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

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。

Impacts of ear acupressure combined with suspension moxibustion on life quality in patients with qi deficiency and blood stasis syndrome in chronic heart failure

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.