调脾护心法对冠脉搭桥患者临床疗效及生存质量的影响

Clinical Efficacy of Treatment for Regulating Pi and Protecting Xin in Treating Patients after Coronary Artery Bypass Grafting and Its Effect on Patients’ Quality of Life

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中文关键词: 调脾护心法冠脉搭桥手术生存质量

英文关键词:treatment for regulating Pi and protecting Xin coronary artery bypass grafting quality of life

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作者	单位
阮新民	广东省中医院心脏中心广州510120
江巍	广东省中医院心脏中心广州510120
林宇	广东省中医院心脏中心广州510120
胡佳心	广东省中医院心脏中心广州510120
吴焕林	广东省中医院心脏中心广州510120
陈秋雄	广东省中医院心脏中心广州510120
张敏州	广东省中医院心脏中心广州510120
林冬群	广东省中医院心脏中心广州510120
陈晓伟	广东省中医院心脏中心广州510120
邓铁涛	广东省中医院心脏中心广州510120

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中文摘要:

目的评价调脾护心法治疗对冠脉搭桥术后患者临床疗效及生存质量的影响。方法106例拟行冠脉搭桥手术的患者,对照组(51例)采用常规西医治疗,试验组(55例)在西医治疗的基础上,采用调脾护心法,以护心方为主方加减治疗。观察两组患者临床症状、心功能的改善情况,并应用SF-36量表评价患者生存质量的改善情况。结果治疗3个月后,试验组证候积分总分较对照组明显降低(P<0·01),中医证候疗效显著优于对照组(P<0·05),心功能较对照组显著提高(P<0·05);SF-36量表积分,试验组患者在“身体疼痛”、“活力”、“情感职能”、“精神健康”、“健康变化”等维度积分明显高于对照组(P<0·05或P<0·01)。结论调脾护心法(应用护心方加减)可以促进冠脉搭桥术后患者的康复过程,提高心功能,改善临床症状,提高患者的生存质量。

英文摘要:

Objective To evaluate the clinical efficacy of treatment for regulating Pi and protecting Xin (abbr. as CHM) and its effect on quality of life (QOL) in patients after coronary artery bypass grafting (CABG). Methods One hundred and six patients, who were planned to undergo CABG were assigned into two groups, the 51 patients in the control group were treated with conventional Western medicinal treatment (WM) and the 55 patients in the experimental group were treated by WM with additional medication of CHM constituted mainly by modified Huxin Recipe. The changes of symptoms and heart function were observed and the patients’ QOL was evaluated by SF-36 Scale. Results After being treated for 3 months, the total scores of symptoms in the experimental group was significantly improved in comparing with that in the control group (P<0.01), the clinical efficacy on symptoms of TCM and improvement of heart function were superior to those in the control group (P<0.05) respectively. The scores in terms of pain, vitality, role of emotion, mental health, health transition of patients in the experimental group according to SF-36 scale were significantly higher than those in the control group (P<0.05 or P<0.01). Conclusion Treatment for regulating Pi and protecting Xin by modified Huxin Recipe can improve the recovery process of patients after CABG, elevate patients’ heart function, symptoms and QOL.

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