针药结合对急性心肌梗死(气虚血瘀证)患者免疫功能调节的临床研究Clinical Study on Acupuncture Combined with Medicine on the Immunoregulation for Qi Deficiency and Blood Stasis Induced Acute Myocardial Infarction
袁萍,沈玉芹,王乐民
摘要(Abstract):
目的观察针药结合对急性心肌梗死(气虚血瘀证)患者免疫细胞平衡功能恢复的作用。方法 60例急性心肌梗死PCI术后患者随机分为西药组、中药组及针药组,每组各20例。西药组予西医基础治疗;中药组在西药常规治疗基础上,口服中药免煎颗粒(黄芪30 g,三七3 g,金银花15 g),每日早晚口服;针药组在中药组基础上每日针刺内关、足三里(双侧),气海、血海(双侧),曲泽(双侧)、膻中治疗;疗程均为28 d。结果各组间CD19间差异显著,其中中药组与针药组的CD19水平均高于西药组(P <0.05),中药组与针药组水平相近(P> 0.05)。结论针药结合可以调节急性心肌梗死(气虚血瘀证)患者的免疫功能,有较好的临床疗效。
关键词(KeyWords): 急性心肌梗死;气虚血瘀;免疫细胞
基金项目(Foundation): 上海市中医药事业发展三年行动计划项目(ZY3-CCCX-3-3047)
作者(Author): 袁萍,沈玉芹,王乐民
参考文献(References):
- [1]Le Min Wang.New understanding on the pathogenesis of acute arterial thrombosis[J].Journal of Geriatric Cardiology,2015,42(12):204-207.
- [2]Wenwen Yan,Lemin Wang,Qianglin Duan,et al.m RNA expression of inhibitory and activating natural killer cell receptors in patients with acute myocardial infarction and stable angina pectoris[J].Exp Clin Cardiol,2014,20(1):2982-2992.
- [3]Wenwen Yan,Lin Che,Jinfa Jiang,et al.Deple tion of complement system immunity in patients with myocardial infarction[J].Molecular Medicine Reports,2016,14(8):5350-5356.
- [4]Wenwen Yan,Siwan Wen,Lemin Wang,et al.Comparison o cytokine expressions in acute myocardial infarction and stable angina stages of coronary artery disease[J].Int J ClinExp Med,2015,8(10):18082-18089.
- [5]Wen Wen Yan,Kun Shan Zhang,Qiang Lin Duan,et al Significantly reduced function of T cells in patients with acute arterialthrombosis[J].Journal of Geriatric Cardiology,2015,12(5):287-293.
- [6]Wenwen Yan,Haoming Song,Jinfa Jiang,et al.Characteristics of B cell associated gene expression in patients with coronary artery diseasemolecular[J].Medicine Reports,2016,13(9):4113-4121.
- [7]Chuan-Rong LI,Le-Min WANG,Zhu GONG,et al.Expression characteristics of neutrophil and mononuclear-phagocyte relatedgenes mRNA in the stable angina pectoris and acute myocardial infarctionstages of coronary artery disease[J].Journal of Geriatric Cardiology,2015,12(6):279-286.
- [8]宋莉,颜红兵.2012年ESC急性ST段抬高性心肌梗死治疗指南[J].心血管病学进展,2012,33(6):688-690.
- [9]国家中医药管理局.中医病证诊断疗效标准[M].北京:中国医药科技出版社,2012:83-84.
- [10]陈磊,张敏,谢兴亮,等.黄芪组分配伍对小鼠腹腔巨噬细胞免疫活性的影响[J].中国医院药学杂志,2014,34(10):787-790.
- [11]吴颖,孙冰,肖静,等.三七皂苷R1对LPS诱导的小鼠心肌损伤的保护作用[J].中国药理学通报,2013,29(2):179.
- [12]任小宇,孙桂波,张强,等.三七皂苷对大鼠离体心脏缺血/再灌注损伤的保护作用[J].中国药理学通报,2012,28(1):92.
- [13]于俊民,鞠礼,王慧冬,等.三七皂苷R1对大鼠缺血心肌VEGF,bFGF的影响[J].现代生物医学进展,2014,28(30):5845.
- [14]国晶晶,李来来,朱会超,等.三七主要成分及其免疫调节作用的研究进展[J].天津中医药大学学报,2014,33(2):119-124.
- [15]陈燕文,胡晶红,李佳,等.金银花多糖提取、精制方法和药理活性综述[J].辽宁中医药大学学报,2017,19(1):155-159.
- [16]严雪龙,孟爱平,濮社班.金银花抗炎免疫活性研究进展[J].中国野生植物资源,2016,25(2):41-44.
- [17]周秀萍,李争鸣,刘志杰,等.金银花对大鼠免疫功能影响的研究[J].实用预防医学,2011,18(2):214-216.
- [18]张阔,陈波,赵雪,等.穴位是针刺信息传递的“放大器”[J].辽宁中医杂志,2015,42(1):166-167.
- [19]于正,吴巧凤,梁繁荣.针刺通过调节免疫系统治疗原发性高血压的机制探讨[J].针刺研究,2014,39(4):333-336.
- [20]黄文琴,周奇志,余曙光,等.针刺调节焦虑障碍免疫功能紊乱的机制[J].中国老年学杂志,2014,34(23):6814-6816.
- [21]于杰,孙忠人,李洪玲,等.对针刺与中医“正气”及现代免疫学的思考[J].中国医药导报,2015,10(12):77-80.