基于心脏康复风险评估的康复治疗联合经络操治疗冠状动脉支架植入术后临床研究  

Clinical Study on Rehabilitation Therapy Based on Risk Assessment on Heart Rehabilitation Combined with Meridian Exercise Treatment for Patients After Stent Implantation of Coronary Artery

作　　者：周同芳 王星[1] 吴姗姗 ZHOU Tongfang;WANG Xing;WU Shanshan

机构地区：[1]南阳市中心医院心脏大血管外科,河南南阳473000

出　　处：《新中医》2021年第11期168-171,共4页New Chinese Medicine

摘　　要：目的:观察基于心脏康复风险评估的康复治疗联合中医经络操对冠状动脉支架植入术后疗效的影响。方法:将接受冠状动脉支架植入手术的患者98例按照随机数字表法分为对照和观察组各49例。对照组术后给予常规护理的基础上进行基于心脏康复风险评估的康复治疗;观察组在对照组的基础上实施经络操进行干预。比较2组干预前后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分、临床症状评分及生活质量评分。结果:治疗干预后,2组HAMA、HAMD评分均较干预前降低(P<0.05),且观察组2项评分均低于对照组(P<0.05)。治疗干预后,2组纳差、乏力、腹胀、肠鸣音异常等临床症状评分均较治疗前降低(P<0.05),且观察组各项评分低于对照组(P<0.05)。治疗干预后,2组患者心理状态、生理状态、环境领域、社会关系等生活质量评分均较治疗前升高(P<0.05),且观察组各项评分高于对照组(P<0.05)。结论:基于心脏康复风险评估的康复治疗联合经络操干预冠状动脉支架植入术后,有助于促进患者术后康复,改善症状及焦虑抑郁状态,提高生活质量。Objective: To observe the curative effect of rehabilitation therapy based on risk assessment on the heart rehabilitation combined with meridian exercise of Chinese medicine on patients after stent implantation of coronary artery.Methods:A total of 98 cases of patients undergoing stent implantation of coronary artery were divided into the control group and the observation group according to the random number table method,49 cases in each group. After surgery,the control group was given the combined therapy of routine nursing and rehabilitation therapy based on risk assessment on the heart rehabilitation,and the observation group was additionally given the intervention of meridian exercise based on the treatment of the control group. The scores of Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),clinical symptoms,and quality of life were compared between the two groups before and after intervention. Results: After intervention, the scores of HAMA and HAMD in the two groups were decreased when compared with those before intervention(P<0.05),and the two scores in the observation group were lower than those in the control group(P<0.05). After intervention,the scores of clinical symptoms including poor appetite, lack of strength, abdominal distension, and abnormal bowel sound in the two groups were decreased when compared with those before intervention(P<0.05), and each score in the observation group was lower than that in the control group(P<0.05). After intervention, the scores of quality of life including psychological state,physiological state,environmental domain,and social relation in the two groups were increased when compared with those before intervention(P<0.05), and each score in the observation group was higher than that in the control group(P<0.05). Conclusion: In the intervention of patients after stent implantation of coronary artery, the combined treatment of rehabilitation therapy based on risk assessment on the heart rehabilitation and meridian exercise conduces to postoperative recovery,i

关 键 词：冠状动脉支架植入 术后 康复风险评估 经络操 生活质量 

分 类 号：R473.54[医药卫生—护理学]