手少阴心经之本神门及标部心俞对缺血性心脏病患者心电图即刻效应的影响.pdfVIP

提 要 目的：依据标本根结理论针刺手少阴心经本部的相应穴神门和标部的相应穴心 俞，观察二穴对缺血性心脏病的疗效，同时观察二者共用是否存在协同或拮抗作用。 方法：患者采用随机对照试验设计分为三组，神门组、心俞组与配伍组。为减少误差， 采取自身对照的方法，共观察30例临床确诊为缺血性心脏病的患者，脱落1例，实 际观察29例确诊为缺血性心脏病的患者。通过针刺手少阴心经本部的相应穴神门和 标部的相应穴心俞来观察缺血性冠心病患者心电图即刻效应，记录电针前和针刺结束 ST波、T波的变化情况，对结果进行统计分析。结果：电针神门和心俞均对缺血性心 脏病患者有改善作用，二者在改善ST波方面和T波方面无显著差异(PO．05)。配 伍组与神门组和心俞组有显著差异(PO．05)。两穴共用显示出明显的协同作用。结 论：配伍组的效果优于心俞组、神门组，从而为“标本根结理论’’提供了佐证。 关键词心电图；神门组；心俞组；配伍组；电针；标本根结理论 TheEffectof EKGoftheCHDPatients Immediately by ShenmenandXinshu toHeartMeridian Acupuncturing belonging Of ofCadreand Hand-shaoyinTip Speciality：Acup—moxmassage Author：Wu Xing—lan Tutor：HouShu—wei Abstract theeffectof EKGofthe objective：Throughcomparisonobserving immediately CHD ShenmenandXinshu toHeartmeridianof patientsbyacupuncturing belonging ofCadre with and inordertounderstandthecorrelated Hand—shaoyin tip speciality meridiansand evidencefor inclinic．．Atthesametimewe providing choosingacupoint alsoobservewhether bothhave or effect． they corperativein—corperative methodinordertoreduce casesclinical Methods：Choosingself-comparision error,30 asCHDwere whom1caseshad infact29caseswere diagnosed observed，among lost，SO observedThealterationofST andT-wavebetweenbefore and part electro—acupunc