基于春夏养阳理论评价隔姜灸脐疗在慢性心力衰竭护理中的应用

[目的] 观察隔姜灸脐疗对慢性心力衰竭患者临床症状及生活质量改善的效果。[方法] 于2021年3月—2021年7月选择在中国中医科学院西苑医院心血管科住院治疗的心力衰竭患者80例，采用简单随机数字表法，分为观察组和对照组，每组各40例。对照组采用心力衰竭标准药物治疗及护理，观察组在常规治疗及护理的基础上辅以隔姜灸脐疗，每日3柱，14 d为1个疗程。比较两组心力衰竭患者心功能、血清N末端B型脑钠肽前体（NT-proBNP）水平、中医症状积分及明尼苏达心衰生活质量量表（MLHFQ）评分的改善情况。[结果] 两组患者均完成研究，观察组心功能等级改善优于对照组，差异有统计学意义（P<0.05）；两组患者中医证候积分均有所下降，且观察组优于对照组（P<0.05）；两组患者干预后NT-proBNP水平均显著降低（P<0.05），与对照组比较，观察组治疗后血浆NT-proBNP水平明显降低（P<0.05）；两组MLHFQ评分比较，与对照组比较，观察组治疗MLHFQ评分降低显著（P<0.05）。[结论] 隔姜灸脐疗可有助于慢性心力衰竭患者的心功能及中医症状的改善，提高生活质量，操作简便易行，值得临床推广。

Evaluation of the application of ginger-partitioned moxibustion and navel therapy in the nursing of chronic heart failure based on the theory of nourishing yang in spring and summer

[Objective] To observe the effect of ginger-partitioned moxibustion and navel therapy on clinical symptoms and quality of life in patients with chronic heart failure.[Methods] From March 2021 to July 2021,80 patients with heart failure who were hospitalized in the cardiovascular department of our hospital were selected and divided into observation group and control group by a simple random number table method,with 40 cases in each group. The control group was treated with standard drugs for heart failure and nursing,and the observation group was treated with ginger-partitioned moxibustion on the navel on the basis of routine treatment and nursing,three columns a day,14 days as a course of treatment. The cardiac function,NT-proBNP level,traditional Chinese medicine(TCM) symptom score and the improvement of the Minnesota Heart Failure Quality of Life Scale(MLHFQ) were compared between the two groups.[Results] Both groups of patients completed the study,and the improvement of cardiac function in the observation group was better than the control group,with statistical significance(P<0.05);the levels of NT-proBNP in the two groups were significantly decreased after treatment(P<0.05),and compared with the control group,the levels of plasma NT-proBNP in the observation group were significantly decreased after treatment(P<0.05);the MLHFQ scale score of the observation group decreased significantly after treatment (P<0.05).[Conclusion] Ginger-partitioned moxibustion and navel theraphy can help improve the cardiac function,TCM symptoms and the quality of life of patients with chronic heart failure. The operation is simple and easy to operate,and worthy of clinical promotion.