中医药穴位贴敷疗法治疗冠心病心绞痛研究述评
广西国际壮医医院, 治未病中心, 广西南宁 530201
| 摘 要： | 冠心病心绞痛属于多因素、多证候的综合性病变，具有复杂的发病机制。西医主要采用药物治疗，作用靶点明确，改善单一指标疗效显著，但易产生毒副作用和耐药性。中医药在整体观念和辨证论治理论指导下，结合现代医学成果，多靶点、多途径治疗冠心病心绞痛临床疗效确切，弥补了西药单靶点、单一治疗的不足，减轻西药毒副作用和减少耐药性产生，有效改善患者临床症状及预后，提高生活质量，延长生存期。中医特色疗法在治疗冠心病方面有一定的独到之处，简单易行且无副作用，并可减少医疗费用支出，是适合冠心病患者的治疗方法。现代医学研究表明：穴位贴敷可使药效成分经皮肤、孔窍、穴位吸收直达病所，温通经络，调动了经脉的功能；药性又可循经络入内脏，以调整脏腑，疏通气血，使之更好地发挥了行气血、平阴阳的整体作用。诸多临床研究证实，中药穴位贴敷疗法临床应用广泛，因具有临床操作简便、安全和患者使用舒适度高等特点，患者接受度和依从性高，从而被临床科室和患者接受。中医药穴位贴敷疗法在临床应用中能有效改善心绞痛临床症状、改善心电图、提高患者生活质量，值得临床推广应用。本文就中医药穴位贴敷疗法治疗冠心病心绞痛现状进行概况总结，以方便指导临床推广应用。 |
| 关 键 词： | 中医穴位贴敷疗法; 冠心病心绞痛; 研究述评 |
| DOI： | 10.57237/j.cmrd.2023.01.004 |
View:
Downloads:
收稿日期: 2023-02-03
接受日期: 2023-03-20
在线出版日期: 2023-03-28
Research Review of Acupoint Application Therapy of Traditional Chinese Medicine in the Treatment of Coronary Heart Disease and Angina Pectoris
Department of Cardiovascular Medicine, Guangxi International Zhuang Medical Hospital, Nanning 530201, China
| Abstract: | The Coronary heart disease angina pectoris belongs to the comprehensive lesion of multiple factors and multiple syndrome, with complex pathogenesis. Western medicine mainly uses drug treatment, with clear targets, improving the single index is significant, but it is easy to produce toxic side effects and drug resistance. Traditional Chinese medicine under the guidance of overall concept and syndrome differentiation theory, combined with modern medical achievements, multiple targets, multi-way treatment of coronary heart disease angina clinical curative effect, make up for the shortage of western medicine single target, single treatment, reduce the western medicine side effects and reduce drug resistance, effectively improve patients with clinical symptoms and prognosis, improve the quality of life, prolong survival. Traditional Chinese medicine characteristic therapy has certain unique in the treatment of coronary heart disease, simple and easy to do and no side effects, and can reduce medical expenses, is a suitable treatment method for patients with coronary heart disease. Modern medical research shows that acupoint application can make the drug ingredients through the skin, orifice, acupoints absorption direct disease, warm the meridians, mobilize the function of the meridians; medicine can follow the meridians into the viscera, to adjust the viscera, dredge Qi and blood, so that it better play the overall role of Qi and blood, Yin and Yang. Many clinical studies have confirmed that TCM acupoint application therapy is widely used in clinical practice. Due to its simple clinical operation, safety and high patient comfort, and high patient acceptance and compliance, it is accepted by clinical departments and patients. In clinical application, TCM acupoint application therapy can effectively improve the clinical symptoms of angina pectoris, improve electrocardiogram and improve the quality of life of patients, which is worthy of clinical promotion and application. In this paper, the current situation of the treatment of coronary heart disease angina pectoris is summarized, so as to facilitate the clinical promotion and application. |
| Keywords: | Acupoint Application Therapy of Traditional Chinese Medicine; Coronary Heart Disease; Angina Pectoris; Research Review |
基金
| 1. | 2022年广西中医药大学校级课题面上项目 (项目编号: 2022MS057) |
| 2. | 广西壮族自治区中医药局自筹经费科研课题 (20210636) |
| 3. | 2020年广西中医药大学校级面上基金项目 (2020MS059) |
| 4. | 广西国际壮医医院院级科研课题面上项目 (GZ202013) |
参考文献
| [1] | LIN GW, WANG JY, GE JB Practical Internal Medicine [M] Beijing: People's Medical Publishing Hou, 2017. |
| [2] | HU SS, GAO RL, LIU LS, et al Summary of the 2018 Report on cardiovascular diseases in China [J] Chinese Circulation Journal, 2019, 34 (3): 209-220. |
| [3] | 杨宪章, 刘广霞 穴位贴敷疗法与贴敷工具 [J] 上海针灸杂志, 2011, 05 (05): 350-351. |
| [4] | 刘起华, 文谨, 王菲, 等 中药穴位给药应用研究概述 [J] 中国中医药信息杂志, 2010, 17 (02): 104-106. |
| [5] | 吴师机, 著 理沦骈文 [M] 王军, 曹建春, 点校 北京: 人民军医出版社, 2006: 10. |
| [6] | 赵鑫, 刘建平, 朱家壁 茶碱微乳经皮吸收及药代动力学研究 [J] 中国药科大学学报, 2006, 37 (1): 28-32. |
| [7] | 王丽, 杨月, 于奎花, 等 耳穴贴压法对不稳定型心绞痛病人C反应蛋白水平的影响 [J] 护理研究, 2014, 28 (6): 1978-1979. |
| [8] | 刘征, 李美华, 孙忠人, 等 心痹贴对气滞血瘀型冠心病心绞痛的临床疗效观察CRP影响 [J] 针灸临床杂志, 2008, 24 (2): 7-9. |
| [9] | 张敬, 张连涛, 董文娟 通心贴穴位外治气滞血瘀型冠心病心 绞痛临床研究 [J] 世界最新医学信息文摘, 2019, 19 (73): 172-17 4. |
| [10] | 李根, 陈鹏毅, 邢洁, 等 护心贴外敷心俞内关穴治疗冠心病心绞痛临床观察 [J] 山西中医, 2008, 24 (10): 27-28. |
| [11] | 高云, 高晓光 通心膏贴敷穴位治疗冠心病心绞痛61例疗效观察 [J] 山西中医学院学报, 2007, 8 (4): 25-26. |
| [12] | 刘建, 胸痹贴1号对冠心病稳定型心绞痛 (气虚血瘀型) 患者内皮素的影响 [D] 黑龙江: 黑龙江中医药大学, 2012. |
| [13] | 吴泽铭, 邢洁, 张大创, 等 通心贴外敷心俞穴对冠心病心绞痛NO、NOS、SOD、MDA的影响 [J] 河南中医学院学报, 2007, 22 (4): 35-36. |
| [14] | 殷建明, 罗陆一, 张大创, 等 通心贴对冠心病心绞痛患者血清M-CSF、HCY、GMP-140的影响 [J] 中国中医药信息杂志, 2009, 16 (6): 9-11. |
| [15] | 李若汝, 栾杰男, 彭君华, 等 温阳补肾祛瘀法穴位外治冠心病心绞痛临床研究 [J] 中国民族民间医药, 2009, 18 (14): 19-20. |
| [16] | 韩亚男 中药穴位敷贴对心肌缺血大鼠心肌酶的影响 [J] 上海中医药大学学报, 2001, 15 (3): 58-59. |
| [17] | 陈鹤, 王启贤, 邓东波, 等 可溶性CD40L 在冠心病患者血清中的检测意义 [J] 昆明医学院学报, 2006, (1): 30-34. |
| [18] | 张虹 胸痹贴Ⅰ号对不稳定型心绞痛气虚血瘀证 CD40L影响的临床研究 [D] 黑龙江: 黑龙江中医药大学, 2011. |
| [19] | 高敏 心绞痛贴膏穴位贴敷治疗冠心病的基础和临床研究 [D] 辽宁中医药大学, 2013. |
| [20] | 梁芳芳, 黄沂, 苏宇虹 穴位按摩联合穴位贴敷治疗冠心病（气虚血瘀证）PCI术后患者临床研究 [J] 中国中医急症, 2022, 31 (12): 2119-2123. |
| [21] | 项雪春, 章顺安, 孙彦 穴位贴敷辅助舒肝解郁胶囊合黄连阿胶汤加味治疗冠心病心绞痛合并心肾不交型抑郁症临床研究 [J] 新中医, 202153 (5): 167-170. |
| [22] | 刘阳, 徐文启, 黄志, 等. 自拟活血解郁方联合穴位敷贴治疗气滞血瘀型慢性稳定型心绞痛的临床研究 [J]. 中西医结合心脑血管病杂志, 2022, 20 (17): 3178-3181. |
| [23] | 王贤娴, 张磊 胸痹贴穴位贴敷治疗冠心病心绞痛40例疗效观察 [J] 长春中医药大学学报, 2011, 27 (1): 88-89. |
| [24] | 李颖, 李雯斌, 黄桢, 等 穴位敷贴治疗冠心病心绞痛疗效观察 [J] 现代中西医结合杂志, 2012, 21 (4): 352-353. |
| [25] | 宋正才 心络通协定方联合膻中内关心俞穴位贴敷治疗稳定型心绞痛临床观察 [J] 光明中医, 2022, 37 (22): 4089-4092. |
| [26] | 贯淼 穴位贴敷联合西药治疗气滞血瘀型冠心病心绞痛疗效观察 [J] 上海针灸杂志, 2019, 38 (01): 21-24. |
| [27] | 于慧媛 中药穴位贴治疗冠心病稳定型心绞痛（寒凝心脉证）的疗效观察 [D] 黑龙江中医药大学, 2017. |
| [28] | 江巍, 李松, 汪亚峰 邓老冠心止痛贴辅助治疗稳定型心绞痛疗效观察 [J] 山东医药, 2012, 52 (30): 50-51. |
| [29] | 蒋友琴, 程玉峰 舒心贴穴位敷贴治疗冠心病不稳定性心绞痛30例临床观察 [J] 中医药临床杂志, 2013, 25 (09): 769-770. |
| [30] | 李娟, 牛静虎, 马振 冠通贴穴位贴敷治疗冠心病心绞痛临床 观察 [J] 中国中医急症, 2014, 23 (10): 1895-1896. |
| [31] | 王劲红, 孙刚, 王丽丽 五香通络膏穴位贴敷治疗冠心病心绞痛临床观察 [J] 山西中医, 2015, 31 (07): 45-47. |
| [32] | 刘新, 崔庆荣, 李朝平, 等 硝石雄黄散贴敷至阳穴防治冠心病心绞痛的临床研究 [J] 甘肃中医学院学报, 2000 17 (2): 43-46. |
| [33] | 郭晓梅, 刘艳军, 黄春莉, 中药复方穴位贴敷联合心可舒片治疗冠心病心绞痛临床研究 [J] 陕西中医, 2023, 44 (2): 255-258. |
| [34] | 李莉, 华英, 王燕 养心通络汤联合穴位贴敷治疗冠心病不稳定型心绞痛患者40例临床观察 [J] 中国中医药科技, 2022, 29 (6): 1230-1131. |
| [35] | 邵证明 宁心通痹汤结合穴位贴敷治疗冠心病不稳定型心绞痛临床观察 [J] 实用中医药杂志, 2022, 38 (9): 1477-1478. |
| [36] | 袁玲玲, 张丹 穴位贴敷联合常规西药治疗冠心病稳定性心 绞痛临床研究 [J] 新中医, 2019, 51 (06): 294-297. |
| [37] | 杨威 活血化瘀膏穴位贴敷治疗心血瘀阻型冠心病心绞痛的疗效观察 [D] 黑龙江中医药大学, 2019. |
| [38] | 张丽君, 赵海红, 赵江花, 等 心脉疏膏穴位贴敷治疗胸痹心痛的疗效观察 [J] 针灸临床杂志, 2014, 30 (09): 39 -41. |
| [39] | 延秀敏 心痛膏外治冠心病心绞痛疗效观察 [J] 辽宁中医杂志, 2014, 41 (3): 497-499. |
| [40] | 柏琳, 任玉兰, 陈琳, 等 近20年来穴位敷贴治疗冠心病心绞痛的临床研究进展 [J] 辽宁中医杂志, 2016, 43 (3): 646-649. |
