益气复元合剂联合常规药物在急性心肌梗死经皮冠状动脉介入术术后患者中的应用效果

Effect of Yiqi Fuyuan Mixture Combined with Conventional Drugs in Patients with Acute Myocardial Infarction after Percutaneous Coronary Intervention

目的:探讨益气复元合剂联合常规药物在急性心肌梗死经皮冠状动脉介入术(PCI)术后患者中的应用效果。方法:选取2022年4—12月广州市中西医结合医院收治的急性心肌梗死PCI术后患者120例作为研究对象,按照随机数字表法分为对照组和研究组,各60例。对照组给予常规药物治疗,研究组在对照组基础上给予益气复元合剂治疗。比较两组治疗效果。结果:研究组治疗总有效率高于对照组,差异有统计学意义(P=0.048)。治疗前,两组中医症状积分比较,差异无统计学意义(P>0.05);治疗后,研究组胸痛、胸闷、心悸气短以及神倦乏力积分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组心理、生理、社会关系、环境评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论:益气复元合剂联合常规药物在急性心肌梗死PCI术后患者中的应用效果显著,可促进患者症状改善,提升生活质量。

Objective:To investigate the effect of Yiqi Fuyuan mixture combined with conventional drugs in patients with acute myocardial infarction after percutaneous coronary intervention(PCI).Methods:A total of one hundred and twenty patients with acute myocardial infarction after PCI treated in Guangzhou Hospital of Integrated Chinese and Western Medicine from April 2022 to December 2022 were selected as the study objects,and were divided into control group and study group according to random number table method,with sixty cases in each group.The control group was given conventional drug treatment,and the study group was given Yiqi Fuyuan mixture on the basis of the control group.The therapeutic effect of the two groups was compared.Results:The total effective rate of the study group was higher than that of the control group,the difference was statistically significant(P=0.048);Before treatment,there was no significant difference in TCM symptom score between the two groups(P>0.05);After treatment,the scores of chest pain,chest tightness,palpitation and shortness of breath in the study group were lower than before treatment,and the scores of the study group were lower than those of the control group,the difference was statistically significant(P<0.05);After treatment,the scores of psychological,physiological,social relationship and environment in both groups were higher than before treatment,and the study group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion:The effect of Yiqi Fuyuan mixture combined with conventional drugs in patients with acute myocardial infarction after PCI can promote the improvement of patients'symptoms and improve their quality of life.