摘要
目的探讨温阳泻肺利水法联合穴位贴敷治疗心衰并胸腔积液的临床疗效。方法将2019年1月至2020年1月前来我院就诊心衰并胸腔积液的60例患者作为研究对象,用随机数据表法分为两组。对照组30例予以常规西药治疗,观察组30例在此基础上予以温阳泻肺利水法合穴位敷贴。比较两组患者的临床疗效,心率(HR)、脉搏血氧饱和度(SpO_(2))、血浆脑利钠肽(BNP)、6min步行试验及心脏左室射血分数(EF)。结果治疗后两组患者HR、BNP值下降,SpO_(2)升高,观察组各项指标优于对照组,差异有统计学意义(P<0.05);治疗后两组6min步行试验及EF水平均有改善,观察组上述指标优于对照组,差异有统计学意义(P<0.05);观察组总有效率为86.7%,对照组为73.3%,差异有统计学意义(P<0.05)。结论温阳泻肺利水法联合穴位贴敷治疗心衰并胸腔积液的临床疗效理想,有利于抑制心衰,减少胸腔积液,具有临床推广价值。
Objective To explore the clinical effect of warming Yang,reducing lung and nourishing water combined with acupoint application in the treatment of heart failure and pleural effusion.Methods 60 patients with heart failure and pleural effusion who came to our hospital from January 2019 to January 2020 were selected as the research subjects,and divided into two groups by random data table method.The control group(n=30)was treated with conventional western medicine,and the observation group(n=30)was treated with the method of warming Yang and reducing lung and nourishing water combined with acupoint application.The clinical efficacy,heart rate(HR),pulse oxygen saturation(SpO_(2)),plasma brain natriuretic peptide(BNP),6min walk test and left ventricular ejection fraction(EF)of 2 groups were compared.Results After treatment,HR and BNP values decreased and SpO_(2) increased in 2 groups.The indexes of observation group were better than control group,with statistical significance(P<0.05).After treatment,the 6min walk test and EF levels in both groups were improved,and the above indexes in the observation group were better than those in the control group,with statistical significance(P<0.05).The total effective rate of the observation group was 86.7%,and that of the control group was 73.3%,the difference was statistically significant(P<0.05).Conclusion The treatment of heart failure and pleural effusion by warming Yang and reducing lung and nourishing water combined with acupoint application has an ideal clinical effect,which is beneficial to inhibit heart failure and reduce pleural effusion,and has clinical promotion value.
作者
邓子卡
李媚
易静冰
DENG Zika;LI Mei;YI Jingbing(Pingxiang Traditional Chinese Medicine Hospital of Jiangxi Province,Pingxiang 337000,China;Pingxiang Dermatology Hospital of Jiangxi Province,Pingxiang 337000,China)
出处
《江西医药》
CAS
2021年第8期1119-1121,共3页
Jiangxi Medical Journal
基金
江西省中医药科研课题计划项目,编号2019A472。
关键词
温阳泻肺利水法
穴位贴敷
心衰
胸腔积液
Warming Yang,reducing lung and nourishing water method
Acupoint application
Heart failure
Pleural effusion
