益气活血方联合耳穴压豆治疗对气虚血瘀证老年冠心病PCI术后康复的影响  

Effect of Yiqi Huoxue Prescription Combined with Auricular Point Seed-Pressing on Postoperative Rehabilitation of Elderly Patients with Qi Deficiency and Blood Stasis Syndrome After PCI for Coronary Heart Disease

作　　者：种忆雯 王佳佳[1] 丁艳丽 闫奎坡[1] 刘艳萍 ZHONG Yiwen;WANG Jiajia;DING Yanli;YAN Kuipo;LIU Yanping(Department of Cardiovascular Medicine,the First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan 450000,China)

机构地区：[1]河南中医药大学第一附属医院心血管内科,河南郑州450000

出　　处：《新中医》2025年第2期138-142,共5页New Chinese Medicine

基　　金：河南省卫生健康委国家中医临床研究基地科研专项课题(2021JDZX2006);2021年度河南省中医药科学研究专项课题(20-21ZY2029)。

摘　　要：目的:观察益气活血方联合耳穴压豆治疗气虚血瘀证老年冠心病经皮冠状动脉介入术(PCI)术后患者的临床疗效。方法:将98例2023年3—9月河南中医药大学第一附属医院诊治的气虚血瘀证老年冠心病PCI术后患者,按随机数字表法分为联合组、西医组各49例,西医组给予常规治疗,联合组在西医治疗基础上给予益气活血方联合耳穴压豆。治疗4周后,比较2组临床疗效、中医证候评分、心脏功能[左心室射血分数(LVEF)和每分钟心输出量]、运动耐力[6 min步行试验(6MWT)]和西雅图心绞痛(SAQ)量表评分。结果:联合组总有效率为93.88%(46/49),西医组为79.59%(39/49),2组比较,差异有统计学意义(P<0.05)。治疗后,2组各项中医证候评分均较治疗前降低(P<0.05),且联合组各项评分均低于西医组(P<0.05)。治疗后,2组LVEF、每分钟心输出量均较治疗前升高(P<0.05),且联合组LVEF、每分钟心输出量均高于西医组(P<0.05)。治疗后,2组6MWT距离较治疗前延长(P<0.05),且联合组长于西医组(P<0.05)。治疗后,2组躯体受限程度、疾病稳定状态、疾病发作情况、疾病认知程度、疗效满意度评分均较治疗前升高(P<0.05),且联合组SAQ量表各维度评分均高于西医组(P<0.05)。结论:益气活血方联合耳穴压豆治疗冠心病PCI术后气虚血瘀证疗效肯定,可明显改善患者中医证候,增强术后心脏功能及运动耐力,提高患者生活质量。Objective:To observe the clinical effect of Yiqi Huoxue Prescription combined with auricular point seed-pressing in treating elderly patients with qi deficiency and blood stasis syndrome after percutaneous coronary intervention(PCI)for coronary heart disease.Methods:A total of 98 cases of elderly patients with qi deficiency and blood stasis syndrome who underwent PCI for coronary heart disease admitted to the First Affiliated Hospital of Henan University of Chinese Medicine from March to September 2023 were selected and divided into the combination group and the western medicine group according to the random number table method,with 49 cases in each group.The western medicine group received routine treatment,and the combination group received a combination of Yiqi Huoxue Prescription and auricular point seed-pressing based on western medicine treatment.After four weeks of treatment,the clinical effects,traditional Chinese medicine(TCM)syndrome scores,cardiac function[left ventricular ejection fraction(LVEF)and cardiac output per minute],exercise endurance[6-Minute Walk Test(6MWT)],and Seattle Angina Questionnaire(SAQ)scores were compared between the two groups.Results:The total effective rate in the combination group was 93.88%(46/49),and that in the western medicine group was 79.59%(39/49),with the difference being significant(P<0.05).After treatment,the TCM syndrome scores in the two groups were decreased when compared with those before treatment(P<0.05),and the scores in the combination group were lower than those in the western medicine group(P<0.05).After treatment,the LVEF and cardiac output per minute in the two groups were increased when compared with those before treatment(P<0.05),and the LVEF and cardiac output per minute in the combination group were higher than those in the western medicine group(P<0.05).After treatment,the 6MWT distance in the two groups was prolonged when compared with that before treatment(P<0.05),and the distance in the combination group was longer than that in the western medicin

关 键 词：冠心病 气虚血瘀 经皮冠状动脉介入术 益气活血方 耳穴压豆 西雅图心绞痛量表 老年人 

分 类 号：R541.4[医药卫生—心血管疾病]