The Clinical Efficacy and Cardiac Function Improvement of Warm Acupuncture at Back Shu Points in Chronic Heart Failure Patients
Objective To evaluate the effect of warm acupuncture treatment in patients with chronic heart failure and its improvement effect on heart function and activity tolerance.Methods A total of 100 patients with chronic heart failure admitted to Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine from January 2022 to October 2023.The patients were randomly divided into the control group and the observation groups,with 50 patients in each group.The control group received only standard medical treatment,while the observation group received warm acupuncture at back shu points on the basis of the treatment of the control group.The treatment effects,cardiac function parameters,changes in activity endurance,6-minute walk distance (6MWD),vascular endothelial function and inflammatory marker levels,and the incidence of adverse effects were compared.Results The overall effective rate of clinical observation group was 96.00％,higher than 78.00％ of the control group,with statistically significant differences (P=0.007).Before treatment,there were no statistically significant differences in left ventricular end-systolic dimension (LVESD),left ventricular end-systolic dimension (LVEDD),and left ventricular ejection fraction (LVEF) between the groups (P>0.05).After treatment,LVEDD and LVESD parameters decreased in both groups.The LVEDD (50.25±2.74) mm and LVESD (45.23±2.79) mm of the observation group were lower than (54.89±2.87) mm and (53.92±2.77) mm,respectively.The LVEF parameters all increased,with the observation group[(57.96±6.42)％]being higher than the control group[(46.22±5.93)％],and the difference was statistically significant (P<0.05).Before treatment,there was no statistically significant difference in 6MWD between the two groups (P>0.05).After treatment,the 6MWD distance increased in both groups,with the observation group[(347.55±40.72) m]being longer than the control group[(298.63±32.65) m],and the difference was statistically significant (P<0.05).Before treatment,no statistically significant difference existed in the indicators of hypersensitive C-reactive protein (hs-CRP),uric acid (UA),and N-terminal pro-brain natriuretic peptide (NT-proBNP) between the two groups (P>0.05).After treatment,all indicators parameters were significantly reduced.The hs-CRP (10.06±2.32) mg/L,UA (298.56±30.15) μ mol/L,and NT-proBNP (452.23±2.79) ng/L of the observation group were lower than (15.17±2.96) mg/L,(397.54±32.49)μ mol/L,and (961.79±2.77) ng/L of the control group,respectively,with statistical significance (P<0.05).The total adverse reaction rate of the observation group was 4.00％,which was lower than the control group's 20.00％,and the difference was statistically significant (P<0.05).Conclusion In the treatment of patients with chronic heart failure,the addition of warm acupuncture at back shu points can significantly improve the treatment effect,improve the heart function,enhance the activity endurance of patients,and improve the level of vascular endothelial function and inflammatory markers,while reducing the occurrence of adverse reactions.
chronic heart failurewarm acupuncture at back shu pointscardiac functioncurative effectinflammatory factoradverse reaction
万方数据
维普
