调脾护心法治疗稳定型心绞痛非手术患者的回顾性研究

Retrospective cohort study on regulating the splean and protecting the heart for non-surgical treatment of unstable angina

目的调查调脾护心法对采用非手术治疗的稳定性心绞痛患者预后及再次入院率的影响。方法采用回顾性队列研究方法,对广东省中医院2008年1～2月出院的稳定型心绞痛中医辨证为气虚痰浊证型,采用内科保守治疗124例患者进行电话随访,并对随访内容进行统计分析。结果稳定性心绞痛在给予西医常规治疗同时配合调脾护心法治疗,可明显改善患者胸闷痛症状、减少消化系统并发症、减少住院次数及延长再次住院时间,差异具有统计学意义(P<0.05),而在降低死亡率方面未见明显差异(P>0.05)。结论初步研究表明调脾护心法可以改善心绞痛非手术治疗患者的预后,延长患者再次入院时间,但不能降低死亡率。

[Objective] To regulating the spleen and protecting the heart on unstable angina, the use of nonsurgical treatment and prognosis of the impact of re-admission. [Methods] A retrospective eohort study method, for unstable angina who differentiation Qi defieineey and phlegm-turbid syndrome, Take a conservative medical treatment of 124 eases patients with a description and analysis. [Results] Unstable angina in the treatment given to conventional western medicine plus regulating the spleen and protecting the heart can signifieantly improve pain symptoms in patients with chest tightness （P 〈0.05）, reduce digestive complications （P 〈0.05）, reduce admitted to hospital again ,extend the length of stay （P 〈0.05）, in reducing mortality no significant difference （P 〉0.05）. [Conclusion] Regulating the spleen and protecting the heart can improve the eare of non-surgical treatment of patients with angina prognosis, patients with extended time admitted to hospital again, but can not reduce mortality.