隔姜灸和电针灵台、神道穴对冠心病心电图下壁及前侧壁st-t影响的即时效应观察

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1、提要目的：本课题通过隔姜灸和电针灵台、神道穴对冠心病心绞痛患者心电图下壁和前侧壁ST-T影响的即时效应差异，探讨两种方法对改善冠心病心绞痛患者心肌缺血的影响，为临床合理选择冠心病心绞痛的治疗方法提供客观依据。方法：根据治疗前常规心电图ST-T变化，将60例冠心病心绞痛患者随机分为隔姜灸灵台、神道组和电针灵台、神道组，每组30例，分别观察两组治疗前和治疗后10分钟心电图Ⅱ、Ⅲ、avF导联和V4、V5、V6导联ST-T的即时效应变化。结果：II、III、avF导联T波，两组治疗前后均有非常显著性差异（P<0.01），组间差值比较有显著性差异（P<

2、0.05），电针组效果优于隔姜灸组。II、III、avF导联ST段，两组治疗前后均有非常显著性差异（P<0.01）；组间差值比较无显著性差异（P>0.05）。V4、V5、V6导联T波，两组治疗前后均有非常显著性差异（P<0.01），组间差值比较无显著性差异（P>0.05），但是电针组效果有优于隔姜灸组的趋势。V4、V5、V6导联ST段，两组治疗前后均有非常显著性差异（P<0.01）；组间差值比较无显著性差异（P>0.05），但是电针组效果有优于隔姜灸组的趋势。结论：隔姜灸和电针灵台、神道均能改善冠心病心绞痛患者下壁及前侧壁心肌缺血状况，且在改

3、善心肌下壁T波缺血程度上电针组优于隔姜灸组，在改善心肌前侧壁缺血程度上电针组有优于隔姜灸组的趋势。关键词穴，灵台；穴，神道；隔姜灸；电针；冠心病；心电图ObservationoftheImmediateEffecttotheST-TSegmentonEKGbyGinger-separatedmoxibustionandElectroacupunture"Lingtai"and"Shendao"PointsinInferiorandLateralHeartWallofCoronaryHeartDiseaseSpecialty：Acupunctu

4、reandMoxibustionAuthor：GengWenshengTutor：WangRuiAbstractObjective:ThisstudywastoobservetheimmediateeffectoftheST-TsegmentonEKGintheinferiorandlateralheartwallofthecoronaryheartdiseaseandtoprovideobjectiveevidenceforoptimizationofclinicalacupunctureormoxibustion.Methods:Acco

5、rdingtothechangesofEKGbeforetreatment,60patientswithcoronaryheartdiseaseweredividedintoGinger-separatedmoxibustion"Lingtai"and"Shendao"PointsgroupandElectroacupunture"Lingtai"and"Shendao"Pointsgroup,30casesineachgroup.ThechangesoftheimmediateeffectoftheST-TsegmentofEKGofeac

6、hgroupwereobservedbeforeandafterthetreatmentinbothgroups.Results:TheTwavesofⅡ,ⅢandavFleadsgroupandV4,V5andV6leadsgrouphadsignificantdifferencesbeforeandaftertreatment(P<0.01).TherewassignificantdifferencesaftertreatmentbetweenTwavesbetweenthetwogroups(P<0.05),Electroacupunt

7、ure"Lingtai"and"Shendao"PointsgroupwastobemoreeffectivethantheothergroupintheⅡ,Ⅲ,avFleadsgroupofTwaves.Electroacupunture"Lingtai"and"Shendao"PointsgrouptrendtobemoreeffectivethantheothergroupintheV4,V5,V6leadsgroupofTwaves.TheSTsegmentsineachgrouphadsignificantdifferencesbe

8、foreandaftertreatment(P<0.01).Thereexistednosignificantdifferencesaftertreatmentbe