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探讨护心灸对阳虚型慢性心衰伴便秘患者的临床效果OA

Clinical Effect of Heart-Protecting Moxibustion on Chronic Heart Failure with Constipation of Yang Deficiency Type

中文摘要英文摘要

目的:研究护心灸在阳虚型慢性心力衰竭伴便秘患者治疗中的临床疗效,为慢性心力衰竭伴便秘中医阳虚证型患者提供更有效的治疗选择.方法:选取广东省第二中医院2022年7月~2023年7月收治的66例阳虚型慢性心力衰竭伴有便秘症状的患者作为研究对象,根据不同治疗方式分为对照组和观察组两组各33例.对照组根据治疗指南给予常规治疗,观察组则予以常规治疗+护心灸.两组患者的治疗时间均为14天,疗程结束后比较两组患者治疗前后的心功能疗效、便秘症状积分、中医证候积分、生活质量评分和临床疗效.结果:治疗后,观察组心功能变化、便秘症状积分、中医证候积分改善程度、生活质量评分和临床治疗总有效率均优于对照组,差异均有统计学意义(P<0.05).结论:护心灸具有明显改善阳虚型慢性心力衰竭患者便秘症状的临床疗效,且具有操作简便、安全性高、价格低廉等优点,有广泛的应用前景,值得被推广应用.

Objective:To study the clinical efficacy of heart-protecting moxibustion in the treatment of chronic heart failure with constipation due to yang deficiency,and to provide more effective treatment options for patients with chronic heart failure with constipation due to yang deficiency in tra-ditional Chinese medicine.Methods:66 cases of chronic heart failure with constipation due to yang deficiency were selected from the Second Hospi-tal of Traditional Chinese Medicine of Guangdong Province from July 2022 to July 2023,and were divided into control group and observation group according to different treatment methods,with 33 cases in each group.The control group was given routine treatment according to the treatment guidelines,while the observation group was given routine treatment plus heart-protecting moxibustion.The treatment time of both groups was 14 days.After the course of treatment,the heart function,constipation symptom score,TCM syndrome score,quality of life score and clinical efficacy of the two groups were compared before and after treatment.Results:After treatment,the changes of heart function,constipation symptom score,im-provement degree of TCM syndrome score,quality of life score and total effective rate of clinical treatment in the observation group were better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Heart-protecting moxibus-tion can obviously improve the clinical effect of constipation symptoms in patients with chronic heart failure with yang deficiency,and has the advan-tages of simple operation,high safety and low price,which has a wide application prospect and is worth popularizing.

刘培洪;倪伟智;刘斯唅;肖桂芳;袁丁

广东省第二中医院(广东省中医药工程技术研究院),广东广州 510095

中医学

慢性心力衰竭便秘阳虚护心灸艾灸

chronic heart failureconstipationYang deficiencyheart-protecting moxibustionmoxibustion

《中医康复》 2024 (008)

60-64 / 5

广东省中医药局科研项目(20222012)

10.19787/j.issn.2097-3128.2024.08.011

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