冠心病心绞痛患者行中医辨证护理的临床观察

Clinical Observation on Traditional Chinese Medicine Syndrome Differentiation in Patients with Angina Pectoris of Coronary Heart Disease

目的观察中医辨证护理运用于冠心病心绞痛患者的临床效果。方法选取于我院接受治疗的确诊为冠心病心绞痛患者62例,并将其随机分为观察组与对照组,对照组31例,采用传统护理方式;观察组31例,在对照组基础上给予中医辨证护理。观察2组护理效果。结果观察组患者护理后心绞痛发作次数及持续时间、硝酸甘油使用量、心电图ST段下降均显著少于对照组(P<0.05),观察组心功能Ⅰ级患者明显较对照组多(P<0.05);入院时2组SAS及SDS量表评分均无明显差异(P>0.05),护理后2组SAS及SDS评分均明显下降(P<0.05),且观察组评分均显著低于同时期的对照组,2组数据存在统计学差异(P<0.05)。结论冠心病心绞痛患者运用中医辨证护理,可有效改善患者心绞痛症状,缓解其负面心理,促进患者身体健康的恢复,值得临床应用推广。

Objective To observe the clinical effect of nursing with TCM syndrome differentiation in patients with angina pectoris of coronary heart disease. Methods 62 patients with angina pectoris of coronary heart disease who were treated in our hospital were selected. They were randomly divided into observation group and control group. 31 cases in control group were treated with traditional nursing methods. The observation group of 31 cases received TCM syndrome differentiation nursing on the basis of the control group. The nursing effect was observed.Results After nursing,the number and duration of angina pectoris attack,the usage of nitroglycerin and the decrease of ST segment of ECG in the observation group were significantly less than those in the control group（ P〈0. 05）. The cardiac function in the observation group was significantly higher than that in the control group（ P〈0. 05）. There was no significant difference in the scores of SAS and SDS between the two groups on admission（ P〉0. 05）. The scores of SAS and SDS in the two groups decreased significantly after nursing care（ P〈0. 05）. The scores in the observation group were significantly lower than those in the control group in the same period,and there was statistical difference between the two groups（ P〈0. 05）. Conclusion TCM syndrome differentiation in patients with angina pectoris of coronary heart disease can effectively improve the symptoms of angina pectoris,alleviate its negative psychology and promote the recovery of patient＇s health.