气血同治对冠心病介入术后患者生活质量的影响

Effect of Qi and Blood Together Treatment on Quality of Life of Patients after Coronary Heart Disease Intervention

目的探讨气血同治对冠状动脉粥样硬化性心脏病(简称冠心病)介入术后患者的中医证候疗效及生活质量的影响。方法随机选取2020年6月—2021年6月就诊于北京中医药大学厦门医院心血管内科的阳气不足、心血瘀阻型冠心病患者60例为研究对象,以随机数表法进行分组,分别为治疗组(n=30)以及对照组(n=30),其中对照组实施西医常规疗法,治疗组于对照组基础上融合自拟方,疗程为4周。比较两组治疗前后中医证候积分、临床疗效、生活质量变化和心肺运动功能。结果治疗后,治疗组的证候评分低于对照组,差异有统计学意义(P<0.05)。治疗后,治疗组有效率高达96.67%,明显高于对照组83.33%,差异有统计学意义(χ^(2)=6.873,P<0.05)。治疗后,治疗组简明调查量表中8个维度的分数显著高于对照组,差异有统计学意义(P均<0.05)。治疗后,治疗组各项心肺运动功能水平均优于对照组,差异有统计学意义(P均<0.05)。结论气血同治可改善冠心病介入术后患者临床症状,提高患者生活质量。

Objective To discuss the effects of Qi and blood together treatment on the efficacy of traditional Chinese medicine(TCM)symptoms and quality of life of post-interventional patients with coronary atherosclerotic heart disease(coronary heart disease).Methods Sixty patients with coronary heart disease of Yang Qi insufficiency and cardiovascular blood stasis type who visited the Department of Cardiovascular Medicine of Xiamen Hospital of Beijing University of Chinese Medicine from June 2020 to June 2021 were randomly selected as the research objects and grouped into two groups by randomized numerical table method,named as the treatment group(n=30)and the control group(n=30),respectively.The patients in the control group were treated with conventional Western medicine,while the treatment group was treated with a combination of self-proposed prescriptions on the basis of the control group for a period of 4 weeks.The two groups were compared before and after treatment in terms of TCM scores,clinical efficacy,quality of life,and cardiopulmonary exercise function.Results After treatment,the evidence score of the treatment group were lower than those of the control group,and the difference was statistically significant(P<0.05).After treatment,the effective rate in the treatment group was 96.67%,which was significantly higher than 83.33%of the control group,and the difference was statistically significant(χ^(2)=6.873,P<0.05).After treatment,the scores of 8 dimensions among MOS-iten Short From Health Survey in the treatment group were significantly higher than those in the control group,and the differences were statistically significant(all P<0.05).After treatment,all cardiopulmonary exercise function levels of the treatment group were better than those of the control group,and the differences were statistically significant(all P<0.05).Conclusion Qi and blood together treatment can improve the clinical symptoms of patients after coronary heart disease intervention and improve the quality of life of patients.