艾灸肺俞、心俞治疗慢性心衰临床观察

目的观察艾灸配合西药治疗慢性心衰的临床疗效。方法将60例患者随机分为对照组和治疗组,每组30例。对照组给予西药常规治疗;治疗组在西药常规治疗的基础上,采用艾条温和灸双侧肺俞、心俞穴,每穴灸治20 min,每日1次,共灸治4星期。比较两组治疗后临床疗效和心功能相关指标。结果对照组总有效率为76.7%,治疗组总有效率为90.0%,治疗组优于对照组（P〈0.05）;两组治疗后HR、CO、LVEF较治疗前有显著改善（P〈0.01）,治疗组治疗后HR、CO、LVEF与对照组比较有显著差异（P〈0.01）,治疗组治疗后HR、CO、LVEF改善状况优于对照组。结论艾灸配合西药治疗慢性心衰临床疗效优于单纯西药治疗。

Clinical Study on Moxibustion at Feishu (BL 13) and Xinshu (BL 15) for Chronic Heart Failure

Objective To observe the treatment effect of moxibustion plus Western medication in treating chronic heart failure.Method Sixty patients were randomized into a control group and a treatment group,30 in each.The control group was intervened by routine Western medication,and the treatment group was intervened by mild moxibustion at bilater Feishu(BL 13) and Xinshu(BL 15) by moxa stick in addition to the Western medication,20 min for each acupoint,once a day,and 4-week moxibustion treatment was given in total.The clinical effect and the involved indexes of heart function were compared between the two groups after treatment.Result The total effective rate was 76.7% in the control group,versus 90.0% in the treatment group,and the result in the treatment group was markedly superior to that in the control group(P<0.05);both groups had obvious improvement in terms of HR,CO and LVEF after treatment(P<0.01),and the results of HR,CO,and LVEF in the treatment group were significantly better than that in the control group(P<0.01),and the improvement of the above terms in the treatment group was also better than that in the control group.Conclusion Compared with single Western medication treatment,combined moxibustion and Western medication obtains better treatment result in managing chronic heart failure.