Effects of Xinshuaikang Shenque acupoint application combined with standardized treatment regimen of western medicine on the results of echocardiography and the distance of 6 min walk test in patients with chronic heart failure

Yang Jiao; Zhang Jing; Jia Lei

doi:10.3760/j.issn.1673-4777.2024.12.016

Abstract：Objective To investigate the effects of Xinshuaikang Shenque acupoint application combined with standardized treatment regimen of western medicine on the results of echocardiography and the distance of 6 min walk test(6MWT)in patients with chronic heart failure(CHF).Methods A total of 98 patients with CHF admitted to Inner Mongolia Autonomous Region Traditional Chinese Medicine Hospital from June 2022 to June 2023 were selected as the research objects,and they were divided into combined group and standard treatment group by random number table method,with 49 cases in each group.The standard treatment group was treated with standardized western medicine,and the combined treatment group was treated with Xinshuankang Shenque acupoint application.The clinical efficacy,traditional Chinese medicine syndrome scores,echocardiographic indicators[left ventricular ejection fraction(LVEF),stroke volume(SV),left ventricular end diastolic diameter(LVEDD),left ventricular end systolic diameter(LVESD)],serological indicators[N-terminal pro-B-type natriuretic peptide(NT-proBNP),cardiac troponin Ⅰ(cTnⅠ),angiotensin Ⅱ(AngⅡ)],exercise tolerance and quality of life indicators[6MWT distance,Minnesota Living with Heart Failure Questionnaire(MLHFQ)],and adverse reactions were compared between the two groups.Results After treatment,the total effective rate of the combined group was significantly higher than that of the standard treatment group[71.4％(35/49)vs 51.0％(25/49)](P=0.038).After treatment,the scores of fatigue,shortness of breath,heavy limbs,palpitation and night sweat in the two groups were lower than those before treatment,and those in the combined group were significantly lower than those in the standard treatment group(all P＜0.05).After treatment,LVEF,SV and 6MWT distance in both groups were significantly higher than those before treatment,and those in the combined group were significantly higher than those in the standard treatment group.LVEDD,LVESD,NT-proBNP,cTnⅠ,AngⅡ and MLHFQ were significantly lower than those before treatment,and those in the combined group were significantly lower than those in the standard treatment group(all P＜0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P=0.505).Conclusion Xinshuaikang Shenque acupoint application combined with standardized western medicine treatment has better clinical effect on CHF patients,which can effectively improve the cardiac function of patients,increase exercise endurance and improve the quality of life of patients.