计量分析针刺内关等穴对冠心病心绞痛的作用

应用计量方法分析了针刺内关、神门、少海(双侧)和(或加)耳穴心、神门(双侧)对40例稳定型冠心病心绞痛的作用。结果表明:冠心病心绞痛患者经一次针刺(15例)和一疗程针刺(10例)后疼痛程度、范围均有显著改善(P<0.001),一疗程针刺后疼痛发作频率、持续时间有显著改善;15例针刺穴位后与同组针刺非穴位后比较,运动中心绞痛出现时间晚(P<0.01)、心绞痛消失时间快(P<0.05),针刺非穴位与未施针刺间无显著差异(P<0.05)。

英文摘要:

Acupuncture (Acupoints: Neiguan P6, Shenmen H7, Shaohai H3 or auriculo-points: Heart,Shenmen) was administrated once or 7 times in a week on 40 patients with stable type of anginapectoris. The effect was assessed quantitatively or semi-quantitatively according to the extent, area,frequency, duration of attack, the time of attack during exercise, and the vanishing of suffering afterexercise. Just after one performance of acupuncture, 15 patients’ angina pectoris were significafltlyalleviated (P<0.001) both in degree and area. After 7 times of acupuncture 10 patients’ anginapectoris were not only significantly alleviated both in extent and area, but also in frequency andduration of attack. 15 patients were randomized to an acupuncture, non-acupuncture or acupunctureat non -acupoints (ANA) in a single blind design. The time from the beginning of exercise to theanginal attack in active acupuncture group was longer than that in non-acupuncture or ANA group(P<0.01), but they were similar(P>0.05) in both non-acupuncture group and ANA group. The timefrom the end of exercise to the disappearance of angina pectoris in acupuncture group was shorterthan that in the other two groups (P<0.05).

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