耳穴埋籽联合双心护理在气滞血瘀型冠心病心绞痛中的作用

Effect of Embedding Seed in Auricular Point Combined with Double Heart Nursing in Angina Pectoris of Coronary Heart Disease with Qi Stagnation and Blood Stasis

目的:探究耳穴埋籽联合双心护理在气滞血瘀型冠心病心绞痛中的作用。方法:选取2021年5月—2023年5月淮安市中医院收治的102例冠心病心绞痛患者作为研究对象,随机分为对照组和观察组,每组各51例。对照组采用耳穴埋籽与常规护理方式,观察组采用耳穴埋籽联合双心护理方式,观察两组护理前后的心功能指标[左室舒张末径(LVDED)、左室收缩末径(LVSED)和左室射血分数(LVEF)]、焦虑(HAMA)、抑郁(HAMD)评分、生活质量及护理满意度情况。结果:护理后,观察组的LVDED、LVSED水平低于对照组,LVEF水平高于对照组,差异有统计学意义(P<0.05);护理后观察组的HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05);护理后,观察组在身体功能、心绞痛稳定性、心绞痛频率、心理社交情况、疾病认知程度5个维度的分数均高于对照组,差异有统计学意义(P<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05)。结论:耳穴埋籽联合双心护理可以改善气滞血瘀型冠心病心绞痛患者的心功能,减轻焦虑抑郁情绪,提高生活质量和护理满意度。

Objective:To explore the effect of embedding seed in auricular point combined with double-heart nursing in angina pectoris of coronary heart disease with qi stagnation and blood stasis.Method:102 patients with angina pectoris of coronary heart disease treated in Huai'an Hospital of Traditional Chinese Medicine from May 2021 to May 2023 were selected as the study objects,and randomly divided into control group and observation group,with 51 cases in each group.Control group was treated with auricular point seeding and conventional nursing,observation group was treated with auricular point seeding combined with double heart nursing.Cardiac function indexes[left ventricular end-diastolic diameter(LVDED),left ventricular end-systolic diameter(LVSED)and left ventricular ejection fraction(LVEF)],anxiety(HAMA),depression(HAMD)scores,quality of life and nursing satisfaction of the two groups were observed before and after care.Result:After nursing,LVDED and LVSED levels in observation group were lower than those control group,and LVEF levels were higher than those control group,the difference was statistically significant(P<0.05).After nursing,HAMA and HAMD scores in observation group were lower than those in control group,and the difference was statistically significant(P<0.05).After nursing,the scores of physical function,angina stability,angina frequency,psychosocial status and disease cognition in observation group were higher than those in control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P<0.05).Conclusion:Embedding seed in auricular point combined with double-heart nursing can improve the heart function,relieve anxiety and depression,and improve the quality of life of patients with angina pectoris of coronary heart disease with qi stagnation and blood stasis.