电针灵台、神道穴对冠心病心电图下壁和前侧壁ST-T影响的即时效应观察.pdfVIP

提 要 目的：本课题从经穴与脏腑相关角度，通过电针灵台、神道穴，观察对冠心病心 电图下壁和前侧壁心电图ST-T影响的即时效应差异，为临床优选腧穴提供客观依据。 方法：根据针刺治疗前常规心电图ST-T变化，将60例冠心病心绞痛患者分为Ⅱ、 Ⅲ、avF导联组和V 、V 、V 导联组，每组各30例，分别观察两组针刺前和针刺后10 4 5 6 分钟心电图Ⅱ、Ⅲ、avF导联和V 、V 、V 导联ST-T的即时效应变化。 4 5 6 结果：Ⅱ、Ⅲ、avF 导联组和V、V 、V 导联组ST段，两组针刺前后比较均有显 4 5 6 著性差异（P0.05）；治疗后组间比较无显著性差异（P0.05），两组效果相当。Ⅱ、 Ⅲ、avF导联组和V 、V 、V 导联组T波，两组治疗前后比较均有显著性差异 （P0.05）； 4 5 6 治疗后组间比较具有非常显著性差异（P0.01），V 、V 、V 导联组效果优于Ⅱ、Ⅲ、 4 5 6 avF导联组。 结论：电针灵台、神道穴对冠心病心绞痛下壁和前侧壁心肌缺血状况均有改善作 用，对前侧壁心肌缺血的改善效果优于下壁心肌缺血。 关键词 穴，灵台；穴，神道；电针；冠心病；心电图 Observation of the Immediate Effect to the ST-T Segment on EKG by Electroacupuncturing “lingtai” and “shendao” points in Inferior and Lateral Heart Wall of Coronary Heart Disease Speciality：Acupuncture and Moxibustion Author ：Yang Guannan Tutor：Wang Rui Abstract Objective: This study, based on theory of acupoint and viscera correlation, is to observe the immediate effect of the ST-T segment on EKG in the inferior and lateral heart wall of the coronary heart disease and to provide objective evidence for optimization of clinical acupoints selection. Method: According to the changes of EKG before treatment,60 coronary heart disease patients were divided into Ⅱ、Ⅲ、avF leads group and V 、V 、V leads group,30 cases in each group. The changes of the immediate effect of the 4 5 6 ST-T segment of EKG of each group, were observed before and 10mins after the treatment in both groups. Results: The ST segments of Ⅱ、Ⅲ、avF leads group and V 、V 、V leads