中华灾害救援医学2024,Vol.11Issue(10) :1163-1165.DOI:10.13919/j.issn.2095-6274.ZHJY202407052

穴位按压联合硝酸甘油对冠心病心绞痛缓解时间、心率水平及抢救效果的影响

Effects of Acupressure Combined with Nitroglycerin on Angina Relief Time,Heart Rate,and Rescue Outcomes in Patients with Coronary Heart Disease

田娟
中华灾害救援医学2024,Vol.11Issue(10) :1163-1165.DOI:10.13919/j.issn.2095-6274.ZHJY202407052

穴位按压联合硝酸甘油对冠心病心绞痛缓解时间、心率水平及抢救效果的影响

Effects of Acupressure Combined with Nitroglycerin on Angina Relief Time,Heart Rate,and Rescue Outcomes in Patients with Coronary Heart Disease

田娟1
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作者信息

  • 1. 430080 湖北武汉,武汉钢铁(集团)公司第二职工医院老年病科
  • 折叠

摘要

目的 从心绞痛缓解时间、心率水平及抢救效果三方面分析硝酸甘油联合穴位按压在心绞痛患者治疗中的应用价值.方法 选取2023年2月至2024年4月武汉钢铁(集团)公司第二职工医院收治的90例冠心病心绞痛患者,根据随机数字表法分为观察组和对照组,观察组45例,采取穴位按压+硝酸甘油含服,对照组45例,采取硝酸甘油含服.比较两组患者心绞痛缓解时间、心率和血压水平、抢救效果.结果 观察组患者心绞痛平均缓解时间为(1.65±0.33)min,显著短于对照组的(2.92±0.58)min,差异有统计学意义(P<0.001).治疗前,两组研究对象的心率和血压水平无显著差异(P>0.05);治疗后,两组研究对象的心率和血压水平均改善,观察组心率和血压水平均显著低于对照组(P<0.05).经抢救后,观察组患者抢救有效率95.56%,显著高于对照组的73.33%,差异有统计学意义(P<0.05).结论 对于急性冠心病心绞痛,硝酸甘油联合穴位按压可缩短心绞痛缓解时间,调节血压和心率水平,提高抢救效果.

Abstract

Objective To analyze the clinical value of combining nitroglycerin with acupoint pressure in the treatment of angina pectoris from three aspects:angina relief time,heart rate levels,and rescue outcomes. Meth-ods A total of 90 patients with coronary heart disease and angina pectoris,admitted to the Second Workers' Hos-pital of Wuhan Iron and Steel Group between February 2023 and April 2024,were selected for this study. Patients were randomly divided into two groups:the observation group (n=45),which received acupoint pressure combined with sublingual nitroglycerin,and the control group (n=45),which received sublingual nitroglycerin alone. The two groups were compared in terms of angina relief time,heart rate and blood pressure levels,and rescue out-comes. Results The average angina relief time in the observation group was (1.65±0.33) minutes,significantly shorter than that in the control group (2.92±0.58) minutes,with a statistically significant difference (P<0.001). Be-fore treatment,there were no significant differences in heart rate and blood pressure levels between the two groups (P>0.05);after treatment,both heart rate and blood pressure levels improved in both groups,with significantly low-er heart rate and blood pressure levels in the observation group compared to the control group (P<0.05). After res-cue efforts,the rescue effectiveness rate was 95.56% in the observation group,significantly higher than the 73.33% in the control group,with a statistically significant difference (P<0.05). Conclusion For acute coronary heart disease and angina pectoris,combining nitroglycerin with acupoint pressure can shorten the time to angina relief,regulate blood pressure and heart rate levels,and improve rescue outcomes.

关键词

冠心病/心绞痛/穴位按压

Key words

coronary disease/angina pectoris/acupressure

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出版年

2024
中华灾害救援医学

中华灾害救援医学

影响因子:0.796
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