广州医科大学学报
廣州醫科大學學報
엄주의과대학학보
Academic Journal of Guangzhou Medical College
2015年
3期
107-109
,共3页
不稳定性心绞痛%针灸急救心肺脑复苏治疗仪%疗效%安全性
不穩定性心絞痛%針灸急救心肺腦複囌治療儀%療效%安全性
불은정성심교통%침구급구심폐뇌복소치료의%료효%안전성
unstable angina pectoris%first-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument%efficacy%safety
目的：观察针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛的疗效和安全性。方法：将135例不稳定型心绞痛患者随机分为观察组（65例）与对照组（70例），对照组常规给予抗血小板药物、抗凝药物、硝酸甘油等治疗；治疗组在对照组治疗基础上加用针灸急救心肺脑复苏治疗仪治疗，心绞痛发作时不使用硝酸甘油。观察两组疗效差异，统计治疗前后24 h 心绞痛缓解时间、消失时间、心绞痛症状总有效率，计算24 h 内心肌缺血总负荷。结果：观察组治疗前后24 h 心绞痛缓解时间、消失时间、心绞痛症状总有效率、24 h 内心肌缺血总负荷、治疗有效率等均优于对照组（P﹤0.05），治疗过程中无严重不良反应事件发生。结论：针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛安全、有效、不良反应小，值得在基层医院推广应用。
目的：觀察針灸急救心肺腦複囌治療儀治療不穩定型心絞痛的療效和安全性。方法：將135例不穩定型心絞痛患者隨機分為觀察組（65例）與對照組（70例），對照組常規給予抗血小闆藥物、抗凝藥物、硝痠甘油等治療；治療組在對照組治療基礎上加用針灸急救心肺腦複囌治療儀治療，心絞痛髮作時不使用硝痠甘油。觀察兩組療效差異，統計治療前後24 h 心絞痛緩解時間、消失時間、心絞痛癥狀總有效率，計算24 h 內心肌缺血總負荷。結果：觀察組治療前後24 h 心絞痛緩解時間、消失時間、心絞痛癥狀總有效率、24 h 內心肌缺血總負荷、治療有效率等均優于對照組（P﹤0.05），治療過程中無嚴重不良反應事件髮生。結論：針灸急救心肺腦複囌治療儀治療不穩定型心絞痛安全、有效、不良反應小，值得在基層醫院推廣應用。
목적：관찰침구급구심폐뇌복소치료의치료불은정형심교통적료효화안전성。방법：장135례불은정형심교통환자수궤분위관찰조（65례）여대조조（70례），대조조상규급여항혈소판약물、항응약물、초산감유등치료；치료조재대조조치료기출상가용침구급구심폐뇌복소치료의치료，심교통발작시불사용초산감유。관찰량조료효차이，통계치료전후24 h 심교통완해시간、소실시간、심교통증상총유효솔，계산24 h 내심기결혈총부하。결과：관찰조치료전후24 h 심교통완해시간、소실시간、심교통증상총유효솔、24 h 내심기결혈총부하、치료유효솔등균우우대조조（P﹤0.05），치료과정중무엄중불량반응사건발생。결론：침구급구심폐뇌복소치료의치료불은정형심교통안전、유효、불량반응소，치득재기층의원추엄응용。
Objective:To investigate the efficacy and safety of first-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument for treatment of unstable angina pectoris.Methods:A total of 135 patients with unstable angina pectoris were randomly divided into the study group(n= 65)and the control group(n = 70). The control group received conventional treatment with antiplatelet drug,anticoagulant drug,and nitroglycerin. The study group received the treatment with first-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument on the basis of conventional treatment,without using nitroglycerin during the onset of angina pectoris. The different efficacy between the two groups was observed. The remission time,disappearing time,and total effective rate of angina pectoris before and after 24 h of the treatment were statistically analyzed,and the total load of 24h myocardial ischemia was calculated.Results:The remission time and disappearing time of angina pectoris before and after 24h of the treatment,the total load of 24h myocardial ischemia,and the effective rate of the treatment in the study group were all better than those in the control group( P ﹤ 0. 05). There was no occurrence of severe adverse reaction event during the treatment. Conclusion:First-aid acupuncture and moxibustion cardiopulmonary-cerebral resuscitation therapeutic instrument for treatment of unstable angina pectoris is safe and effective with less adverse reaction,which justifies widespread use in primary hospitals.
