阮新民,林宇,江巍,胡佳心,陈秋雄,吴焕林,陈伯钧,周汉槎,黄春林.中医辨证施治改善冠状动脉搭桥患者生活质量的临床观察[J].中国中西医结合杂志,2003,(11):804-807 |
中医辨证施治改善冠状动脉搭桥患者生活质量的临床观察 |
Clinical Observation on Quality of Life in Coronary Artery Bypass Grafting Patients Treated According to Syn- drome Differentiation of TCM |
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DOI: |
中文关键词: 中医辨证施治 冠状动脉搭桥手术 西雅图心绞痛量表 生活质量 |
英文关键词:treatment according to syndrome differentiation of TCM coronary artery bypass grafting Seattle Angina Questionnaire quality of life |
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中文摘要: |
目的:评价中医辨证施治对冠状动脉搭桥术(CABG)后患者临床疗效及生活质量的影响。方法:82例拟行冠状动脉搭桥手术的患者,对照组(39例)采用常规西医治疗,治疗组(43例)在西医治疗的基础上进行中医辨证施治。应用西雅图心绞痛量表,观察各组患者术后临床症状及生活质量的改善情况。结果:治疗2个月后,治疗组临床症状总积分值与对照组比较差异有显著性(P<0.01);生活质量量表总积分值亦显著高于对照组(P<0.01),其中在心绞痛稳定状态、心绞痛发作情况、治疗满意程度及疾病认识程度等方面治疗组均明显优于对照组(P<0.05或P<0.01)。结论:中医药治疗可以促进CABG术后患者的康复过程,改善临床症状,从而提高患者的生活质量。 |
英文摘要: |
Objective: To evaluate the clinical effect and quality of life (QOL) in coronary artery bypass grafting (CABG) patients treated according to syndrome differentiation of TCM. Methods: Eighty-two CABG patients were allocated in the control group ( n = 39) treated with conventional method of western medicine, and the TCM-treated group (n =43) treated according to syndrome differentiation of TCM based on the conventional western medicine. The Seattle Angina Questionnaire (SAQ) was used to assess the clinical effect and quality of life. Results; After 2 months treatment, the TCM syndrome score in TCM-treated group was better, and the score of SAQ was higher than that in the control group (all P<0.01). In the aspects of anginal stability, anginal frequency, treatment satisfaction and disease perception, there was significant difference between the two groups ( P < 0.05 or P < 0.01) . Conclusion: TCM treatment could promote recovery, improve symptoms and elevate QOL of CABG patients. |
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