Clinical Observation Of Press-Needle For The Treatment Of Chronic Heart Failure

Objective: By observing the changes of 6 minutes walking distance ? the score of Minnesota living with heart failure questionnaire ?NT-proBNP?Ang-??left ventricular ejection fraction,this study would explore the clinical effect of press-needle in the treatment of chronic heart failure and possible mechanism.Methods:According to the inclusion criteria and exclusion criteria,we screened 60 inpatients with chronic heart failure,from the Department of Cardiology in the Traditional Chinese Medcine Hospital affiliated of Southwest Medical University.60 cases were randomly divided into treatment group(n=30)and control group(n=30).The control group received standard western medicine treatment(according to“Chinese heart failure diagnosis and treatment guidelines 2014”)and the treatment group were combined western medicine with press-needle treatment,both for 3months.Compared the 6 minutes walking distance ?the score of Minnesota living with heart failure questionnaire? NT-proBNP?Ang-??left ventricular ejection fraction before and after treatment.Result:No statistical differences were founded between control group and treatment group at baseline.Both groups showed the improvement in 6 minutes walking distance before and after treatment and the difference was statistically significant(Ptreatment=0.000,Pcontrol=0.015).Both groups could notably improve patient activity tolerance.After treatment,6 minutes walking distance compared between thetwo groups was statistically significant difference(P=0.044).The treatment group was better than control group.The score of Minnesota living with heart failure questionnaire were decreased significantly in both groups(Ptreatment=0.000,Pcontrol =0.000)as compared with those before therapy,and the score was decreased much more significantly in the treatment group than the control group(P=0.001).Left ventricular ejection fraction were improved significantly from baseline in both group(Ptreatment =0.000,Pcontrol =0.038),but there was no significant difference between the two groups(P =0.594).Both groups had a similar increase in LVEF.Significant difference of NT-proBNP could be found in both of the two groups(Ptreatment =0.000,Pcontrol =0.000)before and after treatment.There was notably statistically significance(P=0.039)when comparing NT-proBNP between the two groups after treatment.The treatment group had a better effect on reduction of the NT-proBNP.In the aspect of reducing Ang-II,both groups had significant differences(Ptreatment =0.000,Pcontrol=0.007)before and after treatment,and the curative effect was significantly better in the treatment group than in the control group(P=0.049).Conclution:Press-needle treatment on the basis of standard western medicine could obviously improve 6 minutes walking distance ?the score of Minnesota living with heart failure questionnaire ? NT-proBNP ? Ang-?.While in the aspect of LVEF,there was not notable difference in treatment group compared with control group.