广州中医药大学学报2026，Vol.43Issue(1)：96-102,7.DOI:10.13359/j.cnki.gzxbtcm.2026.01.014
心三针联合太极球对冠心病经皮冠状动脉介入术后早期康复的疗效观察
Clinical Observation on Xin Sanzhen Combined with Taiji Ball Exercise for Early Rehabilitation After Percutaneous Coronary Intervention in Coronary Heart Disease
摘要
Abstract
Objective To evaluate the efficacy and safety of Xin Sanzhen(a set of three acupoints used for heart and spirit regulation)acupuncture therapy combined with Taiji ball exercise for early rehabilitation in patients with coronary heart disease(CHD)after percutaneous coronary intervention(PCI).Methods Eighty patients who underwent PCI at the Department of Cardiovascular Diseases,Shenzhen Hospital of Integrated Traditional Chinese and Western Medicine between May 2023 and December 2024 were enrolled.They were randomly assigned via a random number table to either the observation group or the control group,with 40 patients in each group.Both groups received conventional post-PCI treatment.The control group received additional Taiji ball rehabilitation training on top of conventional treatment.The observation group received Xin Sanzhen acupuncture therapy in addition to the control group's regimen.The intervention lasted for 28 consecutive days,with an outpatient follow-up at 56 days post-treatment.Changes in traditional Chinese medicine(TCM)syndrome scores and Seattle Angina Questionnaire(SAQ)scores were observed before and after treatment and at follow-up.Levels of N-terminal pro-B-type natriuretic peptide(NT-proBNP),low-density lipoprotein(LDL),and C-reactive protein(CRP)were measured.The 6-minute walking distance(6MWD)was compared between the two groups after treatment and at follow-up.Safety and the incidence of adverse reactions were evaluated in both groups.Results(1)After treatment and at follow-up,TCM syndrome scores were significantly improved in both groups(P＜0.05),and the observation group showed significantly greater improvement than the control group,with a statistically significant difference(P＜0.05).(2)After treatment and at follow-up,levels of NT-proBNP,LDL,and CRP were significantly improved in both groups(P＜0.05),and the observation group demonstrated significantly greater improvement than the control group,with a statistically significant difference(P＜0.05).(3)After treatment,no statistically significant difference was found in the 6MWD between the two groups(P＞0.05).At follow-up,the 6MWD was significantly improved in both groups(P＜0.05),and the observation group showed significantly greater improvement than the control group,with a statistically significant difference(P＜0.05).(4)After treatment and at follow-up,all SAQ domain scores except for the AS score were significantly improved in both groups(P＜0.05),and the observation group demonstrated significantly greater improvement in all these domains except for the AS score compared to the control group,with statistically significant differences(P＜0.05).(5)During the treatment period,no significant adverse reactions were observed in either group.The difference in the incidence of adverse reactions between the observation group and the control group was not statistically significant(P＞0.05).Conclusion Xin Sanzhen acupuncture therapy combined with Taiji ball exercise significantly improves early rehabilitation outcomes in CHD patients after PCI.This combined approach aids in cardiac rehabilitation,enhances postoperative quality of life,reduces angina attacks,and consequently improves cardiac function and clinical symptoms.关键词
心三针/太极球/冠心病/经皮冠状动脉介入术/6min步行距离/西雅图心绞痛评分/临床观察Key words
Xin Sanzhen/Taiji ball/coronary heart disease/percutaneous coronary intervention/6-minute walking distance/Seattle Angina Questionnaire/clinical observation分类
医药卫生引用本文复制引用
朱熹,黄小靖,陈兴华,程宝荣,邓梦婷,丁志强,方红城,董丽妍..心三针联合太极球对冠心病经皮冠状动脉介入术后早期康复的疗效观察[J].广州中医药大学学报,2026,43(1):96-102,7.基金项目
国家级中西医协同旗舰科室建设资助项目(编号:10000015Z155080000004) （编号:10000015Z155080000004）
广东省中医药管理局资助项目(编号:20241273) （编号:20241273）
深圳市宝安区科技创新局资助项目(编号:2022JD271) （编号:2022JD271）
深圳市宝安区中医药基金会资助项目(编号:2022KJCX-ZJZL-2) （编号:2022KJCX-ZJZL-2）
深圳市"医疗卫生三名工程"资助项目(编号:SZZYSM202106006) （编号:SZZYSM202106006）
