中医综合护理冠心病心绞痛随机平行对照研究

TCM Integrated Care Randomized Parallel Group Study of Angina Pectoris

[目的]观察中医综合护理冠心病心绞痛疗效。[方法]使用随机平行对照方法,将80例门诊及住院患者按住院病志号法简单随机分为两组。对照组40例常规护理,严密观察患者血压、心率、脉象等生命体征。观察患者疼痛性质、程度以及持续时间。患者常夜间发病,夜班护理人员30min巡视一次。治疗组40例辨证施护:心血瘀阻、气阴两虚、心肾阳虚、痰瘀互结、肝郁化火;联合生活护理、饮食护理、情志护理、用药护理等;常规护理同对照组。观测临床症状、心绞痛、不良反应。连续治疗1疗程,判定疗效。[结果]治疗组显效18例,有效16例,无效6例,总有效率85.00%。对照组显效11例,有效17例,无效12例,总有效率70.00%。治疗组疗效优于对照组(P<0.05)。[结论]中医综合护理冠心病心绞痛效果显著,值得推广。

[ Objective ] To observe the efficacy of traditional Chinese medicine comprehensive care of angina pectoris. [ Methods ] Random parallel control method, 80 cases of outpatient and inpatient inpatient Chi by Law No. simple randomized into two groups. Usual care control group of 40 patients, close observation of blood pressure, heart rate, pulse and other vital signs. Observe the nature of pain patients, the degree and duration. Angina onset patients often at night, so the night shift nurses should strengthen accountability, 30min inspected once. Treatment group of 40 patients with usual care control group. Syndrome nursing： blood stasis, Qi type, type of heart deficiency, phlegm and blood type, liver-fire type. Life care, diet care, emotional care, medication treatments. Observing clinical symptoms of angina, adverse reactions. A continuous course of treatment to determine efficacy. [ Results ] 18 cases markedly effective in 16 cases, 6 cases, the total efficiency of 85.00%. The control group 11 cases markedly effective in 17 cases, 12 cases, the total efficiency 70.00%. Treatment group than the control group （ P〈0.05 ） . [ Conclusion ] Comprehensive Care TCM significant effect on angina pectoris, worthy of promotion.