针刺活血调心方治疗心血瘀阻型心脏过早搏动的初步临床视察.pdfVIP

提 要 目的：通过针刺活血调心方治疗心血瘀阻型心脏过早搏动，并与电针双内关穴对 照，比较两种治疗方法疗效的差异,为临床针刺治疗心血瘀阻型心脏过早搏动提供客 观依据。 方法：将 51 例患者随机分为观察组 25 例和对照组 26 例，观察组采用活血调心 方，穴取灵台、神道、百会、内关（双）、膈俞（双）、三阴交（双），并施以特定手 法，对照组电针双内关穴。两组均每日治疗 1 次，刺血隔日一次，针刺治疗 12 次为 1个疗程，于治疗前和1疗程后观察动态心电图早搏的变化。 结果：观察组、对照组治疗前后病情分级均有显著性差异（P0.05），观察组和 对照组的总有效率分别为68.00%和38.46%，两组比较有显著性差异（P0.05），观察 组疗效优于对照组。 结论：针刺活血调心方和电针双内关穴治疗心血瘀阻型心脏过早搏动临床均有 效，但针刺活血调心方治疗心脉瘀阻型心脏过早搏动临床效果更明显。 关键词 穴，灵台；穴，神道；穴，百会；穴，膈俞；穴，三阴交；穴，内关； 电针；过早搏动；心血瘀阻；动态心电图 Clinical Study of the effect of acupuncturing the method of invigorating the circulation of blood and tonifying the heart on premature beat of the heart in syndrome of stagnation of the heart blood Speciality: Acupuncture and moxibustion Author:Liu juntian Tutor: Prof.Wang Rui Abstract Objective: This study is to observe the clinical effect of acupuncturing the method of invigorating the circulation of blood and tonifying the heart on premature heart beat, which in the syndrome of stagnation of the heart blood, compared with acupuncturing only “Neiguan”(PC6) point, to find which therapeutic action is better by acupuncture. Methods: 51 patients were randomly divided into the treatment group and the control group with 25 and 26 cases respectively, the treatment group selected “Lingtai” (DU10), “Shendao” (DU11), “Baihui”(DU20), “Geshu”(BL17), “Neiguan”(PC6), “Sanyinjiao”(SP6) and perform with specific manipulation. The control group acupuncture bilateral “Neiguan”(PC6) point with electric stimulation. Each group has a treatment course of 12 days. After a course of treatment, a Holter examination will be given for the continuous and dynamic observations of tw