[1]翟夏 年婧 张红鸽 康启.神阙穴贴敷配合温和灸对慢性心力衰竭致胃肠功能紊乱临床研究[J].陕西中医药大学学报,2022,(02):088-92.[doi:10.13424/j.cnki.jsctcm.2022.02.020]
　ZHAI Xia NIAN Jing ZHANG Hongge KANG Qi.Effects of Shenque Point Application Combined with Mild Moxibustion on Patients with Gastrointestinal Dysfunction Caused by Chronic Heart Failure[J].Journal of Shaanxi University of Traditional Chinese Medicine,2022,(02):088-92.[doi:10.13424/j.cnki.jsctcm.2022.02.020]
点击复制

神阙穴贴敷配合温和灸对慢性心力衰竭致胃肠功能紊乱临床研究()
分享到：

《陕西中医药大学学报》[ISSN:2096-1340/CN:61-1501/R]

卷:
期数:
2022年02期
页码:
088-92
栏目:
出版日期:
2022-04-16

文章信息/Info

Title:
Effects of Shenque Point Application Combined with Mild Moxibustion on Patients with Gastrointestinal Dysfunction Caused by Chronic Heart Failure
文章编号:
2096-1340(2022)02-0088-05
作者:
翟夏 年婧 张红鸽 康启
陕西中医药大学第二附属医院，陕西 咸阳 712000
Author(s):
ZHAI Xia NIAN Jing ZHANG Hongge KANG Qi
Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Shaanxi Xianyang 712000,China
关键词:
关键词：慢性心力衰竭; 胃肠功能紊乱; 神阙穴贴敷; 温和灸; 临床症状积分; 生活质量
Keywords:
Key words： Chronic heart failure; Gastrointestinal dysfunction; Shenque acupoint application; Mild moxibustion; Clinical symptom score; Quality of life
分类号:
R541.6
DOI:
10.13424/j.cnki.jsctcm.2022.02.020
文献标志码:
A
摘要:
摘 要：目的 观察神阙穴贴敷配合温和灸在慢性心力衰竭导致胃肠功能紊乱患者中的应用效果。方法 回顾性分析我院收治的76例慢性心力衰竭导致胃肠功能紊乱患者的临床资料，将其分为对照组、治疗组，对照组予以常规药物治疗，治疗组在对照组治疗基础上给予神阙穴贴敷配合温和灸治疗。结果 治疗组的临床总效率为97.37%，相较于对照组临床总效率（81.58%）高，统计学差异存在意义（P<0.05）；治疗组患者的腹胀、欲呕、嗳气、纳呆，相较于对照组患者的症状积分均较低，统计学差异存在意义（P<0.05）；治疗组的生理功能、活力、情感以及精神健康与社会功能等生活质量评分相较于对照组的生活质量评分均较高，统计学差异存在意义（P<0.05）；治疗组的LVEF指标高于对照组，LVESD、LVEDD指标低于对照组，统计学差异存在意义（P<0.05）。结论 对慢性心力衰竭导致胃肠功能紊乱患者应用神阙穴贴敷配合温和灸治疗，可快速、有效改善其症状，提高临床效率以及生活质量水平，改善其心功能指标，值得被推广。
Abstract:
Abstract： Objective To observe the effect of Shenque point application combined with mild moxibustion in patients with gastrointestinal dysfunction caused by chronic heart failure.Methods The clinical data of 76 patients with gastrointestinal dysfunction caused by chronic heart failure in our hospital were analyzed retrospectively.They were divided into control group and treatment group.The control group was treated with conventional drugs,and the treatment group was treated with Shenque point application combined with mild moxibustion on the basis of control group treatment .Results The total clinical efficiency of the treatment group was 97.37%,which was significantly higher than that of the control group (81-58%) (P<0.05);The symptom scores of abdominal distension,vomiting,belching and stupidity in the treatment group were lower than those in the control group (P<0.05);The scores of physiological function,vitality,emotion,mental health and social function in the treatment group were higher than those in the control group (P<0.05);The LVEF index of the treatment group was higher than that of the control group,and the LVESD and LVEDD indexes of the treatment group were lower than that of the control group (P<0.05).Conclusion The application of Shenque point sticking combined with mild moxibustion in patients with gastrointestinal dysfunction caused by chronic heart failure can quickly and effectively improve their symptoms,improve clinical efficiency and quality of life,and improve their cardiac function indexes,which is worthy to be popularized.

参考文献/References:

［1］危北海,陈治水,张万岱.胃肠疾病中医证候评分表［J］.世界华人消化杂志,2004,12(11):2701-2703.
［2］胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要［J］.中国循环杂志,2019,34(3):209-220.
［3］徐学功,张军鹏,罗良涛,等.中西医结合治疗对慢性心力衰竭患者生活质量的影响［J］.中华中医药杂志,2014,29(8):2697-2701.
［4］Ponikowski P,Voors AA,Anker SD,et al.2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure［J］.Revista Espanola De Cardiologia(English Ed),2016,69(12):1167.
［5］李杰,黄桂宝,张小燕,等.复方丁香开胃贴贴敷神阙穴治疗慢性心功能不全合并腹胀患者的疗效观察［J］.现代临床护理,2010,9(5):15-16.
［6］Rauchhaus M,Coats AJ,Anker SD.The endotoxin-lipoprotein hypothesis［J］.The Lancet,2000,356(9233):930-933.
［7］安云,陈伟刚.加味黄芪建中汤治疗脾阳虚型胃肠功能紊乱临床研究［J］.新中医,2020,52(4):18-20.
［8］Nagatomo Y,Tang WH.Intersections between microbiome and heart failure:revisiting the gut hypothesis［J］.Journal of Cardiac Failure,2015,21(12):973-980.
［9］梁兜选.神阙穴贴敷配合温和灸在慢性心力衰竭导致胃肠功能紊乱患者中的应用效果［J］.按摩与康复医学,2018,9(9):24-26.
［10］Sundaram V,Fang JC.Gastrointestinal and liver issues in heart failure［J］.Circulation,2016,133(17):1696-1703.
［11］Gelman S.Venous function and central venous pressure:a physiologic story［J］.Anesthesiology,2008,108(4):735-748.
［12］宋瑞平,舒劲,刘清君.功能性消化不良中西医研究进展［J］.辽宁中医药大学学报,2016,18(1):211-215.
［13］危北海,陈治水,张万岱.胃肠疾病中医证候评分表［J］.世界华人消化杂志,2004,12(11):2701-2703.
［14］王茎,曾永蕾,武凤琴,等.艾灸“肺俞”“心俞”对慢性心力衰竭大鼠心肌组织髓样分化因子、半胱氨酸天冬氨基酸特异性蛋白酶-3表达水平的影响［J］.针刺研究,2016,41(5):429-434.
［15］李树荣,范有龙,丁丽红,等.吴茱萸热罨包治疗虚寒型心衰并发胃肠功能紊乱的疗效观察［J］.内蒙古中医药,2020,39(11):68-69.
［16］熊黎,廖晓瑜,陈笑银,等.针灸治疗慢性心力衰竭病人便秘的疗效观察［J］.全科护理,2016,14(12):1228-1229.
［17］徐振海,陈学玲,刁凌云,等.集束化心理干预联合穴位贴敷神阙穴治疗脾胃气虚型慢性非萎缩性胃炎的临床效果［J］.实用临床护理学电子杂志,2018,3(52):118,121.
［18］王贵会,蔡新伦,朱燕,等.普通针刺治疗慢性心衰胃肠功能紊乱患者的临床观察［J］.养生保健指南,2019,18(18):383.
［19］Tang WHW,Li DY,Hazen SL.Dietary metabolism,the gut microbiome,and heart failure［J］.Nature Reviews Cardiology,2019,16(3):137-154.
［20］刘小胜.温灸神阙穴促进腹部手术后胃肠功能恢复临床疗效观察［J］.实用中西医结合临床,2015,15(12):60-61.

备注/Memo

备注/Memo:
基金项目：陕西省中医药管理局科研项目（LCMS016）
更新日期/Last Update: 2022-04-06