祛痰化瘀、益气温阳法治疗对冠心病合并心律失常患者生活质量的影响

Effect of Expectorant and Removing Blood Stasis and Relieving Qi and Yang on Quality of Life of Patients with Coronary Heart Disease Complicated with Arrhythmia

目的:观察祛痰化瘀、益气温阳法治疗冠心病合并心律失常患者生活质量的影响。方法:收集符合冠心病合并心律失常"痰瘀互结、阳气虚衰"证的患者60例,随机分为试验组、对照组,试验组在常规西药治疗的基础上予具有"祛痰化瘀、益气温阳"功效的中药汤剂口服;对照组予常规西药治疗,7天1个疗程,观察2个疗程。观察西雅图量表(SAQ)治疗前后的变化来判定疗效。结果:治疗前各基线指标比较差异无统计学意义(P> 0. 05),具有可比性。治疗后两组与本组治疗前比较西雅图心绞痛量表各维度均有所提高,具有统计学意义(P <0. 05);治疗后试验组较对照组在躯体活动受限程度、心绞痛发作情况2个维度改善效果相对明显,差异有统计学意义(P <0. 05)。结论:采用祛痰化瘀、益气温阳法治疗冠心病合并心律失常可以改善患者的整体生活质量。

Objective: To observe the effect of expectorant and relieving blood stasis and relieving Qi and Yang on the quality of life of patients with coronary heart disease complicated with arrhythmia. Methods: Sixty patients with coronary heart disease complicated with arrhythmia were randomly divided into experimental group,control group and experimental group on the basis of conventional western medicine treatment. The control group used conventional Western medicine treatment. Seven days was a course of treatment,totally two courses. We observed the changes of the Seattle scale( SAQ) before and after treatment to determine the efficacy. Results: There was no significant difference between the baseline indexes before treatment( P > 0. 05). Two groups’ degree of somatic activity and angina pectoris improved than those of the control group( P < 0. 05),and there was significant difference between the two groups after treatment( P < 0. 05). The difference was statistically significant( P < 0. 05). Conclusion: The treatment of coronary heart disease with arrhythmia can improve the overall quality of life of patients with expectorant and relieving blood stasis.