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| 耳穴貼壓聯合懸灸法對心力衰竭氣虛血瘀證患者生活質量的影響 |
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劉穎1, 谷曉玲1, 李苗1, 王維維1, 郭亞雯1, 侯雅竹1, 葛昭1,2, 王賢良1
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1.天津中醫藥大學第一附屬醫院, 國家中醫針灸臨床醫學研究中心, 天津 300381;2.天津中醫藥大學研究生院, 天津 301617
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| 摘要: |
| [目的] 評價耳穴貼壓聯合懸灸法對心力衰竭氣虛血瘀證患者生活質量的影響。[方法] 采用隨機對照研究設計，將80例心力衰竭氣虛血瘀證患者隨機分為治療組和對照組各40例，兩組均根據相關規范給予心力衰竭常規護理，治療組在心力衰竭常規護理的基礎上使用耳穴貼壓聯合懸灸法，兩組療程均為10 d，評價時點為治療前及治療后10 d，以Memorial心力衰竭癥狀評估量表（MSAS-HF）評分（心力衰竭相關癥狀總分及各維度評分）、中醫證候積分、明尼蘇達心力衰竭生存質量量表（MLHFQ）評分為臨床療效評價指標。[結果] 治療后兩組患者MSAS-HF評分、中醫證候積分及MLHFQ評分均較治療前降低，治療組優于對照組，差異具有統計學意義（P＜0.05）。[結論] 在常規護理的基礎上，加用耳穴貼壓聯合懸灸法治療心力衰竭氣虛血瘀證患者可進一步減輕患者臨床癥狀，提高生活質量。 |
| 關鍵詞: 心力衰竭 耳穴貼壓 懸灸法 臨床癥狀 生活質量 隨機對照試驗 |
| DOI：10.11656/j.issn.1672-1519.2023.05.16 |
| 分類號:R259 |
| 基金項目:教育部“創新團隊發展計劃”（IRT_16R54）；國家中醫藥管理局中醫藥創新團隊及人才支持計劃項目（ZYYCXTD-C-202203）。 |
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| Impacts of ear acupressure combined with suspension moxibustion on life quality in patients with qi deficiency and blood stasis syndrome in chronic heart failure |
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LIU Ying1, GU Xiaoling1, LI Miao1, WANG Weiwei1, GUO Yawen1, HOU Yazhu1, GE Zhao1,2, WANG Xianliang1
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1.First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300381, China;2.Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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| Abstract: |
| [Objective] To observe the efficacy of auricular acupressure combined with suspension moxibustion on the quality of life of patients with chronic heart failure with qi deficiency and blood stasis evidence.[Methods] A randomized controlled trial was used to randomly divide 80 patients with qi deficiency and blood stasis in chronic heart failure into 40 patients in the treatment group and 40 patients in the control group, both groups were given routine care for heart failure according to the relevant norms. The clinical efficacy was evaluated by the Memorial Heart Failure Symptom Assessment Scale(MSAS-HF) score (total score of heart failure-related symptoms and scores of each dimension), the Chinese medicine evidence score, and the Minnesota Heart Failure Survival Quality Scale (MLHFQ) score.[Results] After treatment, MSAS-HF score, TCM symptom score and MLHFQ score were lower in both groups than before treatment, and the treatment group was better than the control group(P < 0.05).[Conclusion] On the basis of conventional care, the addition of auricular acupressure combined with suspension moxibustion for the treatment of patients with qi deficiency and blood stasis evidence of heart failure can further reduce the clinical symptoms and improve the quality of life. |
| Key words: heart failure auricular acupressure suspension moxibustion clinical symptom quality of life randomized controlled trial |
