体针与耳穴压豆联合西药治疗室性心律失常临床研究
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R541.7;R248

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Clinical Study on Body Acupuncture and Auricular Acupoint Pressing with Beans Combined with Western Medicine for Ventricular Arrhythmia
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    摘要:

    目的:观察体针与耳穴压豆联合常规西药治疗室性心律失常的效果。方法:将 108 例室性心律失常患者随机分为对照组和观察组各 54 例。对照组服用盐酸胺碘酮片,视情况加用盐酸索他洛尔片,连续治疗 4 周。观察组在对照组用药的基础上给予体针和耳穴压豆治疗,疗程为 4 周。2 组患者均给予相应的护理措施。治疗前后通过心电图和 24 h 动态心电图记录室早、室 速、室扑、室颤的发生情况与心率、PR 间期、QTc 间期、震荡起始 (TO) 和震荡斜率 (TS),进行症状评分。由患者于出院时评价对护理工作的满意情况。比较 2 组的临床疗效。结果:治疗后,观察组临床疗效优于对照组 (P<0.05)。与治疗前比较,2 组心率降低,QTc 间期缩短,PR 间期延长,TO、症状积分均降低,TS 升高,差异均有统计学意义(P<0.01);观察组心率低于对照组,PR 间期长于对照组,QTc 间期短于对照组,TO 及症状积分均低于对照组,TS 高于对照组,差异均有统计学意义(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在常规西药治疗的基础上加用体针联合耳穴压豆可更好地控制异常的心室率,改善了心率震荡现象,提高了临床的治疗效果,也提高了患者对护理工作的满意度。

    Abstract:

    Abstract:Objective:To observe the effect of body acupuncture and auricular acupoint pressing with beans combined with routine western medicine for ventricular arrhythmia. Methods:A total of 108 cases of patients with ventricular arrhythmia were randomly divided into the control group and the observation group,54 cases in each group. The control group was given amiodarone hydrochloride tablets,and sotalol hydrochloride tablets as appropriate. The observation group was additionally given body acupuncture and auricular acupoint pressing with beans based on the treatment of the control group. Both groups were treated for four weeks and given corresponding nursing measures. Before and after treatment, the heart rate, PR interval, QTc interval, Turbulence Onset(TO), Turbulence Slope(TS) as well as the occurrence of ventricular premature, ventricular tachycardia,ventricular flutter and ventricular fibrillation were recorded by electrocardiogram and 24-hour dynamic electrocardiogram;the scores of symptoms were evaluated. The nursing satisfaction was evaluated when discharge. The clinical effect was compared between the two groups. Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05). When compared with those before treatment,in both groups,the heart rate, TO and symptom scores were decreased, QTc interval shortened, PR interval prolonged, and TS increased, differences being significant(P<0.01). When compared with those in the control group,in the observation group,the heart rate, TO and symptom scores were lower, PR interval longer, QTc interval shorter, and TS higher, differences being significant(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion:Based on routine western medicine,the additional therapy of body acupuncture and auricular acupoint pressing with beans can better control abnormal ventricular rate,improve heart rate turbulence,and enhance the clinical effect and nursing satisfaction.

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戴耀君,王旖旎,丁梦雅.体针与耳穴压豆联合西药治疗室性心律失常临床研究[J].新中医,2020,52(22):166-168

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  • 在线发布日期: 2020-11-27
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