Randomized Controlled Trial Of Buccal Acupuncture In Stable Coronary Heart Disease With Anxiety Symptoms

Objective:By observing the clinical effect of buccal needle therapy on stable coronary heart disease with anxiety symptoms,the new idea and method of TCM treatment of stable coronary heart disease with anxiety symptoms were explored.Methods:Patients in this study were selected from the outpatient department and ward of the Cardiology Department of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.Patients with stable coronary heart disease with anxiety symptoms were randomly divided into treatment group and control group,with 32 cases in each group.The two groups were treated with conventional western medicine,aspirin enteric-coated tablet 100 mg orally,once a day;Isosorbide mononitrate capsule 20 mg,twice a day;Metoprolol succinate sustained release tablet 47.5mg,once a day;Atorvastatin calcium tablet 20 mg once a night;Nitroglycerin tablet 0.5mg,sublingual when angina pectoris attack.Patients with other diseases such as hypertension and diabetes should be treated with relevant drugs.The treatment group was treated with buccal acupuncture on the basis of conventional treatment.The main points were Buccal three needles(neck point,back point and sacral point)+Sanjiao point(upper jiao,middle jiao and lower jiao).Secondary point: 1-2 points for syndrome differentiation,treatment twice a week.Control group was given alprazolam tablets on the basis of conventional treatment,taking method:0.4mg,twice a day.The treatment period was 4 weeks.The condition changes of the two groups were observed before and after treatment,and Hamilton Anxiety Rating Scale(HAMA),self-rating Anxiety Scale(SAS),Seattle Angina Pectoris Scale(SAQ)and TCM syndrome scoring scale were filled in.SPSS 26.0 was used for data analysis.Results:1.A total of 64 cases were included for statistical analysis in this experiment,including 32 cases in the treatment group and 32 cases in the control group.The general data such as age,gender,course of disease and combined medical history of patients in the two groups were compared and analyzed respectively with the HAMA score,SAS score,SAQ score and TCM syndrome score of patients in the two groups before treatment,proving that there was no statistical difference between the two groups(P>0.05).2.Statistical analysis showed that both groups of treatment could improve clinical symptoms of coronary heart disease and anxiety.Hamilton Anxiety Scale(HAMA)score showed that the total effective rate of the control group was 63.4%,and the total effective rate of the treatment group was 90%.TCM syndrome score showed that the total effective rate of the control group was 56.6%,and that of the treatment group was 86.7%.Compared with the two groups,the total effective rate of the treatment group was better than that of the control group(P<0.05),and the curative effect of the treatment group was significantly better than that of the control group in the treatment of chest tightness,chest pain,insomnia,palpitation and hypochondriac swelling symptoms(P <0.01).In the treatment of irritability,dizziness symptoms of the efficacy is better than the control group(P<0.05).The comparison of nitroglycerin cessation rate between the two groups showed that the cessation rate of nitroglycerin was 86.6% in the treatment group and 60.0% in the control group.The difference of the cessation rate of nitroglycerin between the two groups was statistically significant(P<0.05),and the cessation rate of nitroglycerin in the treatment group was better than that in the control group.Electrocardiogram,Seattle Angina Scale(SAQ)score and self-rating Anxiety Scale(SAS)score were improved in both groups,and the therapeutic effect of the treatment group was significantly better than that of the control group(P<0.01).3.No obvious discomfort or adverse reactions occurred in the two groups during treatment,and no abnormal safety indexes were found.Conclusion:Buccal needle therapy is effective in treating stable coronary heart disease with anxiety symptoms,which can effectively improve the clinical symptoms and adjust the psychological state of patients with stable coronary heart disease.It provides a new idea and method for treating stable coronary heart disease with anxiety symptoms.