中医综合护理措施联合西药干预稳定性心绞痛发作期临床研究

Clinical Study on Intervention of Comprehensive Nursing Measures of Chinese Medicine Combined with Western Medicine on Stable Angina Pectoris at Attack Stage

目的:观察中医综合护理措施联合西药干预稳定性心绞痛发作期的临床效果。方法:将100例符合要求的稳定性心绞痛发作期气滞血瘀证患者随机分为对照组和观察组各50例。2组患者均服用琥珀酸美托洛尔缓释片、阿司匹林肠溶片,并控制血压、血脂、血糖,必要时使用硝酸甘油片,观察组加用中医综合护理措施,包括穴位贴敷、耳穴埋豆和穴位按摩。2组均连续观察、治疗2周。记录2组患者住院期间的日均心绞痛发作次数、每次心绞痛发作持续时间、发作时心绞痛疼痛程度和研究期间硝酸甘油片的使用量;治疗前后评定胸痛、胸闷评分。比较2组的临床疗效。出院时进行护理满意度评价。结果:治疗后,观察组临床疗效优于对照组,差异有统计学意义(P<0.05)。观察组日均心绞痛发作次数少于对照组,每次心绞痛发作持续时间较对照组缩短,发作时心绞痛疼痛程度评分低于对照组,研究期间硝酸甘油片的使用量少于对照组,差异均有统计学意义(P<0.05)。2组胸痛和胸闷评分与治疗前比较均下降(P<0.01),观察组胸痛和胸闷评分均低于对照组(P<0.01)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:在常规西药治疗的基础上给予穴位贴敷、耳穴埋豆和穴位按摩综合护理措施干预稳定性心绞痛发作期,可有效控制胸痛、胸闷等症状,减轻心绞痛发作时的疼痛程度,减少发作次数,缩短发作持续时间,减少硝酸甘油的使用。既提高了临床疗效,又提高了患者对护理措施的满意度。

Objective:To observe the clinical effect of intervention of western medicine combined with comprehensive nursing measures of Chinese medicine including point application,auricular acupoint pressing with beans and acupoint massage on stable angina pectoris at attack stage.Methods:A total of 100 cases of patients with blood stasis due to qi stagnation syndrome and stable angina pectoris at attack stage and in accordance with the inclusion criteria were randomly divided into the control group and the observation group,50 cases in each group.Both groups were given metoprolol succinate extended-release tablets and aspirin enteric-coated tablets for treatment,and nitroglycerin tablets when necessary,and their blood pressure,blood lipids and blood glucose were controlled.The observation group was additionally given comprehensive nursing measures of Chinese medicine including point application,auricular acupoint pressing with beans and acupoint massage.Both groups were treated and observed for two weeks.During hospitalization,the frequency of angina pectoris attacks per day,the duration of each attack,the degree of pain during attack and the usage of nitroglycerin tablets during the study in the two groups were recorded.The scores of chest pain and chest distress before and after treatment were evaluated.The clinical effect in the two groups were compared.The nursing satisfaction was evaluated at discharge.Results:After treatment,the clinical effect in the observation group was superior to that in the control group,the difference being significant(P<0.05).The frequency of angina pectoris attacks per day in the observation group was less than that in the control group;the duration of each attack was shorter than that in the control group;the score of degree of pain during attack was lower than that in the control group;the usage of nitroglycerin tablets during the study was less than that in the control group,differences being significant(P<0.05).After treatment,the scores of chest pain and chest distress in the two groups were decreased when compared with those before treatment(P<0.01),and the scores in the observation group were lower than those in the control group(P<0.01).The nursing satisfaction in the observation group was higher than that in the control group,the difference being significant(P<0.05).Conclusion:Based on routine western medicine treatment,the intervention of comprehensive nursing measures including point application,auricular acupoint pressing with beans and acupoint massage during the attack stage of SAP can effectively alleviate the symptoms of chest pain as well as chest distress and the pain during angina pectoris attacks,reduce the frequency of attacks,shorten the duration of attacks and reduce the usage of nitroglycerin.It improves not only the clinical effect but also patients’nursing satisfaction.