通讯作者: 陈峰, cfly149@126.com

DOI：10.12201/bmr.202511.00004

Evaluation of the Clinical Efficacy of Press-Needle Therapy Combined with Conventional Treatment for Heart Failure

• 摘要：目的 探讨揿针刺激内关、大陵、心俞、大椎穴位辅助治疗心力衰竭的临床疗效。方法 选取2023年1月至2024年12月在嘉兴大学附属医院重症康复科治疗的62例III级心力衰竭患者，采用随机数字表法分为对照组和观察组，每组各31例。两组均给予西医标准治疗方案，观察组在此基础上给予揿针刺激穴位治疗，疗程 7d。于治疗前和治疗结束24 h内，比较两组患者的以下指标，临床症状：夜间端坐呼吸、下肢水肿、肺部湿啰音、肝颈静脉回流征，生命体征：心率（Heart Rate, HR）、收缩压（Systolic Blood Pressure, SBP）、舒张压（Diastolic Blood Pressure,DBP），实验室检查：肌钙蛋白T (cardiac troponin T, cTnT)、N末端B型利钠肽前体 (N-terminal pro-B-type Natriuretic Peptide, NT-proBNP)，中医证候评分，并于治疗前和出院1个月时，比较生活质量评分。结果 治疗结束24 h内，两组临床症状、生命体征、实验室检查指标及中医证候评分均较治疗前改善，且观察组各指标改善幅度均优于对照组（均P<0.05）。出院1个月时，两组生活质量评分均较治疗前改善，且观察组改善程度显著优于对照组（P<0.05）。结论 在西医标准治疗基础上联合揿针刺激穴位治疗心力衰竭，能更有效缓解临床症状，改善心衰相关指标及中医证候，并提升患者远期生活质量。

  关键词： 揿针；心力衰竭；临床症状；生活质量；随机对照试验; ; ; ; 

   

  Abstract: Objective　To investigate the clinical efficacy of press needles at Neiguan (PC6), Daling (PC7), Xinshu (BL15), and Dazhui (GV14) acupoints as an adjunctive therapy for heart failure.Methods　A total of 62 patients with grade III heart failure who were treated in the Department of Severe Rehabilitation of the Affiliated Hospital of Jiaxing University between January 2023 and December 2024 were selected. Using a random number table, they were divided into a control group and an observation group, with 31 cases in each group. Both groups received standard Western medical treatment. The observation group additionally received acupoint stimulation with press needles for a treatment course of 7 days. The following indicators were compared between the two groups before treatment and within 24 hours after treatment completion: clinical symptoms (nocturnal orthopnea, lower limb edema, pulmonary moist rales, and hepatojugular reflux), vital signs heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), laboratory tests cardiac troponin T (cTnT), N-terminal pro-B-type natriuretic peptide (NT-proBNP), and TCM syndrome scores. Additionally, quality of life scores were compared before treatment and one month after discharge.Results　Within 24 hours after treatment, both groups showed improvement in clinical symptoms, vital signs, laboratory test indicators, and TCM syndrome scores compared to pre-treatment levels, with the observation group demonstrating significantly greater improvement in all indicators than the control group (all P < 0.05). At the 1-month follow-up after discharge, quality of life scores improved in both groups compared to pre-treatment, and the degree of improvement in the observation group was significantly superior to that in the control group (P < 0.05).Conclusion　Combining press-needle acupoint stimulation with standard Western therapy more effectively alleviates clinical symptoms, improves heart failure-related markers and TCM syndromes, and enhances long-term quality of life in heart failure patients.

  Key words: Press-needle; Heart failure; Clinical symptoms; Quality of life; Randomized controlled trial

  提交时间：2025-11-04

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• 序号	提交日期	编号	操作
  1	2025-10-12	10.12201/bmr.202511.00004V1	下载

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