针灸对冠心病心绞痛的临床治疗研究进展
|
摘要
冠心病心绞痛是一种以发作性胸痛为主要表现的临床综合征,发病率较高,严重影响患者的生活质量。近年来,针灸在治疗冠心病心绞痛方面取得了良好的临床疗效,为更好地指导临床合理治疗,本研究总结了近年针灸治疗冠心病心绞痛的文献,系统归纳和整理了运用单纯针刺、温针、电针、针药结合等多种临床常用疗法对该病的治疗效果,展现出针灸治疗心绞痛副作用少、临床疗效好的优势。
Angina pectoris of coronary heart disease( CHD) is a clinical syndrome characterized by paroxysmal chest pain,which has a high incidence and seriously affects the life quality of the patients. In recent years,acupuncture and moxibustion has achieved good clinical efficacy in the treatment of angina pectoris of CHD. In order to better guide the rational clinical treatment,this study reviewed the literature of acupuncture and moxibustion in the treatment of angina pectoris of CHD in recent years,systematically summarized therapeutic effects of various commonly used clinical therapies,such as simple acupuncture,needle-warming moxibustion,electroacupuncture,combination of acupuncture and medication,used for this kind of disease. It showed acupuncture and moxibustion has advantages in treating angina pectoris of CHD with its less side effects and better clinical efficacy.
Angina pectoris of coronary heart disease( CHD) is a clinical syndrome characterized by paroxysmal chest pain,which has a high incidence and seriously affects the life quality of the patients. In recent years,acupuncture and moxibustion has achieved good clinical efficacy in the treatment of angina pectoris of CHD. In order to better guide the rational clinical treatment,this study reviewed the literature of acupuncture and moxibustion in the treatment of angina pectoris of CHD in recent years,systematically summarized therapeutic effects of various commonly used clinical therapies,such as simple acupuncture,needle-warming moxibustion,electroacupuncture,combination of acupuncture and medication,used for this kind of disease. It showed acupuncture and moxibustion has advantages in treating angina pectoris of CHD with its less side effects and better clinical efficacy.
引文
[1]马向荣.临床心电图学词典[M].都本洁,审校.北京:军事医学科学出版社,1998:35-40.
[2]郭松铎,陶月玉,林尚楠.心脏病学词典[M].北京:中国医药科技出版社,1998:268-269.
[3]李经纬,余瀛鳌,欧永欣,等.中医大辞典[M].北京:人民卫生出版社,1995:15-20.
[4]万涌哲,万军.针灸对冠心病心绞痛血脂水平的影响[J].内蒙古中医药,2017,36(18):100-101.
[5]李帅.针灸治疗冠心病临床疗效分析[J].中西医结合心血管病杂志,2017,5(20):135-136.
[6]邓晓乔.针灸治疗冠心病心绞痛的临床疗效观察[J].内蒙古中医药,2017,36(6):115-116.
[7]刘利欣.针刺治疗冠心病心绞痛50例临床研究[J].中国民间疗法,2016,24(9):15-16.
[8]《中医辞典》编委会.简明中医辞典[M].北京:中国中医药出版社,2001:25-28.
[9]李经纬,余瀛鳌,蔡景峰.中医名词术语精华辞典[M].天津:天津科学技术出版社,1996:288-300.
[10]吴长岩,贾乐红,吕志军.温针灸对冠心病心绞痛血脂、血流变的影响[J].针灸临床杂志,2010,26(1):36-38.
[11]孙晴,管玉珍,张伟.温针灸治疗老年冠状动脉粥样硬化性心脏病并高同型半胱氨酸44例[J].环球中医药,2018,11(9):1436-1438.
[12]何文锦,刘凡,杨石.温针灸治疗稳定型心绞痛临床研究[J].实用中医药杂志,2013,29(6):462-464.
[13]闫爱珍,车伟军.温针灸对冠心病心绞痛患者136例血脂、血流变指标的影响[J].中国民族民间医药,2015(1):108-109.
[14]中医研究院,广东中医学院.中医名词术语选释[M].北京:人民卫生出版社,1973:1-10.
[15]何伋,陆英智,成义仁,等.神经精神病学辞典[M].北京:中国中医药出版社,1998:322-325.
[16]章玲玲.复方丹参滴丸联合电针治疗稳定型心绞痛的临床疗效观察[J].中国初级卫生保健,2018,32(10):77-78.
[17]赵晓惠,李静,白海燕.电针预处理联合生活干预护理对老年冠心病患者心绞痛症状控制及负面情绪的影响[J].中国医刊,2018,53(10):1160-1163.
[18]杨冠男,王锐,李承家,等.电针对冠心病下壁及前侧壁心电图ST-T影响的即时效应观察[J].上海针灸杂志,2014,33(6):509-511.
[19]王猛.丹参与生脉注射液配合针灸治疗心绞痛70例[J].浙江中西医结合杂志,2005,15(2):113.
[20]詹艳,邱春,任金梅.丹参注射液结合针刺治疗冠心病心绞痛48例[J].中国中医急症,2011,20(11):1854.
[21]姜海生.丹参与生脉注射液配合针灸治疗心绞痛的疗效[J].中西医结合心血管病杂志,2014,2(17):33-34.
[22]巩倩惠,祁鹏,石立鹏,等.针刺联合补阳还五汤治疗冠心病稳定型心绞痛的临床观察[J].中国中医急症,2018,27(11):1952-1955.
[23]王阶,陈光.冠心病稳定型心绞痛中医诊疗专家共识[J].中医杂志,2018,59(5):447-450.
[24]石立鹏,杜旭勤,赵凤林,等.针刺联合补阳还五汤治疗气虚血瘀证冠心病稳定型心绞痛疗效及对血脂水平的影响[J].现代中西医结合杂志,2017,26(35):3880-3882,3966.
[25]陈洪利,杨延林.针药并用治疗冠心病心绞痛52例临床观察[J].中医临床研究,2018,10(18):132-134.
[26]陆忠,孙舟红.针刺结合活血方治疗不稳定型心绞痛临床疗效及对血管内皮功能的影响[J].中华中医药学刊,2018,36(5):1177-1180.
[27]陈毅成.针刺联合西药治疗冠心病心绞痛的疗效分析[J].名医,2018(2):146.
[28]王红涛.子午流注纳甲法结合辨证取穴针刺治疗冠心病心绞痛的临床效果观察[J].现代诊断与治疗,2017,28(21):3945-3947.
[29]陆华.硝酸甘油联合穴位针灸拔罐治疗心绞痛的临床疗效(附1例病例分析)[J].中国处方药,2016,14(8):89-90.
[30]王琳,王扣宁,张群彦,等.自拟中药方、针刺联合西医治疗冠心病心绞痛对患者血清s CD40L、IL-18及IL-1β水平的影响[J].临床合理用药杂志,2016,9(10):47-48.
[31]李晶,刘丽群.益气化痰活血汤与针灸联合西药治疗不稳定性心绞痛76例[J].现代诊断与治疗,2015,26(19):4354-4356.
[32]林广华.针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛[J].广东医科大学学报,2015,43(3):108-110.
[33]朴秀敏.针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛临床效果分析[J].中国现代药物应用,2017,11(4):62-64.
[34]张洁,李德华,赵凌,等.心绞痛针灸疗法的文献质量评价[J].辽宁中医杂志,2015,42(9):1761-1764.
[2]郭松铎,陶月玉,林尚楠.心脏病学词典[M].北京:中国医药科技出版社,1998:268-269.
[3]李经纬,余瀛鳌,欧永欣,等.中医大辞典[M].北京:人民卫生出版社,1995:15-20.
[4]万涌哲,万军.针灸对冠心病心绞痛血脂水平的影响[J].内蒙古中医药,2017,36(18):100-101.
[5]李帅.针灸治疗冠心病临床疗效分析[J].中西医结合心血管病杂志,2017,5(20):135-136.
[6]邓晓乔.针灸治疗冠心病心绞痛的临床疗效观察[J].内蒙古中医药,2017,36(6):115-116.
[7]刘利欣.针刺治疗冠心病心绞痛50例临床研究[J].中国民间疗法,2016,24(9):15-16.
[8]《中医辞典》编委会.简明中医辞典[M].北京:中国中医药出版社,2001:25-28.
[9]李经纬,余瀛鳌,蔡景峰.中医名词术语精华辞典[M].天津:天津科学技术出版社,1996:288-300.
[10]吴长岩,贾乐红,吕志军.温针灸对冠心病心绞痛血脂、血流变的影响[J].针灸临床杂志,2010,26(1):36-38.
[11]孙晴,管玉珍,张伟.温针灸治疗老年冠状动脉粥样硬化性心脏病并高同型半胱氨酸44例[J].环球中医药,2018,11(9):1436-1438.
[12]何文锦,刘凡,杨石.温针灸治疗稳定型心绞痛临床研究[J].实用中医药杂志,2013,29(6):462-464.
[13]闫爱珍,车伟军.温针灸对冠心病心绞痛患者136例血脂、血流变指标的影响[J].中国民族民间医药,2015(1):108-109.
[14]中医研究院,广东中医学院.中医名词术语选释[M].北京:人民卫生出版社,1973:1-10.
[15]何伋,陆英智,成义仁,等.神经精神病学辞典[M].北京:中国中医药出版社,1998:322-325.
[16]章玲玲.复方丹参滴丸联合电针治疗稳定型心绞痛的临床疗效观察[J].中国初级卫生保健,2018,32(10):77-78.
[17]赵晓惠,李静,白海燕.电针预处理联合生活干预护理对老年冠心病患者心绞痛症状控制及负面情绪的影响[J].中国医刊,2018,53(10):1160-1163.
[18]杨冠男,王锐,李承家,等.电针对冠心病下壁及前侧壁心电图ST-T影响的即时效应观察[J].上海针灸杂志,2014,33(6):509-511.
[19]王猛.丹参与生脉注射液配合针灸治疗心绞痛70例[J].浙江中西医结合杂志,2005,15(2):113.
[20]詹艳,邱春,任金梅.丹参注射液结合针刺治疗冠心病心绞痛48例[J].中国中医急症,2011,20(11):1854.
[21]姜海生.丹参与生脉注射液配合针灸治疗心绞痛的疗效[J].中西医结合心血管病杂志,2014,2(17):33-34.
[22]巩倩惠,祁鹏,石立鹏,等.针刺联合补阳还五汤治疗冠心病稳定型心绞痛的临床观察[J].中国中医急症,2018,27(11):1952-1955.
[23]王阶,陈光.冠心病稳定型心绞痛中医诊疗专家共识[J].中医杂志,2018,59(5):447-450.
[24]石立鹏,杜旭勤,赵凤林,等.针刺联合补阳还五汤治疗气虚血瘀证冠心病稳定型心绞痛疗效及对血脂水平的影响[J].现代中西医结合杂志,2017,26(35):3880-3882,3966.
[25]陈洪利,杨延林.针药并用治疗冠心病心绞痛52例临床观察[J].中医临床研究,2018,10(18):132-134.
[26]陆忠,孙舟红.针刺结合活血方治疗不稳定型心绞痛临床疗效及对血管内皮功能的影响[J].中华中医药学刊,2018,36(5):1177-1180.
[27]陈毅成.针刺联合西药治疗冠心病心绞痛的疗效分析[J].名医,2018(2):146.
[28]王红涛.子午流注纳甲法结合辨证取穴针刺治疗冠心病心绞痛的临床效果观察[J].现代诊断与治疗,2017,28(21):3945-3947.
[29]陆华.硝酸甘油联合穴位针灸拔罐治疗心绞痛的临床疗效(附1例病例分析)[J].中国处方药,2016,14(8):89-90.
[30]王琳,王扣宁,张群彦,等.自拟中药方、针刺联合西医治疗冠心病心绞痛对患者血清s CD40L、IL-18及IL-1β水平的影响[J].临床合理用药杂志,2016,9(10):47-48.
[31]李晶,刘丽群.益气化痰活血汤与针灸联合西药治疗不稳定性心绞痛76例[J].现代诊断与治疗,2015,26(19):4354-4356.
[32]林广华.针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛[J].广东医科大学学报,2015,43(3):108-110.
[33]朴秀敏.针灸急救心肺脑复苏治疗仪治疗不稳定型心绞痛临床效果分析[J].中国现代药物应用,2017,11(4):62-64.
[34]张洁,李德华,赵凌,等.心绞痛针灸疗法的文献质量评价[J].辽宁中医杂志,2015,42(9):1761-1764.