摘要
目的 探讨任脉隔姜灸在心力衰竭伴水肿患者中的护理效果。方法 取山西中医药大学附属医院2022年8月~2024年7月内就诊的66例NYHA分级Ⅱ-Ⅳ级的阳虚水泛型心衰伴水肿患者66例随机分组，即对照、研究两组，对照组应用常规治疗，研究组在此基础上增加任脉隔姜灸治疗，比较两组治疗效果。结果 两组治疗前各指标对比无显著差异（P＞0.05）；治疗后，研究组中医证候积分（气促、胸闷、心悸、水肿）、心功能分级、血浆BNP、MCHFQ评分对比，研究组均优于对照组（P＜0.05）。结论 在心力衰竭伴水肿患者治疗中应用任脉隔姜灸可有效缓解患者中医症状，降低血浆BNP水平，对改善患者心功能、提高患者质量有积极意义。
关键词： 任脉隔姜灸；心力衰竭；水肿；阳虚水泛型
Abstract
Objective Exploring the nursing effect of Ren Mai Ge Jiang Moxibustion on patients with heart failure and edema. Method A total of 66 patients with NYHA grade II-IV generalized heart failure and edema were randomly divided into two groups: a control group and a study group. The control group received routine treatment, while the study group received additional treatment with Ren meridian ginger moxibustion. The treatment effects of the two groups were compared. Results There was no significant difference in various indicators between the two groups before treatment (P > 0.05); After treatment, the study group had better TCM syndrome scores (dyspnea, chest tightness, palpitations, edema), heart function grading, plasma BNP, and MCHFQ scores compared to the control group (P < 0.05). Conclusion The application of Ren Mai Ge Jiang Moxibustion in the treatment of patients with heart failure and edema can effectively alleviate traditional Chinese medicine symptoms, reduce plasma BNP levels, and have a positive significance in improving heart function and improving patient quality.
Key words： Ren Mai Ge Jiang Moxibustion; Heart failure; Edema; Yang deficiency water generalization
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