隔姜灸及电针灵台、神道穴对冠心病心电图下壁及前侧壁ST-T影响的即时效应观察.pdfVIP

提 要 目的：本课题通过隔姜灸和电针灵台、神道穴对冠心病心绞痛患者心电图下壁和 前侧壁 ST-T 影响的即时效应差异，探讨两种方法对改善冠心病心绞痛患者心肌缺血 的影响，为临床合理选择冠心病心绞痛的治疗方法提供客观依据。 方法：根据治疗前常规心电图ST-T变化，将60例冠心病心绞痛患者随机分为隔 姜灸灵台、神道组和电针灵台、神道组，每组 30 例，分别观察两组治疗前和治疗后 10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T波，两组治疗前后均有非常显著性差异（P0.01）， 组间差值比较有显著性差异（P0.05），电针组效果优于隔姜灸组。II、III、avF 导 联ST段，两组治疗前后均有非常显著性差异（P0.01）；组间差值比较无显著性差异 （P0.05）。V4、V5、V6 导联 T 波，两组治疗前后均有非常显著性差异（P0.01）， 组间差值比较无显著性差异（P0.05），但是电针组效果有优于隔姜灸组的趋势。V4、 V5、V6 导联 ST 段，两组治疗前后均有非常显著性差异（P0.01）；组间差值比较无 显著性差异（P0.05），但是电针组效果有优于隔姜灸组的趋势。 结论：隔姜灸和电针灵台、神道均能改善冠心病心绞痛患者下壁及前侧壁心肌缺 血状况，且在改善心肌下壁T波缺血程度上电针组优于隔姜灸组，在改善心肌前侧壁 缺血程度上电针组有优于隔姜灸组的趋势。 关键词 穴，灵台；穴，神道；隔姜灸；电针；冠心病；心电图 Observation of the Immediate Effect to the ST-T Segment on EKG by Ginger-separated moxibustion and Electroacupunture Lingtai and Shendao Points in Inferior and Lateral Heart Wall of Coronary Heart Disease Specialty：Acupuncture and Moxibustion Author ：Geng Wensheng Tutor：Wang Rui Abstract Objective: This study was 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 acupuncture or moxibustion. Methods: According to the changes of EKG before treatment, 60 patients with coronary heart disease were divided into Ginger-separated moxibustionLingtai and Shendao Points group and ElectroacupuntureLingtaiandShendaoPoints group, 30 cases in each group. The changes of the immediate effect of the ST-T segment of EKG of each group were observed before and after the treatment in both groups. Results: The T waves of Ⅱ, Ⅲand avF l