首页|温针灸治疗慢性心力衰竭胃肠功能紊乱患者的临床观察

温针灸治疗慢性心力衰竭胃肠功能紊乱患者的临床观察

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目的 观察温针灸治疗慢性心力衰竭(CHF)胃肠功能紊乱患者的临床疗效.方法 筛选CHF胃肠功能紊乱患者80例,采用随机数字表法分为两组各40例,对照组采用常规治疗,观察组在其基础上联用温针灸,持续4周.对治疗前后的左室射血分数(LVEF)、脑钠肽(BNP)、6分钟步行距离(6MWD)、胃肠道症状积分、胃肠道症状评定量表(GSRS)得分、临床疗效进行比较.结果 治疗后,两组患者的LVEF、6MWD均较前提升,BNP、胃肠道症状积分、GSRS评分均较前下降,观察组改善情况优于对照组(P<0.05),且观察组总有效率为95.00%,高于对照组的77.50%(P<0.05).结论 温针灸能够改善CHF胃肠功能紊乱患者的心功能,增加运动耐量,并且减轻胃肠道症状.
Clinical Study of Warm Acupuncture on Chronic Heart Failure Patients with Gastrointestinal Dysfunction
Objective:To observe the clinical efficacy of warm acupuncture on chronic heart failure(CHF)pa-tients with gastrointestinal dysfunction.Methods:A total of 80 CHF patients with gastrointestinal dysfunction were screened and divided into two groups according to random number table method with 40 cases each.The con-trol group received conventional treatment,and the observation group received warm acupuncture.Both groups were continuously treated for 4 weeks.The left ventricular ejection fraction(LVEF),brain natriuretic peptide(BNP),6-minute walking distance(6MWD),gastrointestinal symptom score,and gastrointestinal symptom rating scale(GSRS)score were compared before and after treatment.Results:After treatment,the LVEF and 6MWD in 2 groups were increased;the BNP,gastrointestinal symptom score,and GSRS score were decreased,and the obser-vation group was better than the control group(P<0.05).The clinical effect in the observation group was 95.00%,which was better than 77.50%in the control group(P<0.05).Conclusion:Warm acupuncture can improve cardi-ac function,increase exercise tolerance,and alleviate clinical symptoms in CHF patients with gastrointestinal dys-function.

Chronic heart failureGastrointestinal dysfunctionWarm acupunctureCardiac functionClinical ef-ficacy

罗彪、周霞、王洁、龚莉焰、李刘英

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四川省自贡市第一人民医院,四川 自贡 643000

成都中医药大学,四川成都 611137

慢性心力衰竭 胃肠功能紊乱 温针灸 心功能 临床疗效

四川省中医药局中医药科研专项面上项目自贡市科技局重点科技项目

2023MS2522021ZCYKY10

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(4)
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