Decoction has good clinical efficacy in treating patients with stable angina pectoris,significantly improving their oxidative stress state and increasing exercise tolerance.

stable angina pectorisacupoint applicationShuxiong Yiqi Decoctionexercise toleranceoxidative stress

郭晨晨、胡琼文、徐畅畅、蔡钢、张选明

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石河子大学第一附属医院 中医内一科,新疆 石河子 832000

石河子大学第一附属医院 中医内二科,新疆 石河子 832000

稳定性心绞痛 穴位贴敷 舒胸益气汤 运动耐量 氧化应激

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(9)