中医经络推按配合药膳疗法对冠心病心绞痛患者生活质量的影响  

Effect of meridian push press cooperating with medicinal food therapy on the quality of life in patientswith angina disease

作　　者：罗玫[1] 杨雨竹[1] 莫凤梅[1] 

机构地区：[1]518033深圳市中医院心血管科

出　　处：《中华现代护理杂志》2011年第19期2238-2241,共4页Chinese Journal of Modern Nursing

基　　金：2010年深圳市科技计划项目（201003173）

摘　　要：目的探讨中医经络推按配合药膳疗法对冠心病心绞痛患者生活质量的影响。方法采用随机平行对照临床研究，将122例冠心病心绞痛患者分为四组：经络推按组31例、药膳组30例、经络推按配合药膳组31例、对照组30例。对照组常规西药治疗及护理，其余三组在常规西药治疗及护理的基础上，给予经络推按、药膳疗法、经络推按配合药膳疗法，各组治疗3个疗程，每个疗程2周。通过西雅图心绞痛量表（SAQ）、健康调查简表（SF-36）、硝酸甘油用量评价冠心病心绞痛患者的生活质量。结果四组患者3个疗程后西雅图心绞痛量表的躯体活动受限程度维度得分分别为经络推按组（65．77±8．55）分，药膳组（66．17±8．31）分，经络推按配合药膳组得分（74．68±4．28）分，对照组（62．63±8．45）分，四组比较差异有统计学意义（，=14．15，P〈0．01）；四组在saq、SF-36、硝酸甘油用量方面比较，差异均有统计学意义（F分别为8．55，7．53，8．46；P〈n01）。结论中医经络推按配合药膳疗法能提高患者的疗效及生活质量，为冠心病心绞痛患者中医护理提供依据，同时可以将研究成果在社区护理中推广，以起到二级预防的作用。Objective To explore the effect of meridian push press cooperating with medicinal food therapy on the quality of life in patients with angina disease. Methods Random parallel controlled clinical research was used in this research. 122 patients with angina disease were divided into four groups： 31 in the meridian push press group, 30 in the medicinal food therapy group. 31 in the meridian push press cooperating with medicinal food therapy group, and 30 in the control group. The control group was treated with the conventional treatment and nursing, the other three groups were treated with not only the conventional treatment and nursing, but also the meridian push press treatment, medicinal food therapy and meridian push press cooperating with medicinal food therapy. There were 3 courses of treatment and each course of the treatment was lasted in 2 weeks. The quality of life in patients with angina disease was evaluated by the Seattle Angina Questionnaire （SAQ）, the MOS item short from health survey （SF-36） and the nitroglycerin consumption. Results Degree of physieal activity limitation scores in Seattle Angina Questionnaire for four groups were different [ （65.77 ±8.55 ）, （ 66. 17 8.31 ）, （ 74.68 ± 4.28 ） and （ 62.63 ± 8.45 ） ], with a statistical significance（ F = 14. 15, P 〈 0. 01 ）. Four groups of patients after 3 courses of treatment in the Seattle Angina Questionnaire, the MOS item short from health survey and the nitroglycerin consumption were significantly different by analysis of variance （ F = 8. 55,7. 53,8.46 ; P 〈 0. O1 ）. Conclusions The meridian push press cooperating with medicinal food therapy can improve the curative effect and quality of life in patients with angina disease. It will provide the basis for TCM nursing and the research results can be promote to the community nursing to play a role of secondary prevention.

关 键 词：经络推按 药膳疗法 冠心病心绞痛 生活质量 

分 类 号：R259[医药卫生—中西医结合]