中医综合护理干预在急性心肌梗死患者中的应用价值分析  

Analysis of application value of traditional Chinese medicine comprehensive nursing intervention in patients with acute myocardial infarction

作　　者：陈瑾 李小玲[2] 

机构地区：[1]浙江省金华市中医医院心内科,浙江金华321017 [2]浙江省立同德医院心内科,浙江杭州310012

出　　处：《中国现代医生》2017年第14期148-151,共4页China Modern Doctor

基　　金：浙江省中医药科学研究基金项目(2017ZA022)

摘　　要：目的分析研究中医综合护理干预在急性心肌梗死患者中的临床应用价值。方法纳入于2015年4月~2016年11月来我院管辖社区的心肌梗死患者共200例,利用随机数表法分为两组,分别为对照组和试验组,每组各100例。对照组给予常规药物治疗,试验组给予常规药物治疗同时联合中医综合护理干预,观察两组患者临床治疗效果及预后情况。结果治疗前两组患者ADL分数比较,差异无统计学差异(P>0.05),治疗后对照组患者ADL评分为(61.4±3.6)分,试验组为(87.6±4.3)分,两组比较有统计学差异(P<0.05)。对照组患者治疗有效率为81.0%,试验组为99.0%,两组比较有统计学差异(P<0.05)。治疗后3个月两组患者均有不良心血管事件发生,对照组不良心血管事件发生率为10.0%,试验组为2.0%,两组比较有统计学差异(P<0.05)。结论中医综合护理干预对急性心肌梗死患者有较高的临床疗效,可以显著改善患者预后情况,提高患者的临床治愈率,减少治疗后不良心血管事件发生率,值得推广使用。Objective To study the clinical value of traditional Chinese medicine comprehensive nursing intervention in patients with acute myocardial infarction. Methods A total of 200 patients with myocardial infarction from the commu- nity dominated by our hospital from April 2015 to November 2016 were enrolled,which were divided into two groups in- cluding the control group and the experimental group according to random number table, with 100 cases in each group The patients in the control group were treated with conventional drugs, and the patients in the experimental group were treated with traditional Chinese medicine comprehensive nursing intervention combined with conventional drugs. The clinical treatment effect and the prognosis of the two groups were observed. Results There was no significant difference in ADL score between the two groups before treatment（P〉0.05）. The ADL score of the control group was（61.4±3.6） points and the ADL score of the experimental group was （8＂7.6±4.5） points. The data between the two groups were statistically different（P〈0.05）. The effective rate was 81.0% in the control group and that of 99.0% in the experimental group. There was significant difference between the two groups （P〈0.05）.Within three months after treatment, patients in both groups had adverse cardiovascular events. The incidence of adverse cardiovascular events was 10.0% in the control group and that of 2.0% in the experimental group. The data of the two groups were statistically different （P〈0.05）. Conclusion Traditional Chinese medicine comprehensive nursing intervention has a high clinical effect in patients with acute my- ocardial infarction, which can significantly improve the prognosis of patients, improve the clinical cure rate of patients and reduce the rate of adverse cardiovascular events after treatment, and is worthy of promotion and use

关 键 词：中医护理 社区干预 心肌梗死 应用价值 

分 类 号：R248.1[医药卫生—中医临床基础] R542.22[医药卫生—中医学]