针刺对心房颤动患者导管消融术后生活质量的影响

doi:10.20047/j.issn1673-7210.2023.15.30

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摘要目的观察针刺对心房颤动（简称“房颤”）患者导管消融术后生活质量的影响。方法选取2021年5月至2022年2月在北京中医药大学东直门医院、江苏省人民医院、北京大学人民医院、北京大学第三医院、天津中医药大学第一附属医院、河北省中医院、武汉大学人民医院心血管科就诊的房颤导管消融术后患者60例作为研究对象，应用中心分层区组随机法分为针刺组和假针组，各30例。针刺组选取心俞、内关和神门穴；假针组对3个非经非穴点进行浅刺干预。两组均在1～6周每周针刺2次，7～12周每周针刺1次，共治疗18次。比较两组针刺治疗前后AF特异性生活质量量表（AFEQT）评分、导管消融术后3个月房颤负荷、房颤复发、因心律失常而住院的次数及不良事件。结果治疗后，两组AFEQT总分、症状、日常活动、治疗担心、房颤控制、症状改善满意度评分较治疗前升高（P＜0.05），除日常活动评分外，组间比较差异无统计学意义（P＞0.05）。两组术后3个月房颤负荷、房颤复发、因心律失常而住院的次数及不良事件总发生率比较，差异无统计学意义（P＞0.05）。结论针刺对导管消融术后3个月房颤患者的生活质量有一定的改善作用。未来可开展多中心、大样本、随机对照试验，进一步验证针刺对房颤生活质量的影响。

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	李鹤文　　刘存志　　林滢　　郭诗琪　　李梦桐　　王丽琼

关键词 ：针刺疗法, 心房颤动, 导管消融术, 生活质量

Abstract：Objective To investigate the effect of acupuncture on quality of life in patients with atrial fibrillation (atrial fibrillation for short) after catheter ablation. Methods A total of 60 eligible patients with atrial fibrillation after catheter ablation who were admitted to Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Jiangsu Province Hospital, Peking University People’s Hospital, Peking University Third Hospital, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Hebei Traditional Chinese Medicine Hospital, and Renmin Hospital of Wuhan University from May 2021 to February 2022 were selected as subjects and they were divided into acupuncture group and sham acupuncture group according to the central block randomization system, with 30 cases in each group. Acupuncture was applied at Xinshu, Neiguan and Shenmen in the acupuncture group. Three non-meridian and non-acupoint points were treated with shallow acupuncture in the sham acupuncture group. In both groups, acupuncture was performed twice a week from one to six weeks and once a week from 7 to 12 weeks, with a total of 18 times of treatment. The score of the atrial fibrillation effect and quality of life scale (AFEQT) from baseline to three months after catheter ablation, AF burden, recurrence of AF, number of being hospitalized for arrhythmia, and adverse events were compared between the two groups. Results After treatment, the total score of AFEQT, symptoms, daily activities, treatment concerns, atrial fibrillation control, symptom improvement satisfaction scores of the two groups were higher than before treatment (P＜0.05), except for daily activities score, there were no statistical significance between the two group (P＞0.05). There was no significant difference in the atrial fibrillation load, the recurrence of atrial fibrillation, the number of hospitalizations due to arrhythmia and the incidence of adverse events three months after surgery between the two groups (P＞0.05). Conclusion Acupuncture may improve the quality of life of patients with AF after catheter ablation in 3 months. Multi-center, large-sample, randomized controlled trials can be carried out in the near future to verify the efficacy and safety of acupuncture in the treatment of AF.

Key words： Acupuncture Atrial fibrillation Catheter Ablation Quality of life

基金资助:国家重点研发计划中医药现代化研究重点专项项目（2019YFC1712102）。

通讯作者: 王丽琼（1987.6-），女，博士；研究方向：针灸防治疾病的临床评价。

作者简介: 李鹤文（1995.12-），男，北京中医药大学针灸推拿学院2022级针灸推拿专业在读博士研究生；研究方向：针灸防治疾病的临床评价。

引用本文:

李鹤文　　刘存志　　林滢　　郭诗琪　　李梦桐　　王丽琼 . 针刺对心房颤动患者导管消融术后生活质量的影响[J]. 中国医药导报, 2023, 20(15): 135-140.
LI Hewen LIU Cunzhi LIN Ying GUO Shiqi LI Mengtong WANG Liqiong. Effect of acupuncture on quality of life in patients with atrial fibrillation after catheter ablation. 中国医药导报, 2023, 20(15): 135-140.

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