应用中医体质原理对青年冠心病患者进行健康指导的效果分析

Analysis on the effect of health guidance for young patients with coronary heart disease by applying the principle of constitution of traditional Chinese Medicine

目的研究中医体质原理对青年冠心病患者进行健康指导的应用效果。方法选择2017年1月~2018年1月在我院行冠状动脉造影确诊为冠心病的102例患者作为研究对象,按患者的健康指导方法不同分为对照组和观察组各51例。对照组给予常规健康指导,观察组在对照组基础上针对不同的中医体质实施健康指导。比较两组患者干预前后平和质、再次住院率以及心脏事件发生情况。结果干预前,对照组的偏颇体质43例、平和体质8例,观察组偏颇体质47例、平和体质4例,两组比较差异均无统计学意义(P>0.05);干预后,对照组的偏颇体质31例、平和体质20例,观察组的偏颇体质15例、平和体质36例,两组比较差异均有统计学意义(P<0.05)。对照组的再次住院率为19.61%(10例),观察组为5.88%(3例),组间比较差异有统计学意义(P<0.05)。对照组的不良心脏事件发生率为3.92%(2例),观察组为3.92%(2例),组间比较差异无统计学意义(P>0.05)。结论在中医体质理论的基础上对冠心病患者实施健康指导的效果显著,能有利于改善患者的偏颇体质,值得临床应用。

Objective To investigate the effect of health guidance for young patients with coronary heart disease by applying the principle of constitution of traditional Chinese. Methods A total of 102 patients who were diagnosed with premature coronary heart disease in the first affiliated hospital of Guangxi Medical University from January 2017 to January 2018 were selected as the research subjects.According to the health guidance methods,the patients were divided into controlled group and observation group,51 cases each.The controlled group was given routine health guidance,and the observation group was given health guidance for different TCM constitutions based on the controlled group.The balanced constitution,rehospitalization rate and cardiac events for two groups of patients were compared before and after the intervention. Results Before the intervention,43 patients in the control group were unbalanced and 8 patients in the balanced constitution,47 patients in the observation group were unbalanced and 4 were balanced constitution.There was no significant difference between the two groups(P>0.05).After the intervention,there were 31 cases of unbalanced constitution and 20 cases of balanced constitution in the control group,15 cases of unbalanced constitution and 36 cases of balanced constitution in the observation group,and the differences between the two groups were statistically significant(P<0.05).The rehospitalization rate in the control group was 19.61%(10 cases),and was 5.88%(3 cases) in the observation group.The difference between groups was statistically significant(P<0.05).The incidence of adverse cardiac events in the control group was 3.92%(2 cases),and was 3.92%(2 cases) in the observation group.There was no significant difference between the groups(P>0.05). Conclusion On the basis of TCM constitution theory,the effect of health guidance for patients with coronary heart disease is significant,which can help improve the patient’s unbalanced constitution and is worthy of clinical application.