循经按摩对慢性心力衰竭患者生命质量的临床观察

Clinical Observation of Massage along Meridians on Quality of Life in Patients with Chronic Heart Failure

目的:探索循经按摩对慢性心力衰竭(CHF)患者生命质量的影响。方法:选取2015年1月至2018年1月北京中医药大学房山医院诊治的46例CHF患者为研究对象,按照简单随机化随机分为对照组和观察组,每组23例。对照组采用常规治疗;观察组在常规治疗基础上,同时给予循经按摩治疗,在0周、4周、8周、12周、18周和24周,对2组患者进行明尼苏达心力衰竭生命质量量表(MLHFQ)评分,对CHF患者生命质量进行评价,并采用广泛性焦虑障碍量表(GAD-7)评估CHF患者的焦虑情况,比较2组CHF患者各时间点MLHFQ评分和GAD-7评分的变化及组间差异。结果:对于不同治疗时间(4周、8周、12周、18周、24周)重复测量2组患者的生命质量和焦虑情况,2组间比较显示,MLHFQ评分和GAD-7评分观察组优于对照组(P<0.05);2组组内比较显示,观察组治疗后MLHFQ评分和GAD-7评分减低(P<0.05),对照组治疗后MLHFQ评分和GAD-7评分无明显减低(P>0.05)。结论:循经按摩能够提高慢性心力衰竭患者的生命质量,缓解其焦虑情绪。然而,还需在以后的临床研究中增加样本量,进行更深入的研究,为CHF患者提供更有价值的临床依据。

Objective:To explore the effect of meridian circulation massage on the quality of life of patients with chronic heart failure(CHF).Methods:A total of 46 CHF patients diagnosed and treated in Fangshan Hospital of Beijing University of Chinese Medicine from January 2015 to January 2018 were selected as the research objects,and were randomly divided into the control group and the observation group(23 patients in each group)by envelope table method.The control group was treated with routine therapy and the observation group was treated with massage along meridians on the basis of routine treatment.At 0,4,8,12,18 and 24 weeks,the Minnesota Living with Heart Failure Questionnaire(MLHFQ)was used to evaluate the quality of life of CHF patients in both groups.The Generalized Anxiety Disorder Scale(GAD-7)was used to evaluate the Anxiety of CHF patients,and the changes of MLHFQ and GAD-7 scores at each time point and the differences between the two groups were compared.Results:The quality of life and anxiety of patients in the two groups were measured repeatedly at different treatment times(4 weeks,8 weeks,12 weeks,18 weeks,24 weeks).The comparison between the two groups showed that the MLHFQ score and GAD-7 score in the treatment group were better than those in the control group(P<0.05).Comparison between the two groups showed that the MLHFQ and GAD-7 scores in the treatment group were decreased after treatment(P<0.05),while those in the control group were not significantly decreased after treatment(P>0.05).Conclusion:Classical massage can improve the quality of life and relieve the anxiety of patients with chronic heart failure.However,it is necessary to increase the sample size in future clinical studies and conduct more in-depth studies to provide more valuable clinical evidence for CHF patients.