穴位贴敷联合常规护理治疗冠心病临床研究

Clinical Study on Point Application Combined with Conventional Nursing for Coronary Heart Disease

目的:观察穴位贴敷联合常规护理措施干预冠心病的临床效果。方法:将冠心病患者96例按照奇、偶数法随机分为对照组和观察组,每组各48例。对照组在常规药物治疗的基础上给予常规护理干预,观察组在对照组的基础上给予穴位敷贴干预。检测2组治疗前后血清C-反应蛋白(CRP)和低密度脂蛋白(LDL)水平,应用汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评估患者焦虑及抑郁状态,并统计2组护理满意度。结果:治疗后,2组血清CRP、LDL水平均较治疗前降低(P<0.05),且观察组CRP、LDL水平均明显低于对照组(P<0.05)。治疗后,2组患者HAMA、HAMD评分均较治疗前降低(P<0.05),且观察组两项评分均明显低于对照组(P<0.05)。护理满意率观察组为79.17%,对照组为60.42%,2组比较,差异有统计学意义(P<0.05)。结论:在常规药物治疗的基础上联合穴位敷贴干预冠心病患者,可改善患者炎症反应及血脂水平,改善患者焦虑及抑郁情况,提高其满意度。

Objective:To observe the clinical effect of point application combined withconventional nursing for coronary heart disease.Methods:A total of 96 cases of patients with coronary heart disease were divided into the control group and the observation group according to the odd-even number grouping method,48 cases in each group.The control group was given routine medicine treatment and routine nursing intervention,and the observation group was additionally given point application andconventional nursing based on the intervention of the control group.Before and after treatment,the levels of C-reactive protein(CRP)and low density lipoprotein(LDL)in serum in the two groups were detected;the anxiety and depression were assessed by Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD).The nursing satisfaction in the two groups was counted.Results:After treatment,the levels of CRP and LDL in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the levels in the observation group were significantly lower than those in the control group(P<0.05).After treatment,the scores of HAMA and HAMD in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the observation group were significantly lower than those in the control group(P<0.05).The nursing satisfaction rate was 79.17%in the observation group and 60.42%in the control group,the difference being significant(P<0.05).Conclusion:Based on routine medicine treatment,the therapy of point application combined withconventional nursing for coronary heart disease can significantly improve inflammatory responses,levels of blood lipid,anxiety and depression and nursing satisfaction.