益气活血祛痰法联合中医循证护理干预对老年左心相关性肺动脉高压患者疗效及生活质量影响  

Observation of Yiqi Huoxue Qutan Method Combined with Evidencebased Nursing Intervention of TCM for the Elderly with Left Heart Associated Pulmonary Hypertension,and Influence of the Quality of Life

作　　者：尚巍[1] 陈韦[2] 

机构地区：[1]辽宁中医药大学附属第二医院,辽宁沈阳110034 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《辽宁中医药大学学报》2017年第2期145-148,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：辽宁省教育厅一般项目(L2013 358)

摘　　要：目的:探讨益气活血祛痰法联合中医循证护理干预对老年左心相关性肺动脉高压患者疗效及生活质量的影响。方法:将符合标准的60例老年左心相关性肺动脉高压患者,采用随机数字表随机分为两组,对照组30例,给予常规治疗,包括给予利尿、抗凝、吸氧以及正性肌力药加上基础护理;实验组30例,在常规治疗的基础上加以口服益气活血祛痰法方药,同时配合中医循证护理。两组治疗均以2周为1个疗程,连续治疗3个疗程,而后观察两组的临床疗效、中医症状积分、肺动脉收缩压(s PAP)、生活质量等其他指标变化,并进行统计学分析处理。结果:实验组患者护理后总有效率为96.7%,显著高于对照组的73.3%,两组比较差异有统计学意义(P<0.05);两组患者在治疗后心悸胸闷、咳嗽气喘、气短乏力、肢体浮肿中医症状积分均有所改善,但实验组优于对照组,实验结果差异有统计学意义(P<0.05);治疗护理后经超声检测两组患者s PAP均有改善,在改善程度上实验组治疗前后降低差值为(27.32±1.97)mm Hg明显高于对照组的(7.50±0.07)mm Hg,差异具有统计学意义(P<0.05);治疗后两组患者生活质量改善情况均有所改善,但实验组优于对照组,实验结果差异有统计学意义(P<0.05)。结论:益气活血祛痰法中药能显著改善左心相关性PH患者的临床症状,明显改善患者的运动能力,提高患者的生存质量,增加心肌功能,扩张血管降低肺动脉血压,同时联合中医循证护理能够完善护理过程中所出现的漏洞,提高护理效率,对临床具有指导意义,值得临床推广。Objective： To explore Yiqi Huoxue Qutan method with evidence-based nursing intervention of TCM for the elderly with left heart associated pulmonary hypertension, and the influence of the quality of life. Methods ： Select 60 patients with left heart associated pulmonary hypertension, randomly divided into two groups at random. 30 cases of control group given conventional treatment, including giving diuretic, anticoagulation, oxygen, and positive myodynamia medicine and primary care ; 30 cases of the experimental group were given Yiqi Hnoxue Qutan method decoction on the basis of conventional treatment, at the same time cooperate with evidence-based nursing in traditional Chinese medicine. Two groups of treatment are in 2 weeks, for a period of treatment, treatment of three consecutive period of treatment, and then observe the clinical effects of two groups, the doctor of traditional Chinese medicine symptom integral, pulmonary artery systolic pressure （sPAP）, quality of life and other indicators of change, and carry on statistical analysis. Results： The total effective rate was 96.7% after patient care, is significantly higher than 73.3% in the control group, two groups compare the difference was statistically significant （P〈0.05）; Two groups after treatment in patients with palpitation chest tightness, cough asthma, shortness of breath, weakness, limb edema TCM symptoms integral are improved, but the experimental group is better than that of control group, the experimental results was statistically significant difference （P〈0.05）; sPAP care by ultrasonic testing after two groups of patients were improved, in improving the degree, the experimental group before and after treatment to reduce differential value is （ 27.32 ± 1.97 ） mmHg is significantly higher than the control group （ 7.50 ± 0.07 ） mmHg, statistically significant difference （ P〈0.05 ）; Two groups of patients quality of life improvement after treatment were improved, but the experimental group is better than that o

关 键 词：益气活血祛痰法 中医循证护理 左心相关性肺动脉高压 临床疗效 生活质量 

分 类 号：R563[医药卫生—呼吸系统]