心相关经脾之原穴和非相关经肝之原穴对缺血性心脏病患者心电图即刻效应的影响.pdfVIP

提 要 目的：通过针刺心的相关经脉脾之原穴太白和心的非相关经脉肝之原穴太冲对缺 血性心脏病患者心电图即刻效应的观察，比较脏腑相关经脉与非相关经脉对脏腑疾病 的影响，以了解经脉与脏腑相关特异性，并为临床用穴提供依据。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，太白组、太 冲组与配伍组。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 2 例，实际观察 28 例。记录电针前和针刺结束后 5min、15min、 30min、60min 的 12 导联心电图。比较组内和组间各时间段的 ST 段、T 波的变化情 况，对结果进行统计分析。结果：电针太白和太冲均对缺血性心脏病患者有改善作用。 二者在改善 ST 段方面无显著差异（P ＞0.05 ），但在改善 T 波方面，太白组在 15min、 30min 效果明显优于太冲组（P ＜0.05 ）。太白组与配伍组比较无显著差异（P ＞0.05 ）。 两穴共用没有显示出明显的协同或拮抗作用。结论：太白组的效果优于太冲组，说明 脏腑的相关经脉对脏腑具有相对特异的调节作用。 关键词 相关经脉与非相关经脉；太白组；太冲组；太白加太冲组；心电图； 电针 The Effect of Immediately EKG of the CHD Patients by Acupuncturing Taibai Belonging to Spleen Meridian in Correlationship with Heart and Taichong Belonging to Liver Meridianin in non-Correlationship with Heart Speciality: Acup-mox ＆ massage Author: Li Chunling Tutor: Hou Shuwei Abstract Objective：Through comparision observing the effect of immediately EKG of the CHD patients by acupuncturing Taibai belonging to spleen meridian in correlationship with heart and Taichong belonging to liver meridian in non-correlationship with heart,in order to understand the correlated speciality between meridians and zangfu and providing evidence for choosing acupoint in clinic,we compare the difference between the correlated and non- correlated meridian with zangfu in affecting zangfu diseases.At the same time we also observe whether they both have corperative or in-corperative effect. Methods: Choosing self-comparision method in order to reduce error,30 cases clinical diagnosed as CHD were observed, among whom 2 cases had lost, so in fact 28 cases were observed The alteration of ST part and t wave between before electro-acupuncture and withdrawal of needle at