“调脾护心”康复方案应用于冠状动脉搭桥术后病人的临床研究

Clinical Study on Spleen-regulating and Heart-protecting Programme after CABG

目的观察中医"调脾护心"方案治疗冠状动脉搭桥术后病人的临床疗效。方法将60例冠脉搭桥术后病人随机分为两组,治疗组采用西医康复治疗结合中医调脾护心康复治疗;对照组采用西医康复治疗。观察周期第1期为病人入院至出院;第2期为病人出院至出院后1个月。结果治疗前治疗组中医证候积分为(24.36±3.11)分,对照组为(23.81±4.36)分,治疗前两组中医证候积分差异无统计学意义;治疗后治疗组中医证候积分为(5.87±3.21)分,对照组为(8.90±2.57)分,两组治疗后比较差异有统计学意义(P<0.05)。两组治疗后生活质量各方面均较治疗前显著改善(P<0.05),治疗组治疗后躯体活动受限程度(PL)、心绞痛发作情况(AF)、治疗满意程度(TS)改善优于对照组,差异有统计学意义(P<0.05)。结论调脾护心康复方案能改善病人中医证候,且能明显改善躯体活动受限程度、心绞痛发作情况、治疗满意程度等。

Objective To observe the effect of spleen regulating and heart- protecting programme after coronary artery bypass grafting.Methods Sixty patients after coronary artery bypass grafting were randomly divided into two groups： The control group treated with western medicine rehabilitation treatment, and the treatment group treated with spleen - regulating and heart- protecting pro- gramme and western medicine rehabilitation treatment.Were observed the first part of the cycle for patients admitted to hospital and second phase of patients discharged from hospital to 1 month.Results After treatment,the traditional Chinese medicine （TCM）syn- drome scores were 5.87± 3.21 in treatment group and 8.90± 2.57 in control group（ P 〈0.05）.The quality of life in two groups were improved after the treatment.The improvement of physical activity limitation, angina and treatment satisfaction in treatment group were better than that in control group（ P 〈0.05）.Conclusion The spleen - regulating and heart- protecting programme can improve TCM syndromes,the level of physical activity limitation, angina pectoris, treatment satisfaction in patients after coronary artery bypass grafting.