康复训练结合逍遥散干预慢性心脏衰竭伴抑郁状态的临床疗效观察

Clinical observation on the therapeutic effect of rehabilitation training combined with Xiaoyao Powder on chronic heart failure accompanied by depression

目的此研究旨在观察康复训练结合逍遥散干预慢性心脏衰竭伴抑郁状态患者的有效性.方法将46名心衰伴抑郁状态患者纳入研究,随机等分为中医康复组与对照组,每组23名.对照组予以心衰常规用药与护理,中医康复组在此基础联合使用康复训练和逍遥散内服,分别在治疗前与治疗3个月后对患者抑郁情绪、心功能、生活质量进行评估.结果治疗3个月后,中医康复组与对照组抑郁评分均显著下降,且中医康复组较对照组下降更为明显,差异具有显著统计学意义(P<0.05);与对照组比较,中医康复组在生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感智能与精神健康方面改善更为显著,差异有统计学意义(P<0.05);中医康复组左室射血分数大于对照组,左室舒张末期内径小于对照组,差异均有统计学意义(P<0.05).结论康复训练结合逍遥散能够有效改善患者心功能、抑郁情绪与生活质量,疗效确切,值得推广.

Objective This study aims to observe the effectiveness of rehabilitation training combined with Xiaoyao Powder in treating patients with chronic heart failure and depression.Method 46 patients with heart failure and depression were included in the study and randomly divided into a Traditional Chinese Medicine rehabilitation group and a control group,with 23 patients in each group.The control group received routine medication and care for heart failure,while the Traditional Chinese Medicine rehabilitation group used rehabilitation training and Xiaoyao Powder orally on this basis.Depression,heart function,and quality of life of the patients were evaluated before and 3 months after the intervention.Result After 3 months of intervention,both the Traditional Chinese Medicine rehabilitation group and the control group showed a significant decrease in depression scores,and the Traditional Chinese Medicine rehabilitation group showed a more significant decrease compared to the control group,with a statistically significant difference(P<0.05);compared with the control group,the Traditional Chinese Medicine rehabilitation group showed more significant improvements in physiological function,physiological function,physical pain,general health status,energy,social function,emotional intelligence,and mental health,with a statistically significant difference(P<0.05);the left ventricular ejection fraction in the Traditional Chinese Medicine rehabilitation group was larger than that in the control group,and the left ventricular diastolic diameter was smaller than that in the control group,with statistical significance(P<0.05).Conclusion Rehabilitation training combined with Xiaoyao Powder can effectively improve patients'heart function,depressive mood,and quality of life,with a definite therapeutic effect and is worth promoting.