益气活血法联合延续性护理对急性冠脉综合征介入术后患者预后的影响  

Effect of Benefiting-Qi Blood-activating Method Joined with Continuous Nursing on Prognosis of Patients after Intervention for Acute Coronary Syndrome

作　　者：白杰 高占义 魏月娟[1] BAI Jie;GAO Zhanyi;WEI Yuejuan(Cangzhou Hospital of Integrated TCM-WM,Cangzhou 061000,China)

机构地区：[1]沧州中西医结合医院,河北沧州061000

出　　处：《西部中医药》2023年第8期94-97,共4页Western Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局项目(3604010)。

摘　　要：目的:探讨益气活血法联合延续性护理对急性冠脉综合征介入术后患者预后的影响。方法:选择86例急性冠脉综合征介入术后患者作为研究对象,依据随机数字表法分为对照组和观察组,每组各43例。对照组予常规药物干预,观察组在对照组基础上给予益气活血法联合延续性护理干预。6个月后,比较两组临床疗效、中医证候评分和生活质量评分、再狭窄发生率。结果:观察组总有效率[97.67%(42/43)]显著高于对照组[81.40%(35/43)(P<0.05)];治疗后,两组中医证候评分明显降低,且观察组明显低于对照组(P<0.01);治疗后,两组西雅图心绞痛量表评分明显增加,且观察组明显高于对照组(P<0.01);观察组再狭窄发生率[2.33%(1/43)]明显低于对照组[18.60%(8/43)](P<0.05)。结论:益气活血法联合延续性护理可减轻急性冠脉综合征介入术后患者的临床症状,提高临床疗效和生活质量,降低再狭窄发生风险。Objective:To explore the influence of benefiting-Qi blood-activating method combined with continuous nursing on prognosis of patients after interventions for acute coronary syndrome(ACS).Methods:All 86 patients after interventions for ACS were chosen as the objects of study,allocated to the control group and the observation group according to random number table method,with 43 cases in each group.The control group was given routine drug intervention,and the observation group adopted benefiting-Qi blood-activating method and continuous nursing based on the therapy the control group received.To compare clinical effects,syndrome integrals and the scores of quality of life,the incidence of restenosis between both groups in six months.Results:Total effective rate of the observation group was[97.67%(42/43)],noticeably higher than[81.40%(35/43)]of the control group(P<0.05);after the treatment,syndrome integrals reduced obviously in both groups,and the observation group was clearly lower than the control group(P<0.01);after the treatment,the scores of Seattle angina questionnaire(SAQ)increased in both groups evidently,and the observation group was higher than the control group apparently(P<0.01);the incidence of restenosis of the observation group was[2.33%(1/43)],obviously lower than[18.60%(8/43)]of the control group(P<0.05).Conclusion:Benefiting-Qi blood-activating method combined with continuous nursing could relieve clinical symptoms in patients after interventions for ACS,raise clinical effects and quality of life,reduce the risk of restenosis.

关 键 词：冠脉综合征 急性 益气活血法 延续性护理 预后 

分 类 号：R473.6[医药卫生—护理学]