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| 耳穴贴压联合悬灸法对心力衰竭气虚血瘀证患者生活质量的影响 |
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刘颖1, 谷晓玲1, 李苗1, 王维维1, 郭亚雯1, 侯雅竹1, 葛昭1,2, 王贤良1
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1.天津中医药大学第一附属医院, 国家中医针灸临床医学研究中心, 天津 300381;2.天津中医药大学研究生院, 天津 301617
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| 摘要: |
| [目的] 评价耳穴贴压联合悬灸法对心力衰竭气虚血瘀证患者生活质量的影响。[方法] 采用随机对照研究设计，将80例心力衰竭气虚血瘀证患者随机分为治疗组和对照组各40例，两组均根据相关规范给予心力衰竭常规护理，治疗组在心力衰竭常规护理的基础上使用耳穴贴压联合悬灸法，两组疗程均为10 d，评价时点为治疗前及治疗后10 d，以Memorial心力衰竭症状评估量表（MSAS-HF）评分（心力衰竭相关症状总分及各维度评分）、中医证候积分、明尼苏达心力衰竭生存质量量表（MLHFQ）评分为临床疗效评价指标。[结果] 治疗后两组患者MSAS-HF评分、中医证候积分及MLHFQ评分均较治疗前降低，治疗组优于对照组，差异具有统计学意义（P＜0.05）。[结论] 在常规护理的基础上，加用耳穴贴压联合悬灸法治疗心力衰竭气虚血瘀证患者可进一步减轻患者临床症状，提高生活质量。 |
| 关键词: 心力衰竭 耳穴贴压 悬灸法 临床症状 生活质量 随机对照试验 |
| DOI：10.11656/j.issn.1672-1519.2023.05.16 |
| 分类号:R259 |
| 基金项目:教育部“创新团队发展计划”（IRT_16R54）；国家中医药管理局中医药创新团队及人才支持计划项目（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 |
