“气血水厥”理论指导下的中药循经热熨在行经皮冠状动脉介入术患者康复护理中的效果

Effect of hot ironing of traditional Chinese medicine along meridians on rehabilitation nursing for patients after percutaneous coronary intervention under the guidance of“Qi-Xue-Shui-Jue”theory

目的探讨在“气血水厥”理论指导下的中药循经热熨护理对行经皮冠状动脉介入术(PCI)的冠状动脉粥样硬化性心脏病(简称“冠心病”)患者术后康复质量的影响。方法选取2017年10月至2019年4月南京中医药大学附属盐城市中医院心内科收治的105例PCI术后患者,随机分为对照组(n=52)和观察组(n=53)。对照组患者接受常规护理,观察组患者在常规护理的基础上接受中医特色护理。比较两组患者的中医症状积分、近中期心功能指标、护理满意度和主要心血管事件发生情况。结果出院时、护理后1个月和3个月,两组的中医症状评分均显著低于同组护理前(P值均<0.05),且观察组均显著低于同期对照组(P值均<0.05)。出院时和护理后3个月,两组的左室舒张末期内径(LVEDD)和左室射血分数(LVEF)较同组护理前均显著改善(P值均<0.05),且观察组均显著优于同期对照组(P值均<0.05)。1年内,观察组的再入院次数为(1.36±0.38)次,低于对照组的(1.83±0.54)次,差异有统计学意义(P<0.05)。观察组的主要心血管事件发生率为3.77%,高于对照组的1.92%,但两组间差异无统计学意义(P>0.05)。两组间护理态度得分的差异无统计学意义(P>0.05)。观察组的护理水平、基础护理和健康教育影响均显著高于对照组(P值均<0.05)。结论中药循经热熨特色护理疗法可有效提高冠心病患者PCI术后的康复质量。

Objective To evaluate the effect of hot ironing of traditional Chinese medicine(TCM)along meridians on the postoperative rehabilitation quality of patients with coronary atherosclerotic heart disease(CHD)treated by percutaneous coronary intervention(PCI)under the guidance of“Qi-Xue-Shui-Jue”theory.Methods A total of 105 patients after PCI admitted to the Department of Cardiology at Yancheng Hospital of Traditional Chinese Medicine Affiliated to Nanjing University of Chinese Medicine from October 2017 to April 2019 were selected and randomly divided into a control group(52 cases)and an observation group(53 cases).The control group was given routine nursing,and the observation group was given TCM characteristic nursing on the basis of routine nursing.The TCM symptom scores,near-term and medium-term cardiac function indicators,nursing satisfaction,and incidence of major cardiovascular events were compared between the two groups.Results At discharge and 1 month and 3 months after nursing,the TCM symptom scores of the two groups were significantly lower than those before nursing(all P<0.05),and the scores of the observation group were significantly lower than those of the control group(all P<0.05).At discharge and 3 months after nursing,the left ventricular end-diastolic diameter(LVEDD)and left ventricular ejection fraction(LVEF)of the two groups were significantly improved compared with those before nursing(all P<0.05),and the indicators of the observation group were significantly better than those of the control group(all P<0.05).Within 1 year,the count of readmissions in the observation group was(1.36±0.38),which was lower than(1.83±0.54)in the control group.The difference was statistically significant(P<0.05).The incidence of major cardiovascular events in the observation group was 3.85%,which was higher than 1.89%in the control group,but there was no statistically significant difference between the two groups(P>0.05).There was no significant difference in nursing attitude score between the two groups(P>0.05).The scores of nursing level,basic nursing and health education in the observation group were significantly higher than those in the control group(all P<0.05).Conclusion The TCM hot ironing characteristic nursing can effectively improve the rehabilitation quality of CHD patients after PCI.